Due Apr 20 by 11:59pm Points 100 Submitting a text entry box or a file upload Attempts 0 Allowed Attempts 2

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The diagnosis of psychiatric emergencies can include a wide range of problems—from serious drug reactions to abuse and suicidal ideation/behaviors. Regardless of care setting, the PMHNP must know how to address emergencies, coordinate care with other members of the health care team and law enforcement officials (when indicated), and effectively communicate with family members who are often overwhelmed in emergency situations. In their role, PMHNPs can ensure a smooth transition from emergency mental health care to follow-up care, and also bridge the physical–mental health divide in healthcare.

In this week’s Assignment, you explore legal and ethical issues surrounding psychiatric emergencies, and identify evidence-based suicide and violence risk assessments.

Review this week’s Learning Resources and consider the insights they provide about psychiatric emergencies and the ethical and legal issues surrounding these events.

LEGAL AND ETHICAL ISSUES RELATED TO PSYCHIATRIC EMERGENCIES

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TO PREPARE

RESOURCES

In 2–3 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. Explain the differences among emergency hospitalization for evaluation/psychiatric hold, inpatient commitment, and outpatient commitment in your state. Explain the difference between capacity and competency in mental health contexts. 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. Identify one evidence-based suicide risk assessment that you could use to screen patients. Identify one evidence-based violence risk assessment that you could use to screen patients.

Submit your Assignment. Attach copies of or links to the suicide and violence risk assessments you selected.

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Be sure to review the Learning Resources before completing this activity. Click the weekly resources link to access the resources.

WEEKLY RESOURCES (https://waldenu.instructure.com/courses/157049/modules/items/6346641)

THE ASSIGNMENT

BY DAY 7 OF WEEK 8

SUBMISSION INFORMATION

NRNP_6675_Week8_Assignment_Rubric

Criteria Ratings Pts

15 pts

15 pts

10 pts

15 pts

In 2–3 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.

15 to >13.0 pts Excellent 90%– 100% The response includes a thorough and well-organized explanation of student's state laws for involuntary psychiatric holds for child and adult emergencies.

13 to >11.0 pts Good 80%–89%

The response includes an accurate explanation of student's state laws for involuntary psychiatric holds for child and adult emergencies.

11 to >10.0 pts Fair 70%–79%

The response includes a somewhat vague or inaccurate explanation of student's state laws for involuntary psychiatric holds for child and adult emergencies.

10 to >0 pts Poor 0%–69%

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.

• Explain the differences among emergency hospitalization for evaluation/psychiatric hold, inpatient commitment, and outpatient commitment in your state.

15 to >13.0 pts Excellent 90%– 100% 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.

13 to >11.0 pts Good 80%–89%

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 to >10.0 pts Fair 70%–79%

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.

10 to >0 pts Poor 0%–69%

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.

• Explain the difference between capacity and competency in mental health contexts.

10 to >8.0 pts Excellent 90%–100% The response includes an accurate and concise explanation of the difference between capacity and competency in mental health contexts.

8 to >7.0 pts Good 80%–89% The response includes an accurate explanation of the difference between capacity and competency in mental health contexts.

7 to >6.0 pts Fair 70%–79% The response includes a somewhat vague or incomplete explanation of the difference between capacity and competency in mental health contexts.

6 to >0 pts Poor 0%–69% The response includes a vague or inaccurate explanation of the difference between capacity and competency in mental health contexts. Or the response is missing.

• Select one of the following topics and explain one legal issue and one ethical issue

15 to >13.0 pts Excellent 90%– 100%

13 to >11.0 pts Good 80%–89%

11 to >10.0 pts Fair 70%–79%

10 to >0 pts Poor 0%–69%

Criteria Ratings Pts

15 pts

15 pts

5 pts

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.

The response accurately and concisely explains one legal and one ethical issue related to the selected topic, within the context of treating psychiatric emergencies.

The response accurately explains one legal and one ethical issue related to the selected topic, within the context of treating psychiatric emergencies.

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.

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.

•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.

15 to >13.0 pts Excellent 90%–100%

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.

13 to >11.0 pts Good 80%–89%

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 to >10.0 pts Fair 70%–79%

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.

10 to >0 pts Poor 0%–69%

The risk assessment identified is inappropriate for the intended use, not evidence based, or dated. Or, response is missing.

• 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.

15 to >13.0 pts Excellent 90%–100% 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.

13 to >11.0 pts Good 80%–89% 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 to >10.0 pts Fair 70%–79% 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.

10 to >0 pts Poor 0%–69% The risk assessment identified is inappropriate for the intended use, not evidence based, or dated. Or, response is missing.

Written Expression and Formatting – Paragraph Development and Organization: Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity

5 to >4.0 pts Excellent 90%–100%

Paragraphs and sentences follow writing standards for flow, continuity, and clarity…. A clear and comprehensive

4 to >3.5 pts Good 80%–89%

Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time…. Purpose,

3.5 to >3.0 pts Fair 70%–79%

Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%–79% of the time…. Purpose,

3 to >0 pts Poor 0%–69%

Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time…. No

Total Points: 100

Criteria Ratings Pts

5 pts

5 pts

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.

purpose statement, introduction, and conclusion are provided that delineate all required criteria.

introduction, and conclusion of the assignment are stated, yet they are brief and not descriptive.

introduction, and conclusion of the assignment are vague or off topic.

purpose statement, introduction, or conclusion were provided.

Written Expression and Formatting – English writing standards: Correct grammar, mechanics, and proper punctuation

5 to >4.0 pts Excellent 90%– 100% Uses correct grammar, spelling, and punctuation with no errors

4 to >3.5 pts Good 80%–89%

Contains 1-2 grammar, spelling, and punctuation errors

3.5 to >3.0 pts Fair 70%–79%

Contains 3-4 grammar, spelling, and punctuation errors

3 to >0 pts Poor 0%–69%

Contains five or more grammar, spelling, and punctuation errors that interfere with the reader’s understanding

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 to >4.0 pts Excellent 90%–100% Uses correct APA format with no errors

4 to >3.5 pts Good 80%–89% Contains 1-2 APA format errors

3.5 to >3.0 pts Fair 70%–79% Contains 3-4 APA format errors

3 to >0 pts Poor 0%–69% Contains five or more APA format errors