Acute Care and Legal/Ethical Guidelines
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Most third party payers require that at lease one of the following criteria be met to justify admission: | show 🗑
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show | Prevention of self harm or harm to others, stabilization of crisis with a return to community based services, initiation or modification of psychotropic meds; brief, specific problem solving to enable pt gain/regain of state of compensation, outpatient.
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These seek to standardize the daily expected outcomes for patients. | show 🗑
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show | Psychiatric Case Management
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The therapeutic milieu operates on the understanding that | show 🗑
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Documentation of the patient's progress is the responsibility of | show 🗑
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Inpatient psychiatric nursing requires stron skills in | show 🗑
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Basic level interventions include: | show 🗑
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show | An interdisciplinary care plan delineating assessments, interventions, treatents, and outcomes across a time line.
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show | The admission crisis is resolved.
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Maintaining an atmosphere in which healing and growth can take place, where nurses strive to keep communications and interpersonal feedback open and constructively honest. | show 🗑
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This member of the psychiatric inpation unit staff anticipates, prevents, and manages emergencies and crises on the unit | show 🗑
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show | Enhance resource management.
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A client is admitted to the psychiatric inpatient unit for the first time after a suicide attempt. The nurse can expect that, like most clients, he will experience some | show 🗑
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show | Rights as citizens remain intact.
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In a behavioral managed care system, if a client who has stopped taking psychotropic medication requires hospitalization for crisis management, what length of stay would be identified in the treatment plan? | show 🗑
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show | milieu management
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In most inpatient psychiatric units administration of medications is expected to involve | show 🗑
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show | Therapeutic Inpatient Milieu
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When a number of staff gather to provide silent support for a staff member who has given a directive to a client in an attempt to deescalate a crisis, the intervention is called | show 🗑
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show | Psychoeducation to promote medication compliance.
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Arranging for rapid assessment of a newly hospitalized client best exemplifies an important focus for a | show 🗑
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show | Choose or refuse.
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show | Striking a balance between the rights of the individual client and the rights of society at large.
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This term is used in relation to ethical dilemmas surrounding client care. | show 🗑
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show | Beneficience, autonomy, justice, fidelity, veracity.
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show | Beneficience
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show | Autonomy
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Treating others fairly and equally. | show 🗑
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show | Fidelity
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This refers to one's duty always to tell the truth. | show 🗑
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show | Ethical Standards
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show | Laws
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show | The group that establishes the norms.
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Patients cannot be subjected to any procedure or treatment without their consent or ________ will have occured. | show 🗑
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show | Writ of Habeas Corpus
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show | Writ of Habeas Corpus
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The tow mose important concepts applicable to civic commitment cases. | show 🗑
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show | Least Restrictive Alternative Doctrine
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show | Voluntarily Admission
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show | Involuntary Admission
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There are 3 types of commitment procedures, what are they? | show 🗑
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The primary purpos of this type of hospitalization is observation, diagnosis, and treatment for persons who have mental illness or pose a danger to themselves or others. | show 🗑
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show | Judicial or administrative action or medical certification.
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show | Involuntary Outpatient Commitment
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This usually requires outpatient treatment for a specified period to determine the patient's compliance with medication protocols, ability to meet basic needs, and ability to reintegrate into the community. | show 🗑
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What are the criteria that treatment must meet? | show 🗑
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show | Informed Consent
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show | Intentional Tort
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show | Assault
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A harmful or offensive touching of another's person. | show 🗑
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An act with the intent to confine a person to a specific area. | show 🗑
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show | False Imprisonment
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An act or omission to act that breaches the duty of due care and results in or is responsible foa a persons injuries. | show 🗑
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show | Duty, breach of duty, cause in fact, proximate cause, and damages.
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Conduct that exposes the patient to an unreasonable risk of harm, through either commission or omission of acts by the nurse. | show 🗑
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The single most important action nurses can take to protect the rights of a psychiatric patient is to: | show 🗑
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show | Treatment with antipsychotic drugs.
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Observing the patient's right to privacy permits the psychiatric mental health hurse to: | show 🗑
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show | Fidelity
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show | Right of Informed Consent
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show | Battery
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show | Disclose nothing that would have been kept confidential before death.
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show | Autonomy
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The use of seclusion or restraint to control the behavior of a client who is at risk of harming self or others gives rise to conflict between the ethical principles of | show 🗑
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A client is released from involuntary commitment by the judge, who orders that a caseworker supervise him for the next 6 months. This is an example of | show 🗑
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