Psychiatric Mental Health Nursing - Video 1

Introduction

• Host: Cathy from Level Up RN
• Series: Psychiatric Mental Health Nursing
• Purpose: Help with psychiatric nursing class, nursing exams (including NCLEX), and nursing practice.
• Importance: Mental health understanding is crucial in all nursing fields.

Materials

• Following along with Psychiatric Mental Health Nursing flashcards
• Tip: Pay attention to bold, red text in flashcards for key concepts.
• Useful for both RN & PN students (reminder on scope of practice)

Video Series Feature

• New feature: End of video quizzes for knowledge checks
  • Feedback requested for continuation

Principles of Psychiatric Mental Health Nursing

Types of Admissions/Commitments to Mental Health Facilities

Voluntary Admission

• Patient signs themselves in and out
• Changes to involuntary if risk to self/others

Involuntary Commitment

• Due to risk to self/others or grave disability
• Usually requires confirmation from two physicians (varies by state)

Emergency Commitment

• Imminent threat to self/others
• Requires court hearing within 24-72 hours to determine discharge or involuntary commitment
• Court hearings and admission laws vary by state

Patient Rights

Right to Confidentiality

• Protected under HIPAA
• Information shared only with those involved in care, unless patient permits
• Exception: Duty-to-warn (if patient poses risk to third party)

Right to Refuse Treatment

• Applies to both voluntary and involuntary admissions
• Nurses should explain benefits/risks but respect patient choice
• Exception: Emergency situations with risk of harm may necessitate forced treatment

Right to Least Restrictive Environment

• Restraints/seclusion as last resort and for shortest duration
• Alternatives should be tried first

Quiz Questions

1. Exception to confidentiality: Duty-to-warn
2. Right to refuse treatment for involuntarily admitted patient: True (they can refuse)

Next Video Preview

• Topic: Informed Consent