ETHICAL AND LEGAL ISSUES CHAPTER 5 CORE CONCEPTS ETHICS-systematic approach to distinguishing right from wrong behavior MORALS-conduct

ct that results from critical thinking about how individuals out to treat each other VALUES-personal beliefs about what is important and desirable RIGHTS-valid, legally recognized claim or entitlement; freedom from discriminatory treatment ETHICAL THEORY UTILITARIANISM END JUSTIFIES THE MEANS DEONTOLOGY DUTY ETHICAL DILEMMA MAKING A CHOICE BETWEEN TWO EQUALLY UNFAVORABLE ALTERNATIVES ETHICAL PRINCIPLES AUTONOMY RIGHT TO SELF-DETERMINATION BENEFICENCE DO GOOD NONMALEFICENCE DO NO HARM JUSTICE FAIRNESS VERACITY TRUTHFULNESS ETHICAL AND LEGAL ISSUES IN PSYCHIATRIC NURSING RIGHT TO REFUSE TREATMENT RIGHT TO LEAST RESTRICTIVE TREATMENT RIGHT TO INFORMED CONSENT o When client is mentally incompetent o When refusing treatment endangers the life or health of another o During an emergency o When the client is a child o In the case of therapeutic privilege RIGHT TO PRIVACY (CONFIDENTIALITY) o EXCEPTION: DUTY TO WARN RIGHT TO FREEDOM FROM SECLUSION AND RESTRAINT o EXCEPTION: DANGER TO SELF OR OTHERS COMMITMENT ISSUES VOLUNTARY ADMISSIONS INVOLUNTARY COMMITMENT o COURT ORDERED EVALUATION (COE) o COURT ORDERED TREATMENT (COT) o PERSISTENTLY AND GRAVELY DISABLED (PAD) LIABILITY NEGLIGENCE/MALPRACTICE ELEMENTS OF NURSING MALPRACTICE o DUTY EXISTS o FAILURE TO CONFORM TO STANDARD OF CARE o ACTUAL INJURY o PROXIMATE CAUSE ASSAULT-persons genuine fear and apprehension that he will be touched w/o consent BATTERY-unconsented touching of another person

FALSE IMPRISONMENT-deliberate and unauthorized confinement of a person within fixed limits by use of verbal or physical means DEFAMATION-shared information is detrimental to clients reputation