Ethical Principles
The ethical principle that refers to the duty to do good & benefit others.
All psychiatric patients have the right to this, even when hospitalized involuntarily.
Admission where the patient agrees to treatment and reserves the right to request discharge at any time.
voluntary admission
The law that protect patient health information
HIPPA
negligence
The principle that emphasizes honesty and truth-telling in nursing practice.
Veracity
Patients also have the right to this, unless they are deemed a danger to themselves or others.
right to refuse treatment
Admission against the patients will usually require danger to self, others, or grave disability.
involuntary admission
A landmark court case established the nurse's duty to warn potential victims when a patient makes threats against them.
Trasoff v Regents of the university of california
Professional negligence that results in harm is called...
malpractice
The principle of respecting a patient's right to make their own decisions.
Autonomy
The doctrine requiring treatment in the least restrictive setting possible is called this.
Least restrictive environment principle
The legal term for a patient who requires care but cannot meet basic needs, such as food and shelter
grave disability
when there is a duty to warn, report abuse, or protect life.
Touching a patient without consent, even if no harm occurs, is considered this.
battery
The principle requires nurses to avoid harm and protect patients from danger.
Nonmaleficence
Restraint and seclusion may only be used when this condition is present
imminent danger to self or others
A patient admitted involuntarily must be evaluated by the court within this time frame (varies by state)
Typically 24-72 hours
Sharing patient information with someone not involved in care without permission is considered this.
Making a patient fear harmful contact, even without physical touch, is considered this
assault
A nurse is caring for a patient who refuses a prescribed antipsychotic medication. Which ethical principle is most important to consider when respecting the patient’s decision?
a) Beneficence
A nurse is caring for a patient who refuses a prescribed antipsychotic medication. Which ethical principle is most important to consider when respecting the patient’s decision?
a) Beneficence
b) Autonomy
c) Justice
d) Nonmaleficence
c) Justice
d) Nonmaleficence
b) Autonomy?
A nurse applies physical restraints to a patient without trying less restrictive measures first. Which patient right has been violated?
a) Right to informed consent
b) Right to confidentiality
c) Right to the least restrictive environment
d) Right to refuse treatment
c) Right to the least restrictive environment
A patient admitted involuntarily states, “I want to leave now.” The nurse’s best response is:
a) “You cannot leave until the doctor says so.”
b) “You must sign a form requesting discharge, and the psychiatrist will evaluate you.”
c) “You must remain here until a court order is given.”
d) “Leaving is not possible since you are a danger to yourself.”
b) “You must sign a form requesting discharge, and the psychiatrist will evaluate you.”
A patient tells the nurse, “I plan to kill my roommate tonight.” What is the nurse’s best action?
a) Keep the information confidential to maintain trust
b) Tell the healthcare team but not the roommate
c) Notify the treatment team and take steps to protect the roommate
d) Encourage the patient to discuss the plan with the roommate
c) Notify the treatment team and take steps to protect the roommate
A nurse administers a sedative to a patient to keep them quiet without a provider’s order. The nurse could be charged with:
a) Assault
b) Battery
c) Negligence
d) False imprisonment
(d) False imprisonment