Ethics Flashcards

1
Q

a disability severe enough to warrant hospitalization cont. treatment on monitoring

A

mental illness

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2
Q

process by which a person suffering from a mental illness, who is unable to care for self, or who is deemed a danger to self or others, maybe temporarily detained & committed to a hospital or outpatient treatment on a compulsory basis. Governed by individual states.

A

Involuntary Commitment

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3
Q

Danger to self &/ or others:, inability to attend basic needs, gravely disabled, refuses hospitalization, or incompetent to consent
Civil or judical: Long term.
Emergency: risk of harm to self or others. Short term

A

Criteria for involuntary commitment

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4
Q

Balance person’s right to freedom with protection of the MI person who is unable to care for self & the protection of society.

A

Due process in civil commitment

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5
Q

it is the responsibility of a treating mental health professional to notify an intended, identifiable victim.

A

Tarasoff Duty to Warm

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6
Q

Definite current plan to harm a specific, identifiable person, resources & ability to carry out, history of violence, impulsivity, extreme emotional changes, depression

A

Assessing intent to harm

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7
Q

regarding treatment and research participation. Must have adequate information for consent. Inform of treatment benefits and risks. Must be capable of consenting or refusing.
Ex. ECT-requires informed consent.

A

Informed Consent

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8
Q

right to due process in matters of hospitalization do not apply to minors.
Parents/guardians make decisions for minor children.
Nursing Interventions; Support child’s best interest, treat fairly, inform & involve in treatment.

A

Legal Rights of Children

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9
Q

One to one interaction

Separating the patient from the area/stimulus

Redirecting the patient.

Limit setting

Voluntary med. Administration

Quiet room/time out “staff show of determination”

Involuntary med administration

A

Least to Most Restrictive Alternative

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10
Q

Seclusion-Involuntary confinement in a specifically constructed, locked room with a security window or camera for protection of others. Provides decreased stimulation. Requires constant monitoring, nursing assessment & care, doctors order.

Restraints-Ankles & wrist devices fastened to bed from to curtail physical aggression to self/others. Must have 1:1 For safety of patient

Nurse can put pt in seclusion or restraints according to hospital policy but must get doctor’s order ASAP & doctor must assess within 1 hour. Discontinue ASAP. Careful Documentation.

A

Most Restrictive Alernatives

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11
Q

All MI are assumed competent until declared incompetent in court of law or a minor.

A

Legal Incompetency

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12
Q

Lacks the capacity to appreciate the criminality or conform to law.
Refers to persons state of mind at the time of the offense.
To be found guilty, person must be able to form intent.
If unable to form intent, person is not found guilty
If not guilty, person is usually evaluated for commitment to a hospital for treatment.

A

M’Naghten Rule-Insanity Defense

Not guilty by reason of insanity

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13
Q

Newer, possible plea in some states.
Person found guilty, but mental illness caused commission of offense.
Sent to prison & treated for mental illness.
Court commitment in DE-Mitchell @ DPC for treatment of MI, determine fitness to stand trial. dept of corrections.
~has intent but mentally ill.

A

Guilty But Mentally ill (GBMI)

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14
Q

is a branch of philosophy that deals with systematic approaches to distinguishing right from wrong behavior

A

ethics

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15
Q

is the term applied to these principles when they refer to concepts with in the scope of medicine, nursing and allied health.

A

bioethics

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16
Q

defined as conduct that results from serious critical thinking about how individuals ought to treat others. Moral behaviors reflects the way a person interprets basic respect for other person, such as the respect for autonomy, freedom, justice, honesty and confidentiality.

A

Moral behavior

17
Q

are personal beliefs about what is important and desirable.

A

Values

18
Q

is a process of self-exploration through which individuals identify and rank their own personal values. This process increases awareness about why individuals behave in certain ways. Important in nursing to increase understanding about why certain choices & decisions are made over others and how values affect nursing outcomes.

A

values clarification

19
Q

“a valid, legally recognized claim or entitlement, encompassing both freedom for government interference or discriminatiory treatment and an entitlement to a benefit or service.

A

Right

20
Q

a moral principle or a set of moral principles that can be used in assessing what is morally right or morally wrong”

A

ethical theory

21
Q

is directly opposed to utilitarianism. argued it is not the consequences or end results that make an action right or wrong-but rather it is the principle or motivation on which the action is based that is the morally decisive factor.

A

Kantianism

22
Q

The basis of utilitarianism is the greatest happiness principle.

A

utilitariansim

23
Q

a situation that requires an ind. to make a choice between 2 equally unfavorable alternatives.

A

ethical dilemma

24
Q

ones duty to benefit or promote the good of others

A

beneficence

25
Q

to act on another behalf supporter or defender

A

advocacy

26
Q

requirement that healthcare providers do no harm to their clients , either intentionally or unintentionally

A

nonmaleficence

27
Q

derived from decisions made in previous cases. Apply to a body of principles that evolve from court decisions resolving various controversies.

A

Common law

28
Q

law enacted by a legislative body, such as a county or city council, state legislature or us congress, ex. nurse acts

A

Statutory law

29
Q

protects the private & property rights of ind. and businesses.
2 types of legal action: torts and contracts

A

Civil law

30
Q

violation of a civil law in which an individual was wronged. Could be intentional or unintentional.
ex. malpractice & negligence actions (unintentional)

A

tort

31
Q

one party fails to fulfill obligation–so compensation or performance of obligation is sought after.

A

Contracts

32
Q

provides protection from conduct deemed injuries to the public welfare. Provides punishment for those found to have engaged in such contact.

A

Criminal Law

33
Q

Duty to Warn

Duty to Protect

A

Exception to the Law

34
Q

all ind. have the right to accept or reject treatment. Can be charged with assault and battery if pt hasn’t agreed to it-preservation and protection of individual autonomy in determining what will and what will not happen to the person’s body.

A

Informed consent

35
Q
  1. Knowledge
  2. Competency
  3. Free will
A

To provide informed consent:

36
Q

is the deliberate and unauthorized confinement of a person with in fixed limits by the use of verbal or physical means.

A

False Imprisonment

37
Q

an instance of negligence or incompetence on the part of a professional. To succeed in a malpractice claim, a plaintiff must also prove proximate cause and damages

A

malpractice

38
Q

change that may result when a client is searched without probable cause.

A

invasion of privacy

39
Q
  • responding to the patient
  • educating the patient
  • complying with the standard of care
  • supervising care
  • adhering to the nursing process
  • documenting carefully
  • following up by evaluating the care that was givent
A

Avoid Malpractice