Assignment: Legal and Ethical Issues Related to Psychiatric Emergencies

Legal and Ethical Issues Related to Psychiatric Emergencies

The diagnosis of psychiatric emergencies can include a wide range of problems—from serious drug reactions to abuse and suicidal ideation/behaviors. Regardless of care setting, the PMHNP must know how to address emergencies, coordinate care with other members of the health care team and law enforcement officials (when indicated), and effectively communicate with family members who are often overwhelmed in emergency situations. In their role, PMHNPs can ensure a smooth transition from emergency mental health care to follow-up care, and also bridge the physical–mental health divide in healthcare.

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In this week’s Assignment, you explore legal and ethical issues surrounding psychiatric emergencies, and identify evidence-based suicide and violence risk assessments.

To Prepare

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Review this week’s Learning Resources and consider the insights they provide about psychiatric emergencies and the ethical and legal issues surrounding these events.

Resources

Be sure to review the Learning Resources before completing this activity.

Click the weekly resources link to access the resources.

WEEKLY RESOURCES

Learning Resources

Required Readings

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 checklist

Links 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”

U.S. Department of Veterans Affairs. (2019). VA/DoD clinical practice guidelines

Links to an external site.: Assessment and management of patients at risk for suicide (2019).

https://www.healthquality.va.gov/guidelines/MH/srb/

Zakhari, R. (2021). The psychiatric-mental health nurse practitioner certification review manual. Springer Publishing Company.

Chapter 15, “Violence and Abuse”The Assignment

In 2–3 pages, address the following:

Explain your 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.

By Day 7 of Week 8

Submit your Assignment. Attach copies of or links to the suicide and violence risk assessments you selected.

submission information

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Rubric

NRNP_6675_Week8_Assignment_Rubric

Criteria

Ratings

Pts

This criterion is linked to a Learning Outcome In 2–3 pages, address the following: • Explain your 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.

15 to >13.0 ptsExcellent 90%–100%

The response includes a thorough and well-organized explanation of student’s state laws for involuntary psychiatric holds for child and adult emergencies.

13 to >11.0 ptsGood 80%–89%

The response includes an accurate explanation of student’s state laws for involuntary psychiatric holds for child and adult emergencies.

11 to >10.0 ptsFair 70%–79%

The response includes a somewhat vague or inaccurate explanation of student’s state laws for involuntary psychiatric holds for child and adult emergencies.

10 to >0 ptsPoor 0%–69%

The response includes a vague or inaccurate explanation of student’s state laws for involuntary psychiatric holds for child and adult emergencies. Or the response is missing.

15 pts

This criterion is linked to a Learning Outcome • Explain the differences among emergency hospitalization for evaluation/psychiatric hold, inpatient commitment, and outpatient commitment in your state.

15 to >13.0 ptsExcellent 90%–100%

The response includes an accurate and concise explanation of the differences among emergency hospitalization for evaluation/psychiatric hold, inpatient commitment, and outpatient commitment in your state.

13 to >11.0 ptsGood 80%–89%

The response includes a well-organized explanation of the differences among emergency hospitalization for evaluation/psychiatric hold, inpatient commitment, and outpatient commitment in your state.

11 to >10.0 ptsFair 70%–79%

The response includes a somewhat vague explanation of the differences among emergency hospitalization for evaluation/psychiatric hold, inpatient commitment, and outpatient commitment in your state.

10 to >0 ptsPoor 0%–69%

The response includes a vague explanation of the differences among emergency hospitalization for evaluation/psychiatric hold, inpatient commitment, and outpatient commitment in your state. Or the response is missing.

15 pts

This criterion is linked to a Learning Outcome • Explain the difference between capacity and competency in mental health contexts.

10 to >8.0 ptsExcellent 90%–100%

The response includes an accurate and concise explanation of the difference between capacity and competency in mental health contexts.

8 to >7.0 ptsGood 80%–89%

The response includes an accurate explanation of the difference between capacity and competency in mental health contexts.

7 to >6.0 ptsFair 70%–79%

The response includes a somewhat vague or incomplete explanation of the difference between capacity and competency in mental health contexts.

6 to >0 ptsPoor 0%–69%

The response includes a vague or inaccurate explanation of the difference between capacity and competency in mental health contexts. Or the response is missing.

10 pts

This criterion is linked to a Learning Outcome • 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.

15 to >13.0 ptsExcellent 90%–100%

The response accurately and concisely explains one legal and one ethical issue related to the selected topic, within the context of treating psychiatric emergencies.

13 to >11.0 ptsGood 80%–89%

The response accurately explains one legal and one ethical issue related to the selected topic, within the context of treating psychiatric emergencies.

11 to >10.0 ptsFair 70%–79%

The response somewhat vaguely or innacurately explains one legal and one ethical issue related to the selected topic, within the context of treating psychiatric emergencies.

10 to >0 ptsPoor 0%–69%

The response vaguely or innacurately explains one legal and one ethical issue related to the selected topic, within the context of treating psychiatric emergencies. Or, response is missing.

15 pts

This criterion is linked to a Learning Outcome •Identify one evidence-based suicide risk assessment that you could use to screen patients. Attach a copy or a link to the assessment you identified.

15 to >13.0 ptsExcellent 90%–100%

The response identifies and explains an appropriate, evidence-based suicide risk assessment that could be used to screen patients. A copy of or a link to the assessment is included.

13 to >11.0 ptsGood 80%–89%

The response identifies an appropriate, evidence-based suicide risk assessment that could be used to screen patients. A copy of or a link to the assessment is included.

11 to >10.0 ptsFair 70%–79%

The risk assessment identified is somewhat inappropriate for the intended use or dated. A copy of or a link to the assessment may be missing.

10 to >0 ptsPoor 0%–69%

The risk assessment identified is inappropriate for the intended use, not evidence based, or dated. Or, response is missing.

15 pts

This criterion is linked to a Learning Outcome • Identify one evidence-based violence risk assessment that you could use to screen patients. Attach a copy or a link to the assessment you identified.

15 to >13.0 ptsExcellent 90%–100%

The response identifies and explains an appropriate, evidence-based violence risk assessment that could be used to screen patients. A copy of or a link to the assessment is included.

13 to >11.0 ptsGood 80%–89%

The response identifies an appropriate, evidence-based violence risk assessment that could be used to screen patients. A copy of or a link to the assessment is included.

11 to >10.0 ptsFair 70%–79%

The risk assessment identified is somewhat inappropriate for the intended use or dated. A copy of or a link to the assessment may be missing.

10 to >0 ptsPoor 0%–69%

The risk assessment identified is inappropriate for the intended use, not evidence based, or dated. Or, response is missing.

15 pts

This criterion is linked to a Learning Outcome Written Expression and Formatting – Paragraph Development and Organization: Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused—neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction are provided that delineate all required criteria.

5 to >4.0 ptsExcellent 90%–100%

Paragraphs and sentences follow writing standards for flow, continuity, and clarity…. A clear and comprehensive purpose statement, introduction, and conclusion are provided that delineate all required criteria.

4 to >3.5 ptsGood 80%–89%

Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time…. Purpose, introduction, and conclusion of the assignment are stated, yet they are brief and not descriptive.

3.5 to >3.0 ptsFair 70%–79%

Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%–79% of the time…. Purpose, introduction, and conclusion of the assignment are vague or off topic.

3 to >0 ptsPoor 0%–69%

Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time…. No purpose statement, introduction, or conclusion were provided.

5 pts

This criterion is linked to a Learning Outcome Written Expression and Formatting – English writing standards: Correct grammar, mechanics, and proper punctuation

5 to >4.0 ptsExcellent 90%–100%

Uses correct grammar, spelling, and punctuation with no errors

4 to >3.5 ptsGood 80%–89%

Contains 1-2 grammar, spelling, and punctuation errors

3.5 to >3.0 ptsFair 70%–79%

Contains 3-4 grammar, spelling, and punctuation errors

3 to >0 ptsPoor 0%–69%

Contains five or more grammar, spelling, and punctuation errors that interfere with the reader’s understanding

5 pts

This criterion is linked to a Learning Outcome Written Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, parenthetical/in-text citations, and reference list.

5 to >4.0 ptsExcellent 90%–100%

Uses correct APA format with no errors

4 to >3.5 ptsGood 80%–89%

Contains 1-2 APA format errors

3.5 to >3.0 ptsFair 70%–79%

Contains 3-4 APA format errors

3 to >0 ptsPoor 0%–69%

Contains five or more APA format errors

5 pts

Total Points: 100

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