Ethical, Legal, Spiritual, Cultural Flashcards
(20 cards)
Ethics
a standard of behavior or a belief valued by an individual or group
Steps in Ethical Decision
- Assessment
- Problem/Component Identification
- Clarify rights and responsibilities
- Explore all possible options
- Apply principles
- Take Action
Utilitarianism
the most good for the most people
Egoism
most good for me
Veracity
be truthful
Autonomy
patient has right to choose
Non maleficence
Do no harm
Beneficence
best interest of the patient
Voluntary
- Consents
- May be discharged
Involuntary
- Physician or Court
- Meet criteria
- Types: temp, long-term, out-patient
- discharged by doctor
Criteria for Commitment
- person has a diagnosable mental illness
- Danger to self/others
- Unable to provide for basic needs
- Needs tx but unable to seek voluntarily
APOWW
Apprehension by a peace officer without/with a warrant
OPC
order of protective services
- within 24 hrs of admission
- probable cause hearing in 72 hrs
Incompetency
requires court hearing must show: -mental disorder -defect on judgement -cannot handle affairs Appoint legal guardian Need court to reverse
Confidentiality Exceptions
- Emergency
- Court-ordered
- Incompetent
- Criminal/commitment
- protect 3rd parties
- child custody/abuse
- state law
Informed Consent
- Info: procedure, pros/cons, Tx alternatives, Tx appropriatness, outcomes, risks
- time for consideration
- permission
Forensic Admission
Competency issues:
A. does not sufficient present ability to consult with person’s lawyer with reasonable understanding
B. does not have rational as as factual understanding of the proceeding vs the person
Negligence
Plaintiff must prove:
- legal duty of care existed
- nurse performed duty negligently
- Damages were suffered by plaintiff
- damages were substantial
RFs for Psych Disorders
- age
- ethnicity
- gender
- education
- income
- beliefs
FICA Spiritual Assessment Tool
Faith
Importance
Community
Address
