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The client presents to the emergency department with hallucinations and is threatening self-harm. The PMHNP signs an involuntary admission order for emergent psychiatric care.
How the PMHNP applied ethical principles:
-Respect for the Individual -Commitment to the Healthcare Consumer -Advocacy for the Healthcare Consumer -Responsibility and Accountability for Practice -Duties to Self and Others -Contributions to Healthcare Environments -Advancement of the Nursing Profession 1 / 4
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-Collaboration to Meet Health Needs -Promotion of the Nursing Profession - ANSWER-Commitment to the Healthcare Consumer
Rationale: The PMHNP demonstrates a commitment to the
healthcare consumer by balancing the client's human rights with safety, including coercive measures when the client was unable to maintain their own safety.
The PMHNP is sharing sexually explicit memes with a client that she saw earlier today in a group session.
How the PMHNP applied ethical principles:
-Respect for the Individual -Commitment to the Healthcare Consumer -Advocacy for the Healthcare Consumer -Responsibility and Accountability for Practice -Duties to Self and Others -Contributions to Healthcare Environments -Advancement of the Nursing Profession -Collaboration to Meet Health Needs 2 / 4
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-Promotion of the Nursing Profession - ANSWER-Advocacy for the Healthcare Consumer
Rationale: This is an unethical scenario. The PMHNP
recognizes the power differential in the therapeutic relationship and understands that any sort of sexual activity or intimacies with current clients, their close family members, guardians, or significant others is unethical.
The PMHNP has overbooked her sessions today, so she asks the registered nurse (RN) who works in her office to conduct one of her phone therapy sessions today.
How the PMHNP applied ethical principles:
-Respect for the Individual -Commitment to the Healthcare Consumer -Advocacy for the Healthcare Consumer -Responsibility and Accountability for Practice -Duties to Self and Others -Contributions to Healthcare Environments -Advancement of the Nursing Profession -Collaboration to Meet Health Needs 3 / 4
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-Promotion of the Nursing Profession - ANSWER- Responsibility and Accountability for Practice
Rationale: This is an unethical scenario. The PMHNP must
understand the scope of other team members' practice in order to delegate appropriately. Conducting a counseling session is outside of the RN's scope of practice.
The PMHNP takes time for daily meditation to improve mindfulness and ease stress.
How the PMHNP applied ethical principles:
-Respect for the Individual -Commitment to the Healthcare Consumer -Advocacy for the Healthcare Consumer -Responsibility and Accountability for Practice -Duties to Self and Others -Contributions to Healthcare Environments -Advancement of the Nursing Profession -Collaboration to Meet Health Needs -Promotion of the Nursing Profession - ANSWER-Duties to Self and Others
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