wk 8 Asgn
Assignment: Legal and Ethical Issues Related to Psychiatric Emergencies
**Attach copies of or links to the suicide and violence risk assessments you selected.
Use rubric elements as your headings.
Include Citations and references
Name: NRNP_6675_Week8_Assignment_Rubric
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Excellent 90%–100% |
Good 80%–89% |
Fair 70%–79% |
Poor 0%–69% |
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In 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. |
14 (14%) - 15 (15%) The response includes a thorough and well-organized explanation of student's state laws for involuntary psychiatric holds for child and adult emergencies. |
12 (12%) - 13 (13%) The response includes an accurate explanation of student's state laws for involuntary psychiatric holds for child and adult emergencies. |
11 (11%) - 11 (11%) The response includes a somewhat vague or inaccurate explanation of student's state laws for involuntary psychiatric holds for child and adult emergencies. |
0 (0%) - 10 (10%) 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. |
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• Explain the differences among emergency hospitalization for evaluation/psychiatric hold, inpatient commitment, and outpatient commitment in your state (TEXAS) |
14 (14%) - 15 (15%) 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. |
12 (12%) - 13 (13%) 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 (11%) - 11 (11%) 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. |
0 (0%) - 10 (10%) 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. |
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• Explain the difference between capacity and competency in mental health contexts. |
9 (9%) - 10 (10%) The response includes an accurate and concise explanation of the difference between capacity and competency in mental health contexts. |
8 (8%) - 8 (8%) The response includes an accurate explanation of the difference between capacity and competency in mental health contexts. |
7 (7%) - 7 (7%) The response includes a somewhat vague or incomplete explanation of the difference between capacity and competency in mental health contexts. |
0 (0%) - 6 (6%) The response includes a vague or inaccurate explanation of the difference between capacity and competency in mental health contexts. Or the response is missing. |
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• 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. |
14 (14%) - 15 (15%) The response accurately and concisely explains one legal and one ethical issue related to the selected topic, within the context of treating psychiatric emergencies. |
12 (12%) - 13 (13%) The response accurately explains one legal and one ethical issue related to the selected topic, within the context of treating psychiatric emergencies. |
11 (11%) - 11 (11%) 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. |
0 (0%) - 10 (10%) 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. |
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•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. |
14 (14%) - 15 (15%) 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. |
12 (12%) - 13 (13%) 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 (11%) - 11 (11%) 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. |
0 (0%) - 10 (10%) The risk assessment identified is inappropriate for the intended use, not evidence based, or dated. Or, response is missing. |
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• 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. |
14 (14%) - 15 (15%) 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. |
12 (12%) - 13 (13%) 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 (11%) - 11 (11%) 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. |
0 (0%) - 10 (10%) The risk assessment identified is inappropriate for the intended use, not evidence based, or dated. Or, response is missing. |
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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 (5%) - 5 (5%) 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 (4%) - 4 (4%) 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 (3.5%) - 3.5 (3.5%) 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. |
0 (0%) - 3 (3%) Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time. No purpose statement, introduction, or conclusion were provided. |
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Written Expression and Formatting - English writing standards: Correct grammar, mechanics, and proper punctuation |
5 (5%) - 5 (5%) Uses correct grammar, spelling, and punctuation with no errors |
4 (4%) - 4 (4%) Contains 1-2 grammar, spelling, and punctuation errors |
3.5 (3.5%) - 3.5 (3.5%) Contains 3-4 grammar, spelling, and punctuation errors |
0 (0%) - 3 (3%) Contains five or more grammar, spelling, and punctuation errors that interfere with the reader’s understanding |
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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 (5%) - 5 (5%) Uses correct APA format with no errors |
4 (4%) - 4 (4%) Contains 1-2 APA format errors |
3.5 (3.5%) - 3.5 (3.5%) Contains 3-4 APA format errors |
0 (0%) - 3 (3%) Contains five or more APA format errors |
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Total Points: 100 |
Required Readings (click to expand/reduce)
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. http://riskassessment.no/
Sadock, B. J., Sadock, V. A., & Ruiz, P. (2015). Kaplan & Sadock’s synopsis of psychiatry (11th ed.). Wolters Kluwer. (For review as needed)
· Chapter 23, “Emergency Psychiatric Medicine”
· Chapter 36.2, “Ethics in Psychiatry”
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: 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”
Week 8 Brief: Psychiatric Emergencies
A psychiatric emergency is a situation that if left untreated is likely to cause harm to oneself or others. These acute disturbances of behavior may manifest as suicidal ideation or attempts, violence, agitation, drug overdose, delirium, psychosis, mania, neuroleptic malignant syndrome, or serotonin syndrome. When psychiatric emergencies arise, they can present many challenges to the PMHNP. While many approaches to emergencies are similar when dealing with children and adolescents versus adults, significant differences also exist. This is particularly true with coordination of care, availability of resources, and legal implications of the psychiatric emergency.
This week, you examine psychiatric emergencies and explain the ethical and legal issues surrounding these events. You will also review evidence-based suicide and violence risk assessments that you may use to screen patients.
Exit