NR 668 – Week 1 Introduction to Psychiatric Mental Health Nursing, Advanced Practice
Nursing Course, Lecture Summary and Foundational Concepts
Code of Ethics for Nurses (ethical principles) - ✔✔1. Respect for the Individual
2. Commitment to the Healthcare Consumer
3. Advocacy for the Healthcare Consumer
4. Responsibility and Accountability for Practice
5. Duties to Self and Others
6. Contributions to Healthcare Environments
7. Advancement of the Nursing Profession
8. Collaboration to Meet Health Needs
9. Promotion of the Nursing Profession
Person A: "I can't believe you deal with these people every day. Schizophrenics would drive ME
crazy!"
PMHNP: "Actually, schizophrenia is a chronic treatable disease, much like diabetes or other
physical illnesses. Patients who have mental illness deserve compassion and care."
what ethical principle? - ✔✔Respect for the Individual
Rationale: Respect for the individual affirms the worth and dignity of those with PMH disorders
by advocating to overcome negative stigmas towards PMH diagnoses to ensure access to care.
The client presents to the emergency department with hallucinations and is threatening self-
harm. The PMHNP signs an involuntary admission order for emergent psychiatric care.
what ethical principle? - ✔✔Commitment to the Healthcare Consumer
,Rationale: The PMHNP demonstrates a commitment to the healthcare consumer by balancing
the client's human rights with safety, including coercive measures when the client was unable to
maintain their own safety.
The PMHNP is sharing sexually explicit memes with a client that she saw earlier today in a group
session.
what ethical principle? - ✔✔Advocacy for the Healthcare Consumer
Rationale: This is an unethical scenario. The PMHNP recognizes the power differential in the
therapeutic relationship and understands that any sort of sexual activity or intimacies with
current clients, their close family members, guardians, or significant others is unethical.
The PMHNP has overbooked her sessions today, so she asks the RN who works in her office to
conduct one of her phone therapy sessions today.
what ethical principle? - ✔✔Responsibility and Accountability for Practice
Rationale: This is an unethical scenario. The PMHNP must understand the scope of other team
members' practice in order to delegate appropriately. Conducting a counseling session is
outside of the RN's scope of practice.
The PMHNP takes time for daily meditation to improve mindfulness and ease stress.
what ethical principle? - ✔✔Duties to Self and Others
Rationale: The PMHNP is committed to practicing self-care, managing stress, and maintaining
supportive relationships to meet personal needs outside of therapeutic relationships.
, A PMHNP discovers her colleague is diverting scheduled medications to self-medicate anxiety.
The PMHNP reports the concerns to the colleagues supervisor.
what ethical principle? - ✔✔Contributions to Healthcare Environments
Rationale: The PMHNP recognizes signs/symptoms of psychiatric disorders in the workplace
reporting peer observations to leadership. The PMHNP helps address problems faced by
colleagues that impact client safety or violate public trust, including substance abuse.
The PMHNP gives a presentation at a national conference on best practices in depression
treatment.
what ethical principle? - ✔✔Advancement of the Nursing Profession
Rationale: The PMHNP contributes to advancing the professing through practice, education,
administration, and knowledge development.
The PMHNP is a member of the ANA and NAMI and regularly participates in workgroups that
seek to expand access to care for healthcare consumers with PMH disorders.
what ethical principle? - ✔✔Collaboration to meet health needs
Rationale: The PMHNP promotes community, national, and international efforts to meet health
needs through collaboration with other healthcare professionals to promote prevention,
treatment, and recovery.
A PMHNP speaks at a school board meeting about the need develop policies to expand mental
health services for underserved students.
Nursing Course, Lecture Summary and Foundational Concepts
Code of Ethics for Nurses (ethical principles) - ✔✔1. Respect for the Individual
2. Commitment to the Healthcare Consumer
3. Advocacy for the Healthcare Consumer
4. Responsibility and Accountability for Practice
5. Duties to Self and Others
6. Contributions to Healthcare Environments
7. Advancement of the Nursing Profession
8. Collaboration to Meet Health Needs
9. Promotion of the Nursing Profession
Person A: "I can't believe you deal with these people every day. Schizophrenics would drive ME
crazy!"
PMHNP: "Actually, schizophrenia is a chronic treatable disease, much like diabetes or other
physical illnesses. Patients who have mental illness deserve compassion and care."
what ethical principle? - ✔✔Respect for the Individual
Rationale: Respect for the individual affirms the worth and dignity of those with PMH disorders
by advocating to overcome negative stigmas towards PMH diagnoses to ensure access to care.
The client presents to the emergency department with hallucinations and is threatening self-
harm. The PMHNP signs an involuntary admission order for emergent psychiatric care.
what ethical principle? - ✔✔Commitment to the Healthcare Consumer
,Rationale: The PMHNP demonstrates a commitment to the healthcare consumer by balancing
the client's human rights with safety, including coercive measures when the client was unable to
maintain their own safety.
The PMHNP is sharing sexually explicit memes with a client that she saw earlier today in a group
session.
what ethical principle? - ✔✔Advocacy for the Healthcare Consumer
Rationale: This is an unethical scenario. The PMHNP recognizes the power differential in the
therapeutic relationship and understands that any sort of sexual activity or intimacies with
current clients, their close family members, guardians, or significant others is unethical.
The PMHNP has overbooked her sessions today, so she asks the RN who works in her office to
conduct one of her phone therapy sessions today.
what ethical principle? - ✔✔Responsibility and Accountability for Practice
Rationale: This is an unethical scenario. The PMHNP must understand the scope of other team
members' practice in order to delegate appropriately. Conducting a counseling session is
outside of the RN's scope of practice.
The PMHNP takes time for daily meditation to improve mindfulness and ease stress.
what ethical principle? - ✔✔Duties to Self and Others
Rationale: The PMHNP is committed to practicing self-care, managing stress, and maintaining
supportive relationships to meet personal needs outside of therapeutic relationships.
, A PMHNP discovers her colleague is diverting scheduled medications to self-medicate anxiety.
The PMHNP reports the concerns to the colleagues supervisor.
what ethical principle? - ✔✔Contributions to Healthcare Environments
Rationale: The PMHNP recognizes signs/symptoms of psychiatric disorders in the workplace
reporting peer observations to leadership. The PMHNP helps address problems faced by
colleagues that impact client safety or violate public trust, including substance abuse.
The PMHNP gives a presentation at a national conference on best practices in depression
treatment.
what ethical principle? - ✔✔Advancement of the Nursing Profession
Rationale: The PMHNP contributes to advancing the professing through practice, education,
administration, and knowledge development.
The PMHNP is a member of the ANA and NAMI and regularly participates in workgroups that
seek to expand access to care for healthcare consumers with PMH disorders.
what ethical principle? - ✔✔Collaboration to meet health needs
Rationale: The PMHNP promotes community, national, and international efforts to meet health
needs through collaboration with other healthcare professionals to promote prevention,
treatment, and recovery.
A PMHNP speaks at a school board meeting about the need develop policies to expand mental
health services for underserved students.
