PMHNPs may find themselves working in a wide variety of settings—each having their own unique challenges and inherent legal issues. For instance, what do you do in your state of practice when you are providing a therapy/treatment session and a client reports active suicidal ideation? What do you do if you are covering inpatient psychiatric consults and are called to see a patient in the ICU who overdosed on prescription medication requiring intubation? What do you do if you are a PMHNP on an inpatient unit and a client who admitted themselves on a voluntary basis suddenly states that they have decided to sign themselves out of the hospital so that they can go home to kill themselves? These are just some of the legal questions that PMHNPs must know the answers to specific to their state of licensure/practice.
In this Assignment, you investigate your state’s laws concerning voluntary and involuntary commitment. You also analyze a case to determine if the client is eligible for involuntary commitment.
Scenario for Week 7 Case:
You are a PMHNP working in a large intercity hospital. You receive a call from the answering service informing you that a “stat” consult has been ordered by one of the hospitalists in the ICU. Upon arriving in the ICU, you learn that your consult is a 14 year old male who overdosed on approximately 50 Benadryl (diphenhydramine hydrochloride) tablets in an apparent suicide attempt. At the scene, a suicide note was found indicating that he wanted to die because his girlfriend’s parents felt that their daughter was too young to be “dating.” The client stated in the suicide note that he could not “live without her” and decided to take his own life. Although he has been medically stabilized and admitted to the ICU, he has been refusing to talk with the doctors or nurses. The hospital staff was finally able to get in touch with the clients parents (using contact information retrieved from the 14 year old’s cell phone). Unbeknown to the hospital staff, the parents are divorced, and both showed up at the hospital at approximately the same time, each offering their own perspectives on what ought to be done. The client’s father is demanding that the client be hospitalized because of the suicide, but his mother points out that he does not have “physical custody” of the child. The client’s mother demands that the client be discharged to home with her stating that her son’s actions were nothing more than a “stunt” and “an attempt at manipulating the situation that he didn’t like.” The client’s mother then becomes “nasty” and informs you that she works as a member of the clerical staff for the state board of nursing, and if you fail to discharge her child “right now” she will make you “sorry.” How would you proceed?
Learning Objectives
Students will:
• Evaluate clients for voluntary commitment
• Evaluate clients for involuntary commitment based on state laws
• Recommend actions for supporting parents of clients not eligible for involuntary commitment
• Recommend actions for treating clients not eligible for involuntary commitment
To Prepare for this Practicum:
• Review the Learning Resources concerning voluntary and involuntary commitment.
• Read the Week 7 Scenario in your Learning Resources.
• Research your state’s laws concerning voluntary and involuntary commitment.
The Assignment (2–3 pages):
• Based on the scenario above, would you recommend that the client be voluntarily committed? Why or why not?
• Based on the laws in your state (Virginia), would the client be eligible for involuntary commitment? Explain why or why not.
• Did understanding the state laws confirm or challenge your initial recommendation regarding involuntarily committing the client? Explain.
• If the client were not eligible for involuntary commitment, explain what actions you may be able to take to support the parents for or against voluntary commitment.
• If the client were not eligible for involuntary commitment, explain what initial actions you may be able to take to begin treating the client.
This is a 2-3 page paper
This paper should written In APA 7TH Edition style format with at least 3 scholarly sources.
Will upload a sample paper to help with this paper.
Your references should be less than five years old.
Refrain from using references that are unrelated to your topic
e roles women had in regards to civil participation was up and coming during Hilda Polachecks life. Prior to being well versed in the ways of American life, Hilda was under the impression that men had more power than women, and therefore should be treated better. In fact she had stated that, “my father had come to America, I kept saying to myself, because here in this wonderful country a man was free to say what he wanted, even if he was wrong.”. This idea as stated by the father she loved and trusted showed how America felt about women. Women were not supposed to speak out. Men could speak out, and they always had the benefit of the doubt. They were held with high regard in areas of politics and were given a voice. Although what her father had told her seemed great, she was young and did not realize that it was unjust that women would not have the same treatment. Hilda Polacheck, after experiencing America for herself, quickly changed her ways and believed fighting for women’s rights independently and collectively was what she wanted to stand for. A role model of hers, Jane Addams, had shown the capability women had in participating in the community. One incident where Jane Addams had showed the power women had in addressing public concerns was when she had called the attention of the health department to the unsanitary conditions present in Chicago. The department claimed it was under control, but with the backing of some businessmen she put in a bid to collect garbage. In some time she was appointed garbage inspector of the ward. Jane Addams, a woman, was given a role in the community after addressing pressing concerns. She took action where it was needed, and started to try and fix the community in which she lived. Another time a problem existed with public baths, Jane Addams decided she would somehow come up with a solution. Jane Addams wanted to show that people would use public bathing facilities if they were offered to them. However, the board had claimed people would not use the facilities and it would be a major waste of public funds. So after Jane Addams got proof that people used them by having 3 baths put into the Hull House Basement, the Board of Health decided to open the first public bathing facility in all of Chicago. In Miss Addam’s words ,“Our contention was justified by the immediate and overflowing use of the public baths”. After Hilda was introduced to Hull House she wanted to make a way for herself. Hull house had taught her what she needed, and after being an apprentice to the inspiring and determined Jane Addams, she soon became a woman who was determined to make her own way in the world. Hilda had taken many jobs over the course of her life, and although that sounds impressive it also meant she left many of them. One incident where Hilda had a problem with the treatment of employees, was during her time as a bill clerk. Her responsibility was to operate the billing machine, but she was not permitted to talk to the girl next to her. They were given notecards, in which the color of each card would mean different things. After some time working for the company, Hilda’s voice started showing the toll being mute at work had. In response