Questions Solved Correctly
Overview - Answer 1. A nurse who works in the mental health setting is responsible for practicing
ethically, competently, safely, and in a manner consistent with all local, state, and federal laws.
2. Nurses must have an understanding of the ethical principles and how they apply when providing care
for clients in the mental health setting
3. Nurses are responsible for understanding and protecting client's rights
Legal Rights of the client - Answer 1. Clients who have a mental health disorder diagnosis or who are
receiving acute care for mental health disorders are guaranteed the same civil rights as any other citizen
including:
-Right to humane RX, care (medical and dental)
- Right to vote
- Rights related to granting, forfeiture, or denial of an drivers license
- Right to due process of law, including the right to press legal charges against another person
2. Clients have the various specific rights of:
- informed consent and to refuse RX
- Confidentiality
- A written plan of care/RX that includes discharge follow up, and participation in the care plan and to
review
-Communication with people outside the mental health facility, including family members, attorneys,
and other health care services.
-Provision of adequate interpretive services if needed
-Care provided with respect, dignity, and without discrimination
-Freedom from harm related to physical or pharmacological restraints, seclusion, and any
physical/mental neglect or abuse
-A psychiatric advance directive that includes the pt's RX preferences in the event that an involuntary
admission is necessary
- Provision of care with the least restrictive intervention necessary to meet the client's needs without
allowing him to be a threat to himself or others
, Legal Rights of the client cont'd - Answer - Some legal issues regarding health care are decided in court
using a specialized civil category called= TORT.
-Torts is a wrongful act or injury committed by an entity or person against another person or their
property. Torts can be used to decide liability issues, as well as intentional issues that can involve
criminal penalties, like abuse.
- State laws can vary greatly. The nurse is responsible for knowing specific laws regarding client care
within the state or states in which you practice
Ethical Issues For clients in the mental Health setting - Answer 1. In comparison to laws, statues, and
regulations (enacted by local, state, or federal government), ethical issues are philosophical ideas
regarding right and wrong.
2. Nurses are frequently confronted with ethical dilemmas regarding pt care (bioethical issues)
3. Because ethics are philosophical and involve values and morals, there is frequently no clear- cut,
simple resolutions to an ethical dilemma
4. The nurse must be use ethical principles to decide ethical issues. these include the following (see next
slides)
Ethical Issues For clients in the mental Health setting cont'd: Beneficence - Answer The quality of doing
good; can be described as charity
ex: A nurse helps a newly admitted clients who has a psychotic disorder to feel safe in the environment
of the mental health facility
Ethical Issues For clients in the mental Health setting cont'd: Autonomy - Answer The client's right to
make their own decisions. But the pt must accept the consequences of those decisions. The client must
also respect the decisions of others.
ex: Rather than give advice to a client who has difficulty making decisions, a nurse helps the client
explore all alternatives and arrives at a choice.
Ethical Issues For clients in the mental Health setting cont'd:
Justice - Answer Fair and equal RX for all