ATI Mental Health LOC • Alert:responsive, answer questions appropriately, opens eyesspontaneously. • Lethargic: open their eyes, can answer questions but easily falls asleep. • Stupor: barely responds to painful stimuli (like rubbing the patients’ sternum) • Comatose: unconscious/does not respond to painfulstimuli • Decorticate: flexion/internal rotation of upper extremities, joints and legs • Decerebrate: neck/elbows extension, wrist and finger flexion Torts: unintentional torts- negligence: forgetting to set the bed alarm for a patient who is at risk for falling and falls out of bed. Malpractice- giving the wrong medication to the patient, error that harms the patient. Intentional torts: Assault vs Battery: • Assault is if you threaten someone, “If you do not take this pill, I will smack you.” • Battery: when you actually hurtsomeone, “You actually act by smacking the patient.” • False imprisonment: Nurse will purposely restrain the patient or give them a chemical to a pt. for the nurse convenience, instead of doing alternatives techniques. Six Ethical Principles • Beneficence – Doing good by the patient, what is best for the patient. Making the patient feel safe in the environment that their in. • Autonomy- respecting their rights by what they decide for their health care. Clients making decisions but the patient must accept consequences of those decisions. • *Veracity- truthfulness “Being honest with the patient’streatment” • Justice- fair/equal rightsfor everyone. • *Fidelity- being loyal to the patient, keeping promises. • Non-maleficence: Doing No Harm Legal Rights of the patients in Mental Health • Pt has the right to refuse treatment even if they’re in a mental health facility. • Pts confidentiality: HIPPA: cannot be released without the consent of the patient • If someone calls the unit asking about the patient refer them to contact the patient’s family regarding the patient well being • Over hear a conversation in a public place: tell them to go have the conversation in a private setting