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Psych Test 1
Ch. 6
Question | Answer |
---|---|
The study of philosophical beliefs about what is considered right or wrong in a society | Ethics |
the study of specific ethical questions that arise in health care | bioethics |
What are the 5 basic principles of bioethics? | beneficence, autonomy, justice, fidelity, veracity |
the duty to act to benefit or promote the good of others (ex: spending extra time to help calm an extremely anxious patient) | beneficence |
respecting the rights of others to make their own decisions (ex: acknowledging the patient's tight to refuse medication promotes this) | autonomy |
the duty to distribute resources or care equally, regardless of personal attributes | justice |
maintaining loyalty and commitment to the patient and doing no wrong to the patient | fidelity |
one's duty to communicate truthfully | veracity |
results when there is a conflict between two or more courses of action, each carrying favorable and unfavorable consequences | ethical dilemma |
the right to vote; the right to civil service ranking; the right to receive, forfeit, or deny a driver's license; etc | civil rights |
"formal written order" to "free the person" | writ of habeas corpus |
mandates that the least restrictive and least disruptive means be used to achieve a specific purpose | least restrictive alternative doctrine |
one type of voluntary admission that is similar to any general hospital admission in which there is no formal or written application | informal admission |
occurs when a patient applies in writing for admission to the facility | voluntary admission |
used (1) for people who are confused or demented they cannot make decisions on their own or (2) for people who are so ill they need emergency admission | temporary admission |
admission to a facility with out the patient's consent | involuntary admission |
used for extended care and treatment of those with mental illness. Commitments are obtained through medical certification, judicial hearings, or administrative action | long-term involuntary admission |
court mandates for medication and other treatments as a condition for remaining in the community rather than in the hospital. These mandates are controversial and not used in all communities in the United States. | involuntary outpatient commitment |
usually requires outpatient treatment for a specified period to determine the patient's adherence with medication protocols, ability to meet basic needs, and ability to reintergrate into the community | conditional release |
the termination of a patient-institution relationship | unconditional release |
the right to expect appropriate and adequate treatment | right to treatment |
the right to reject forced treatment. This right takes into consideration a person's right for choice, or autonomy, and beneficence, actions that benefit others | right to refuse treatment |
a legal term that indicates that a person has been provided with a basic understanding of risks, benefits, and alternatives and is receiving treatment voluntarily | informed consent |
the capacity to understand the consequences of one's decisions | competency |
a form of consent that is not expressly given but is assumed from circumstances of a person's particular situation or a person's actions, especially in life-threatening of serious situations | implied consent |
the ethical responsibility of a health care professional that prohibits the disclosure of privileged information without the patient's informed consent | confidentiality |
A bill enacted in 1996 that established national standards for the protection of electronic medical records | Health Insurance Portability and Accountability Act (HIPAA) |
the legal expectation of privacy concerning the sharing of medical information | right to privacy |
confining a patient alone in an area or a room and preventing the patient form leaving | seclusion |
an obligation to warn third parties when they may be in danger from a patient | duty to warn |
ethical and legal obligation of health care workers to protect patients form physically harming themselves or others | duty to protect |
require registered nurses and others to report cases of abuse of adults 65 and older | elder abuse reporting statutes |
a civil wrong for which money damages (or other relief) may be obtained by the injured party (plaintiff) from the wrongdoer (defendant) | tort |
willful and intentional acts that violate another person's right or property | intentional torts |
an intentional threat designed to make the victim fearful; produces reasonable apprehension of harm | assault |
the harmful or offensive touching of another person | battery |
may be a misdemeanor or tort brought against health care workers who illegally hold people in confinement. Confinement includes restraint within a limited area and restraint within a limited area and restraint with in an institution | false imprisonment |
breaking a persons confidences or taking photographs without explicit permission | invasion of privacy |
Defamation of character (verbal), such as talking about a patient on the elevator with others around, and ___ (printed), where written information about the patient is shared with people outside the professional setting. | slander (verbal), libel (printed) |
unintended acts against another person that produce injury or harm | unintentional tort |
the failure to use ordinary care in any professional or personal situation when you have a duty to do so | negligence |
act or omission to act that breaches the duty of due care and results in or is responsible for a person's injuries or death | malpractice |
What are the 5 elements required to prove negligence? | duty, breach of duty, cause in fact, proximate cause, damages |
occurs if the nursing conduct falls below the standard of care and exposes the patient to an unreasonable risk of harm | breach of duty |
When nurses represent themselves as being capable of caring for psychiatric patients and accept employment, a __ of care has been assumed. | duty |
May be elevated by asking the question, "If it were not for what this nurse did (or failed to do), would this injury have occurred?" | cause in fact |
legal cause, may be elevated by determining whether there were any intervening actions or persons that ere, in fact, the causes of harm to the patient | proximate cause |
include actual damages (loss of earnings, medical expenses, and property damage), as well as pain and suffering | damages |
evaluates the likelihood of the outcome under the circumstances | foreseeability of harm |
Substandard institutional policies may put nurses at risk of ____, so professional standards of nursing should be followed | liability |
The intervention that will be most effective in preventing a nurse from making decisions that will lead to legal difficulties is A. asking a peer to review nursing intervention related decisions. B. balancing the rights of the client and the rights of society. C. maintaining currency in state laws affecting nursing practice. D. seeking value clarification about fundamental ethical principles. | c |
Which ethical principle refers to the individual’s right to make his or her own decisions? A. Beneficence B. Autonomy C. Veracity D. Fidelity | B |
If a nurse is charged with leaving a suicidal client unattended, it is being suggested that the nurse’s behavior has violated the ethical principle of A. autonomy. B. veracity. C. fidelity. D. justice. | C |
In the course of providing best psychiatric care for a client, the nurse must place greatest reliance on A. legal principles. B. ethical principles. C. independent judgment. D. institutional standards. | A |
The civil rights of persons with mental illness who are hospitalized for treatment are A. the same as those for any other citizen. B. altered to prevent use of poor judgment. C. always ensured by appointment of a guardian. D. limited to provision of humane treatment. | A |
If a client with psychiatric illness is determined to be incompetent to make decisions affecting his care A. Staff members are required to use their best judgment when defining care. B. No treatment other than custodial care can be provided. C. The court appoints a guardian to make decisions on his behalf. D. The doctrine of least restrictive alternative is null and void. | C |
Which statement is true regarding mail sent to an involuntarily admitted client residing on a psychiatric inpatient unit? A. The client can receive mail from only family and legal sources. B. Mail must first be opened and inspected by staff. C. Receipt of mail is considered a privilege accorded the client for compliance. D. Mail is a form of social interaction and so receiving mail is a client’s civil right. | D |
Which right of the client has been violated if he is medicated without being asked for his permission? A. Right to dignity and respect B. Right to treatment C. Right to informed consent D. Right to refuse treatment | C |
A client who presents no danger to himself or to others is forced to take medication against his will. This situation represents A. assault. B. battery. C. defamation. D. invasion of privacy. | B |
After the death of a client, what rule of confidentiality should be followed by nurses who provided care for the individual? A. Confidentiality is now reserved to the immediate family. B. Only HIV status continues to be protected and privileged. C. Nothing may be disclosed that would have been kept confidential before death. D. The nurse must confer with the next of kin before divulging confidential, sensitive information. | C |