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Ethics, Clients’ Rights, and Legal and Forensic Issues

12. Ethics, Clients’ Rights, and Legal and Forensic Issues. 1. Describe the rights of the client in a psychiatric setting. 2. Discuss the legal and ethical issues related to seclusion and restraint. 3. Describe the components of malpractice.

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Ethics, Clients’ Rights, and Legal and Forensic Issues

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  1. 12 Ethics, Clients’ Rights, and Legal and Forensic Issues

  2. 1. Describe the rights of the client in a psychiatric setting. 2. Discuss the legal and ethical issues related to seclusion and restraint. 3. Describe the components of malpractice. 4. Identify pertinent ethical issues in the practice of psychiatric nursing. 5. Discuss the meaning of standard of care. 6. Describe the most common types of torts in the mental health setting

  3. Bioethics Autonomy Beneficence Fidelity Justice Nonmaleficence Veracity

  4. Ethical Guidelines Standards for Psychiatric-Mental Health nursing practice published by ANA ANA Code of Ethics

  5. Ethical Dilemmas The potential stigma of psychiatric diagnostic labels Psychiatry’s right to control individual freedom The justification for involuntary treatment

  6. Ethical Dilemmas (cont'd) The use of restrictive treatment interventions The client’s right to suicide The client’s right to privacy

  7. Stigma Associated with Diagnostic Labels Stereotypes Need for diagnostic labels Nurse’s moral stance

  8. Mental Health Statutes and Regulations Rules and regulations are set by state governments Vary considerably Nurses must know the law of the state in which they practice

  9. Voluntary Admission Informed consent Client retains all rights Client has a right to demand and obtain release

  10. Involuntary Commitment • Hospitalization against one’s will • Criteria: • Dangerous to self or others • Unable to provide for basic needs • Mentally ill

  11. Psychiatric Forensic Nursing Who is the client? Mindset of nurse Focus of the nurse-client relationship Location Primary purpose of relationship

  12. Correctional Mental Health Nursing Who is the client? Mindset of nurse Focus of the nurse-client relationship Location Primary purpose of relationship

  13. Psychiatric–Mental Health Nursing Care Rights Dignity Autonomy

  14. Psychiatric Advance Directive Modeled after advance directives for end-of-life care Allows competent persons to document their preferences regarding mental health treatment

  15. Box 12-3 Determining Negligence

  16. Box 12-4 Common Sources of Liability in Psychiatric–Mental Health Services

  17. Client Advocacy • Poorly funded services • Stigma • Isolation • Denial of rights

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