Contemporary Psychiatric-Mental Health Nursing Third Edition Contemporary Psychiatric-Mental Health Nursing Third Edition CHAPTER Contemporary Psychiatric-Mental Health Nursing, Third Edition Carol Ren Kneisl Eileen Trigoboff Ethics, Clients’ Rights, and Legal and Forensic Issues 12

Contemporary Psychiatric-Mental Health Nursing, Third Edition Carol Ren Kneisl Eileen Trigoboff 1. Describe the rights of the client in a psychiatric setting. 2. Discuss the legal and ethical issues related to seclusion and restraint. 3. Describe the components of malpractice. 4. Identify pertinent ethical issues in the practice of psychiatric nursing. 5. Discuss the meaning of standard of care. 6. Describe the most common types of torts in the mental health setting

Contemporary Psychiatric-Mental Health Nursing, Third Edition Carol Ren Kneisl Eileen Trigoboff Bioethics Autonomy Beneficence Fidelity Justice Nonmaleficence Veracity

Contemporary Psychiatric-Mental Health Nursing, Third Edition Carol Ren Kneisl Eileen Trigoboff Ethical Guidelines Standards for Psychiatric-Mental Health nursing practice published by ANA ANA Code of Ethics

Contemporary Psychiatric-Mental Health Nursing, Third Edition Carol Ren Kneisl Eileen Trigoboff Ethical Dilemmas The potential stigma of psychiatric diagnostic labels Psychiatry’s right to control individual freedom The justification for involuntary treatment

Contemporary Psychiatric-Mental Health Nursing, Third Edition Carol Ren Kneisl Eileen Trigoboff Ethical Dilemmas (cont'd) The use of restrictive treatment interventions The client’s right to suicide The client’s right to privacy

Contemporary Psychiatric-Mental Health Nursing, Third Edition Carol Ren Kneisl Eileen Trigoboff Stigma Associated with Diagnostic Labels Stereotypes Need for diagnostic labels Nurse’s moral stance

Contemporary Psychiatric-Mental Health Nursing, Third Edition Carol Ren Kneisl Eileen Trigoboff Mental Health Statutes and Regulations Rules and regulations are set by state governments Vary considerably Nurses must know the law of the state in which they practice

Contemporary Psychiatric-Mental Health Nursing, Third Edition Carol Ren Kneisl Eileen Trigoboff Voluntary Admission Informed consent Client retains all rights Client has a right to demand and obtain release

Contemporary Psychiatric-Mental Health Nursing, Third Edition Carol Ren Kneisl Eileen Trigoboff Involuntary Commitment Hospitalization against one’s will Criteria: –Dangerous to self or others –Unable to provide for basic needs –Mentally ill

Contemporary Psychiatric-Mental Health Nursing, Third Edition Carol Ren Kneisl Eileen Trigoboff Psychiatric Forensic Nursing Who is the client? Mindset of nurse Focus of the nurse-client relationship Location Primary purpose of relationship

Contemporary Psychiatric-Mental Health Nursing, Third Edition Carol Ren Kneisl Eileen Trigoboff Correctional Mental Health Nursing Who is the client? Mindset of nurse Focus of the nurse-client relationship Location Primary purpose of relationship

Contemporary Psychiatric-Mental Health Nursing, Third Edition Carol Ren Kneisl Eileen Trigoboff Psychiatric–Mental Health Nursing Care Rights Dignity Autonomy

Contemporary Psychiatric-Mental Health Nursing, Third Edition Carol Ren Kneisl Eileen Trigoboff Psychiatric Advance Directive Modeled after advance directives for end-of-life care Allows competent persons to document their preferences regarding mental health treatment

Contemporary Psychiatric-Mental Health Nursing, Third Edition Carol Ren Kneisl Eileen Trigoboff Box 12-3 Determining Negligence

Contemporary Psychiatric-Mental Health Nursing, Third Edition Carol Ren Kneisl Eileen Trigoboff Box 12-4 Common Sources of Liability in Psychiatric–Mental Health Services

Contemporary Psychiatric-Mental Health Nursing, Third Edition Carol Ren Kneisl Eileen Trigoboff Client Advocacy Poorly funded services Stigma Isolation Denial of rights