Legal and Ethical Issues Related to Psychiatric Emergencies
STATE: IOWA
In 2–3 pages, address the following:
- Explain Iowa’s state laws for involuntary psychiatric holds for child and adult psychiatric emergencies. Include who can hold a patient and for how long, who can release the emergency hold, and who can pick up the patient after a hold is released.
- Explain the differences among emergency hospitalization for evaluation/psychiatric hold, inpatient commitment, and outpatient commitment in your state.
- Explain the difference between capacity and competency in mental health contexts.
- Select one of the following topics, and explain one legal issue and one ethical issue related to this topic that may apply within the context of treating psychiatric emergencies: patient autonomy, EMTALA, confidentiality, HIPAA privacy rule, HIPAA security rule, protected information, legal gun ownership, career obstacles (security clearances/background checks), and payer source.
- Identify one evidence-based suicide risk assessment that you could use to screen patients.
- Identify one evidence-based violence risk assessment that you could use to screen patients.
References:
Buppert, C. (2021). Nurse practitioner’s business practice and legal guide (7th ed.). Jones & Bartlett Learning.
- Chapter 7, “Negligence and Malpractice”
- Chapter 8, “Risk Management”
- Chapter 16, “Resolving Ethical Dilemmas”
- National Institute for Health and Care Excellence (2019). Brøset violence checklistLinks to an external site.. http://riskassessment.no/
- Boland, R. Verdiun, M. L. & Ruiz, P. (2022). Kaplan & Sadock’s synopsis of psychiatry (12th ed.). Wolters Kluwer.
- Chapter 25, “Consultation to Other Disciplines”
- Chapter 26, “Level Of Care”
- Chapter 27, “Ethics and Professionalism”
- Thapar, A., Pine, D. S., Leckman, J. F., Scott, S., Snowling, M. J., & Taylor, E. A. (Eds.). (2015). Rutter’s child and adolescent psychiatry (6th ed.). Wiley Blackwell.
- Chapter 19, “Legal Issues in the Care and Treatment of Children With Mental Health Problems”
- Chapter 64, “Suicidal Behavior and Self-Harm”
D8
- Application of Course Knowledge: Answer all questions/criteria with explanations and detail.
- Reflect on your learning experience in this course. Which concepts stood out to you and made an impact? How do you envision using these concepts in your future nursing practice as a master’s prepared nurse?
- Describe how course learning activities and assignments will help you achieve Program Outcome 3: Engage in lifelong personal and professional growth through reflective practice and appreciation of cultural diversity. (Cultural Humility)
- Describe how course assignments or activities will help you achieve ONE of the sub-competencies from the advanced-level nursing education competencies from AACN Essentials Competency 3.1 Advance Population Health
- 3.1j Assess the efficacy of a system’s capability to serve a target sub-population’s healthcare needs.
- 3.1k Analyze primary and secondary population health data for multiple populations against relevant benchmarks.
- 3.1l Use established or evolving methods to determine population-focused priorities for care.
- 3.1m Develop a collaborative approach with relevant stakeholders to address population healthcare needs, including evaluation methods.
- 3.1n Collaborate with appropriate stakeholders to implement a sociocultural and linguistically responsive intervention plan.
- Professionalism in Communication: Communicate with minimal errors in English grammar, spelling, syntax, and punctuation.
WK9 DISC
Review the Resources and reflect on the role of professional nurses in policy evaluation.
Review community, state, or federal policy evaluation and reflect on the criteria used to measure the effectiveness of the program or policy described.
Post an evaluation topic and a brief description of the evaluation. Discuss how social determinants impact this issue.
