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legal and chronic mental health
Psyc Exam 2
25
Nursing
Undergraduate 3
10/28/2012

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Cards

Term
what are some common chronic mental health diagnoses
Definition
-schizzo
-mood disorders
-delusional disorders
-delirium
-dementia
-amnestic and other cognitive disorders
-psychotic disorders
Term
example of dual diagnosis
Definition
substance abuse and mental illness
Term
types of disorders in children
Definition
-mood disorders
-schizo
-conduct disorders
-autism
-adolescent: bipolar and substance abuse
Term
1970-1980
what is important regaurding mental health
Definition
shift in treatment
-deinstitutionalization
-shorter inpatient stay
-follow up care in community
--closure of institutions
-- not adequate comminity mental health
--inc homeless rates and those in jail
Term
americans with disabilities act
Definition
1990- prohibited discrimination based on disability including mental illness
Term
who has the most contact with CMI patients?
Definition
nurses
Term
who is on the interdisciplinary team?
Definition
psychiatrist (meds)
primary care provider
psychologist
therapist
social worker
nurse
Term
state commitment laws
Definition
always the least restrictive
-voluntary
-emergency commitment
-then long tern judicial commitment
Term
guidelines for voluntary commitment
Definition
-must sign forms
-must be advised of patient rights
-must be mentally competent
-24 hour notice to leave
Term
emergency involuntary commitment
Definition
danger to self
danger to others
Term
non emergency pre petition screening for involuntary commitment
Definition
persistently and acutely disabled
gravely disabled
Term
can a guardian commit patient?
Definition
NOT with out a court order
but can for out patient treatment
attorney is ongoing advocate, must know in 48 hrs of admittance
Term
power of attorney rules
Definition
can be anyone
must be sound mind to appoint but not to revoke
Term
three reasons you can breach hippa
Definition
child, elder or retarded ppl abuse
communicable disease
information that could prevent commission of a felony
Term
duty to warn and protect act
Definition
1976- tarasoff
therapist must warn others when threat of danger to identifiable others
Term
some client rights
Definition
-right to appropriate treatment settings
-right to individualized written treatment plans, and review
-right to ongoing participation in planning, right to reasonable medical attention, explination of medical condition, reasons for treatment and alternatives
-right to refuse treatment except in emergency or law
-right not to participate in experimentation
-right to freedom from seclusion or restraint
-right to confientally records unless it would be detrimental to health
-right to access phone, mail and visitors
-right to referal post d/c
Term
malpractice and negligence
Definition
-focused on recognized standard of care
-injury with connection to nurse action and physical or psyc injury
-incomplete documentation
-sexual misconduct
-suicide and homicide
Term
autonomy
Definition
kantian duty of respect
-client's freedom to make choices about his life
-freedom of destiny
Term
kantianism
Definition
directly opposing utilitarianism
-end result or consequence doesnt make an action wrong or right but it is the motivation of the action
-decisions made by the adherence to laws and morals
-its my moral right to do this action
Term
christian ethics
Definition
-the golden rule: do on to others what you want done to you.
-treat others as moral equals
Term
natural law theory
Definition
do good and avoid evil
Term
beneficence
Definition
duty to act in benefit of the client
do good
act for the client's benefit
Term
nonmaleficence
Definition
requirement to DO NO HARM
more importnat than beneficence
Term
distributive justice
Definition
right of persons to be treated equally
-no bias on religion, race, sex, orientation
Term
veracity
Definition
ones duty to always tell the truth
clients have the right to know about their diagnosis, treatment and progess
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