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Posted: June 14th, 2023
Wk 2 Discussion NRNP 6665
Select one of the following ethical/legal topics:
Autonomy, Beneficence, Justice, Fidelity, Veracity, Involuntary hospitalization and due process of civil commitment, Informed assent/consent and capacity, Duty to warn, Restraints, HIPPA, Child and elder abuse reporting, Tort law, Negligence/malpractice.
In the Walden library, locate a total of four scholarly, professional, or legal resources related to this topic. One should address ethical considerations related to this topic for adults, one should be on ethical considerations related to this topic for children/adolescents, one should be on legal considerations related to this topic for adults, and one should be on legal considerations related to this topic for children/adolescents.
Briefly identify the topic you selected. Then, summarize the articles you selected, explaining the most salient ethical and legal issues related to the topic as they concern psychiatric-mental health practice for children/adolescents and for adults. Explain how this information could apply to your clinical practice, including specific implications for practice within your state. Attach the PDFs of your articles.
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More to note: you select a topic that has both legal and ethical implications for PMHNP practice and then perform a literature review on the topic. Your goal will be to identify the most salient legal and ethical facets of the issue for PMHNP practice, and also how these facets differ in the care of adult patients versus children. Keep in mind as you research your issue, that laws differ by state and your clinical practice will be dictated by the laws that govern your state.
Reading resources
American Nurses Association. (2015). Code of ethics for nurses with interpretive statementsLinks to an external site.. https://www.nursingworld.org/practice-policy/nursing-excellence/ethics/code-of-ethics-for-nurses/coe-view-only/Links to an external site.
American Psychological Association. (2017). Ethical principles of psychologists and diagnostic formulationLinks to an external site.. http://www.apa.org/ethics/code/Links to an external site.
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American Academy of Child & Adolescent Psychiatry. (2014). Code of ethicsLinks to an external site.. https://www.aacap.org/App_Themes/AACAP/docs/about_us/transparency_portal/aacap_code_of_ethics_2012.pdfLinks to an external site.
American Psychiatric Nurses Association. (2020). APRN psychiatric-mental health nursing practiceLinks to an external site.. https://www.apna.org/i4a/pages/index.cfm?pageID=3846Links to an external site.
Anderson, S. L. (2012).Practice parameter on gay, lesbian, or bisexual sexual orientation, gender nonconformity, and gender discordance in children and adolescentsLinks to an external site.. American Academy of Child and Adolescent Psychiatry, 51(9). 957–974. https://www.jaacap.org/action/showPdf?pii=S0890-8567%2812%2900500-XLinks to an external site.
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Hilt, R. J., & Nussbaum, A. M. (2016). DSM-5 pocket guide for child and adolescent mental healthLinks to an external site.. American Psychiatric Association Publishing.
Chapter 2, “Addressing Behavioral and Mental Problems in Community Settings”Links to an external site.
Thapar, A., Pine, D. S., Leckman, J. F., Scott, S., Snowling, M. J., & Taylor, E. A. (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”
Zakhari, R. (2020). The psychiatric-mental health nurse practitioner certification review manual. Springer.
Chapter 1, “Preparing to Pass the Psychiatric-Mental Health Nurse Practitioner Certification Exam”
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Informed Consent and Capacity" for psychiatric-mental health practice.
Ethical considerations related to the topic for adults:
The American Nurses Association (ANA) Code of Ethics for Nurses with Interpretive Statements addresses informed consent and capacity for adults. Nurses are ethically obligated to obtain informed consent from adult patients for treatments, procedures, and interventions. Informed consent requires that patients have the capacity to understand the information provided to them and make a voluntary decision about their care. Nurses must assess the patient's capacity to make decisions and determine if a surrogate decision-maker is necessary.
Ethical considerations related to the topic for children/adolescents:
The American Academy of Child & Adolescent Psychiatry (AACAP) Code of Ethics highlights the importance of informed consent for children and adolescents. The ethical principle of beneficence requires that clinicians prioritize the best interests of the patient, which may involve obtaining informed consent from parents or guardians. Additionally, the principle of respect for autonomy acknowledges that adolescents have the right to participate in their own treatment decisions. Clinicians must assess the adolescent's capacity to make decisions and involve them in the informed consent process to the extent possible.
Legal considerations related to the topic for adults:
The APRN Psychiatric-Mental Health Nursing Practice guidelines address informed consent and capacity for adult patients. State laws dictate the requirements for informed consent, but generally, patients must be provided with information about their treatment options, risks, and benefits, and must voluntarily provide consent. Clinicians must assess the patient's capacity to make decisions and may need to involve a surrogate decision-maker if the patient lacks capacity.
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Legal considerations related to the topic for children/adolescents:
Chapter 19 of "Rutter's Child and Adolescent Psychiatry" discusses legal considerations related to informed consent and capacity for minors. Generally, parents or guardians provide informed consent for treatment for minors, but the minor's capacity to make decisions should be assessed and taken into consideration. State laws vary on whether minors can consent to treatment without parental consent, and clinicians should be familiar with their state's laws.
In clinical practice, it is essential to obtain informed consent from patients or their surrogate decision-makers and to assess the patient's capacity to make decisions. In my state, nurse practitioners are required to follow state laws regarding informed consent, which may vary from other states. Clinicians should also involve adolescents in their treatment decisions to the extent possible and prioritize the best interests of the patient. It is essential to stay up-to-date on legal and ethical guidelines related to informed consent and capacity to ensure ethical practice.
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