Test 1 - Legal Flashcards Preview

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Flashcards in Test 1 - Legal Deck (26):
1

T or F: If a patient feels suicidal and admits themself voluntary, they may leave at any time.

False, once admitted for DTS, there is a mandatory 72 hour hold.

2

What are three reasons to call 5150?

DTO
DTS
GD - inability to provide food, clothing or shelter due to mental disorder

3

T or F: Patients are always entitled to the right to refuse medication

False. If a patient is Riesed, they may not refuse.

A court order is required, called getting RIESED. Once a pt is RIESED, they can't refuse meds. If they do, it's the nursing staffs job to implement the DRs orders, which means giving IMs against a patients will.

Otherwise, patients reserve the same rights as any patient - voluntary or involuntary.

4

There is a guideline for involuntary length of stay (LPS laws). What are the time periods for DTS?

1. 72 hour hold initially
2. 14 days after the 72 hours
3. 14 days a second time

Total 31 days

5

There is a guideline for involuntary length of stay (LPS laws). What are the time periods for dto?

1. 72 hour hold initially
2. 14 days after the 72 hours
3. 180 days

Total 197 days

6

There is a guideline for involuntary length of stay (LPS laws). What are the time periods for GD?

1. 72 hour hold initially
2. 14 days after the 72 hours
3. 30 days (with temporary conservatorship)
4. 1 year conservatorship

Total 412 days

7

What is tarasoff?

The duty to inform others of risk. For example: Patient is admitted on 5150 for DTO. During therapeutic communication, he tells you he plans to kill his boss. You are responsible for informing the boss.

8

WHich court handles Riese hearings?

Court 95

9

T or F: Involuntary clients can own firearms four years after admission

False. Minimum of 5 years. Must be reported to department of justice reporting.

10

_____ ___ hearing is for minors age 14-17 years old

roger s


The purpose is for the child to contest treatment

11

Mental patients have a bill of rights. What are those rights?

1. adequate staffing
2. least restrictive setting possible
3. privacy
4. comfort - bed, food, etc
5. Informed consent! One per med!
6. Payment for work done
7. Individualized Tx plan

12

What are our ethical principles to practice by?

1. grant autonomy
2. Beneficence - promote good
3. Non Maleficence - do no harm
4. Justice - fairness
5. Veracity - truthfulness

13

What is kantianism?

action is based on sense of duty, NOT for the outcome (aka hold a door open for a someone because it is right, not for recognition or a thank you)

Kantianism is defined as a branch of philosophy that follows the works of Immanuel Kant who believed that rational beings have dignity and should be respected. A philosophy of rational morality including God and freedom, based on the works of Kant, is an example of Kantianism.

14

What is ethical egoism?

Doing what is best for the individual, not the whole

15

________ brings the most good for the most people.

utilitarianism

16

When a person is DTS or DTO and is acting out and being extremely agressive or abusive, what can we do?

Before meds, seclusion or restraing:
1. Try verbal de-escalation
2. If verbal doesn't work, show of force by having additional staff back us up.
3. Demand that patient returns to their room to cool off. (time out)

If patient continues unruly behavior:
1. Meds first
2. Seclusion (involuntary confinement)
3. Restraint

17

T or F: RN can initiate seclusion and restraint then obtain MD order

True

Orders must be renewed periodically and the max a person can be in seclusion/restraint is 24 hours.

In person evaluation must be done within 1 hour of initiation.

18

How often must you renew restraint/seclusion hours for adults?

every four hours

19

How often must you renew restraint/seclusion hours for 9-17 (puberty ages)?

every 2 hours

20

How often must you renew restraint/seclusion hours for children under 9?

every hour

21

How often must you check on a patient in restraints/seclusion?

every 15 minutes

22

Jimmy is restless and pacing. The nurse states, "If you don't be still, I am going to put you in restraints." What legal action might this nurse be charged with?

A. Battery
B. Assault
C. Defamation of character

Assault

A. Battery - physical
B. Assault - verbal
C. Defamation of character - saying something bad about someone to others in order to defame them.

23

When should we release patient from restraints?

when behavior will be corrected. Patient must give verbal plan of correction.

24

T or F: Patient has the right to wear their own clothes.

True

25

T or F: Patient does not have the right to refuse electric shock treatment

False, they can refuse it

26

T or F: Rights can be removed if DTS or DTO.

True. Must document in chart.