NR605 Week 2
1. Legal & Ethical Considerations: Provider initiated termination for cause
Termination letters
Court mandated treatment
Process and progress notes
2. Code of Ethics for Nurses: Respect for the
Individual Commitment to the Healthcare Consumer
Advocacy for the Healthcare Consumer
Responsibility and Accountability for
Practice Duties to Self and Others
Contributions to Healthcare Environments
Advancement of the Nursing Profession
Collaboration to Meet Health Needs
Promotion of the Nursing Profession
3. A client who is alert and oriented declines the PMHNP's treatment
recom- mendation for an antipsychotic in a non-emergent situation.
,Informed consent required
Exception to informed consent: Informed consent required
Rationale: The client has the capacity to consent and the situation is not
emergent. The ethic of autonomy provides for the client to refuse treatment
options.
4. An agitated, hallucinating client with a diagnosis of schizophrenia and no
designated decision-maker threatens to shoot his neighbors. The client
acts out violently towards the security guard in the emergency
department. The PMHNP orders haloperidol and lorazepam for the client.
Exception to informed consent
Informed consent required: Exception to informed consent
Rationale: The client does not have the capacity to provide consent.
5. A very anxious client is seeking treatment for anxiety symptoms. When
, the PMHNP begins to explain the treatment options, the client says she is
too anxious to hear them and asks that the PMHNP select the best option.
Exception to informed consent
Informed consent required: Exception to informed consent
Rationale: Clients may choose to waive their right to informed
consent.
1. Legal & Ethical Considerations: Provider initiated termination for cause
Termination letters
Court mandated treatment
Process and progress notes
2. Code of Ethics for Nurses: Respect for the
Individual Commitment to the Healthcare Consumer
Advocacy for the Healthcare Consumer
Responsibility and Accountability for
Practice Duties to Self and Others
Contributions to Healthcare Environments
Advancement of the Nursing Profession
Collaboration to Meet Health Needs
Promotion of the Nursing Profession
3. A client who is alert and oriented declines the PMHNP's treatment
recom- mendation for an antipsychotic in a non-emergent situation.
,Informed consent required
Exception to informed consent: Informed consent required
Rationale: The client has the capacity to consent and the situation is not
emergent. The ethic of autonomy provides for the client to refuse treatment
options.
4. An agitated, hallucinating client with a diagnosis of schizophrenia and no
designated decision-maker threatens to shoot his neighbors. The client
acts out violently towards the security guard in the emergency
department. The PMHNP orders haloperidol and lorazepam for the client.
Exception to informed consent
Informed consent required: Exception to informed consent
Rationale: The client does not have the capacity to provide consent.
5. A very anxious client is seeking treatment for anxiety symptoms. When
, the PMHNP begins to explain the treatment options, the client says she is
too anxious to hear them and asks that the PMHNP select the best option.
Exception to informed consent
Informed consent required: Exception to informed consent
Rationale: Clients may choose to waive their right to informed
consent.
