Informed Consent, Nursing Ethical Principles – Psychiatric Mental Health Nursing | @LevelUpRN

Learn about Informed Consent, including the provider’s and nurse’s responsibilities with Informed Consent. Who IS and ISN’T competent to provide informed consent. A review of nursing ethical principles, including: autonomy, beneficence, nonmaleficence, justice, fidelity, advocacy, and veracity.

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Our Psychiatric Mental Health Nursing video tutorial series is taught by Cathy Parkes BSN, RN, CWCN, PHN and intended to help RN and PN nursing students study for their nursing school exams, including the ATI, HESI and NCLEX.

#NCLEX #mentalhealth #psychiatricnursing #HESI #Kaplan #ATI #Nurse #RN #PN #Education #LVN #LPN #Principles #InformedConsent #EthicalPriciples

0:00 Informed Consent
0:30 Provider’s Role
0:54 Nurse’s Role
1:17 Patient Competency
2:39 Patient’s Rights
3:03 Ethical Principals
3:21 Autonomy
3:32 Beneficence
3:45 Non-maleficence
3:56 Justice
4:38 Fidelity
4:50 Advocacy
5:21 Veracity
7:00 Quiz Time!

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All of the nurses at Level Up RN are here to help! Cathy Parkes started helping her fellow classmates back when she was in nursing school, tutoring so they could pass their exams and graduate. After she got her BSN and started working as an RN at Scripps Encinitas Hospital, she started this YouTube channel to help nursing students around the world. Since then she has built a team of top-notch dedicated nurses and nurse educators who are focused on improving nursing education and supporting career advancement for nurses everywhere. With flashcards, videos, courses, organizational tools and more, we are singularly focused on helping students and nurses Level Up on their exams and nursing careers.

40 Comments

  1. Almost everything that I learned in Nursing School is from Cathy and Meris. English is my 2nd language so I struggled a lot, after I found their video I did well on all of my exams and made level 2 & 3 on all of my ATI and the comprehensive predictor. Now I am in my dream hospital. Thankyou so much Level up Rn.

  2. I purchased the Level Up cards and I love how you simplify difficult topics where the information actually sticks. Psych is a difficult topic to study and I can appreciate the simplicity of how you break it down. Thanks!!!

  3. does informed consent apply to only invasive treatments ? Is informed consent ( risk, benefits and alternatives) required when prescribing powerful medications such as opioids or antidepressants for the first time ?

  4. i love the fact that you HAVE QUESTIONS included in the video at the ending to answer It helped me upfront so i can know if i need to go back and re-watch … i wasn't left hanging thank you!

  5. Hi Cathy, thanks to you I was able to pass my licensure exams in my country, I'm from Ghana. I watched most of your videos and I liked the way you use few minutes to explain a whole topic.. Thank you!.I'm in the process of taking the US Nclex RN I hope to pass that one too

  6. What do I do if my patients rights were violated? They psychiatrists I saw never practiced informed consent, in fact when I brought up the nasty side effects of meds, they blew me off, insinuated I was an idiot and didn't know anything.

    What can I do?

  7. Could you make a video about implied consent? That’s where I get confused. What if the patient consented verbally, but won’t sign the paperwork? Can we ask a family member that the patient discussed it with? Or their verbal consent is void? I’m actually thinkin of legality issues if there is no signed paperwork, and I’m torn whether implied consent is even a thing? Thanks in advance! 😁

  8. 'm loving how you and Meris simplify to the simplest all your topics hehe I am a registered nurse in my country and will be taking NCLEX soonest!! I'm not really into complicated lectures since I am done with all of those in college years so what I am looking is the simplified ones. And I am thankful, I found you guys!

  9. Hire a virtual, assistant, you could be here.

    When seeking professional support for your mental health, should you consider virtual therapy or in-person? Weigh the pros and cons in this guide.

    Challenges, concerning person, person, therapy

    In-person Therapy,

    “Neutral Location”

    Therapeutic venues are at a neutral location. A person that is not a technology person, can help easier. Children are challenged, at some ages, at some occasions, concerning, peer, attention, good, or, hostile. This could create behavioral, challenges.

    Therapists believe that physical cues are not as easy to see online (Erickson, 2019).

    “In-person, settings makes teenagers, at developmental phases, not comfortable. Online venues are more comfortable because they do not have to sit and walk, at a location that everyone knows that Human Service, worker is. Adults, or, children, who are in, not comfortable, situations do not want a therapist, location, known, when a court date, occurs.

    What is awesome, concerning, virtual, therapy, or, Human Service, work?

    Timing and accessibility is easily done. Online therapy costs are more efficient. Therapeutic approaches, “in-person”, costs over 120$ per secession. Rural areas, pregnant, women, the elderly who do not want to travel, or, people who have physical challenges, may want online services.

    New teaching innovations, conference formats make online learning much more appealing, and confidential.

    Many speak, more, at an open way, on the phone, or, by video conferences.

  10. Hire a virtual, assistant, you could be here.

    When seeking professional support for your mental health, should you consider virtual therapy or in-person? Weigh the pros and cons in this guide.

    Challenges, concerning person, person, therapy

    In-person Therapy,

    “Neutral Location”

    Therapeutic venues are at a neutral location. A person that is not a technology person, can help easier. Children are challenged, at some ages, at some occasions, concerning, peer, attention, good, or, hostile. This could create behavioral, challenges.

    Therapists believe that physical cues are not as easy to see online (Erickson, 2019).

    “In-person, settings makes teenagers, at developmental phases, not comfortable. Online venues are more comfortable because they do not have to sit and walk, at a location that everyone knows that Human Service, worker is. Adults, or, children, who are in, not comfortable, situations do not want a therapist, location, known, when a court date, occurs.

    What is awesome, concerning, virtual, therapy, or, Human Service, work?

    Timing and accessibility is easily done. Online therapy costs are more efficient. Therapeutic approaches, “in-person”, costs over 120$ per secession. Rural areas, pregnant, women, the elderly who do not want to travel, or, people who have physical challenges, may want online services.

    New teaching innovations, conference formats make online learning much more appealing, and confidential.

    Many speak, more, at an open way, on the phone, or, by video conferences.

    Finally, research says that online consultation works (McGee, V. (2022).

    Amaro, J., Cassia, C., Elisa, H., Patricia, T., Shirely, S., A new mental health mobile app for

    well-being and stress reduction in working women” Randomized controlled trial. National

    Library of Medicine. National Center of Biotechnology Information. Retrieved from:

    https://pubmed.ncbi.nlm.nih.gov/31697244/

    Bautista, J., Salewski, C., Shoba, P. (2017). A web- and mobile app–based mental health

    promotion intervention comparing email, short message service, and videoconferencing

    support for a healthy cohort: randomized comparative study. J Med Internet Res. doi:

    Human element still needed. Jobs, Jobs, Jobs!

    Beidel, D., Frueh, C., Neer, S., Lejuez, C. (2017). The efficacy of Trauma

    Management Therapy: A controlled pilot investigation of a three-week intensive

    outpatient program for combat-related PTSD. Journal of Anxiety Disorders.

    Retrieved from: https://doi.org/10.1016/j.janxdis.2017.05.001.

    Worked.

    Boeldt, D., Boettcher, J.,Celia, C.Chan, A., Floria, H., Herman, H., Mak, Winnie, Tong,

    A., Wavy, L.. (2019). Efficacy and moderation of mobile app-based programs for

    mindfulness-based training, self-compassion training, and cognitive

    behavioral psychoeducation on mental health: Randomized controlled

    noninferiority trial. BMC Med.

    Bradley, L., Caccamo, L., Lattie, E., Kaiser, M., Karr, C., Mohr, D., Tomasino, K., Palac, MS. ,

    Kwasny, M., Rossom, R., Shields, C., Schueller, S., Weingardt, K.. (2019). Treatment of

    depression and anxiety. Center for behavioral intervention technologies (CBITs). J Med Internet Res. Department of preventive medicine, Northwestern University, Chicago, IL, United States. doi: 10.2196/14269.

    Chee, C., Kikafka, R., Law, E., Lim, S., Looming, S., Jing, S., Mathews, J., Rhodes, A.,

    Ruochen, D., Yiong, H., Shefaly, S., Thilagamangai, M., White, B. Yap, S. (2023).

    Evaluating the effectiveness of the supportive parenting app on parental outcomes:

    randomized controlled trial. JMIR Mental Health. doi: 10.2196/41859.

    McGee, V. (2022). Virtual Therapy vs. In-Person Therapy. Retrieved from:

    https://www.psychology.org/resources/virtual-therapy-vs-in-person/

  11. Informed consent is the same across the board as far as the provider explains, we as the nurse witness and get to sign and inform if further questions? Does informed consent and this process change under any circumstances? I know in perioperative it was the same

  12. I very much appreciate this nurse and her youtube channel-I sometimes use it w/ students.However, I strongly disagree with what she said about persons experiencing distressing symptoms of psychosis and competency. In my 45 years working with and treating such individuals in my private practice, state and city hospitals and clinics, hallucinations, delusions, paranoia, should not rule out competence. People can be psychotic and non-psychotic at the same time. In fact, even in the state hospital, patients showed understanding of benefits and risks of a particular tx. In my long clinical experience, sadly I have seen many colleagues and myself not give informed consent which is part of shared decision making, e.g., I have had patients say why did you not tell me of neural atrophy on FGA and SGAs (antipsychotics). First order of business is forming a secure relationship and therapeutic alliance w/ the person, a trusting relationship, which requires time and always treat them as you yourself would want to be treated, or a family member. As cardiologist Eric Topol noted in his book Deep Medicine, the average length of time of medical visits is very short-how can one build a secure attachment, therapeutic alliance, do an assessment, true informed consent and shared decision making in that time frame?

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