Case Students COMPLETE BOTH case studies and present a comprehensive review of the case studies.

Write a 4-5 page discussing the patients’ rights/legal issues and schizophrenia case studies using APA format.    

The discussion section of the paper should be no more than 4-5 pages in length not including the title page, conclusion paragraph, level of headings and reference page(s); 

Include a minimum of  5 peer reviewed scholarly nursing journals as references.

[Please refer to the sample student paper on pg. 61 of the APA 7th ed for how an APA paper should look to include level of headings.]

Case Study I: Patients’ Rights and Legal Issues Concepts 

People with psychiatric problems are vulnerable to mistreatment and abuse, laws have been passed that guarantee them legal protection.  These laws offer protection of self-determinism, protection against discrimination in employment, and protection against mistreatment in health care settings (Boyd & Luebbert, 2020)

Concept 1:  Consider      the relationship of self-determination to competence by differentiating      patients who are competent to give consent and those who are      incompetent.  Discuss the steps in determining whether a patient is      competent to provide informed consent for a treatment.

Concept 2:        Define competency to consent to or refuse treatment and relate the      definition to the Self-Determination Act.

Concept 3:        Discuss the purposes of living wills and health proxies.  Discuss      their use in psychiatric- mental health care.

Concept 4:        Identify the legal and ethical issues underlying the Tarasoff case and      mandates to inform.

Concept 5:        Compare the authority and responsibilities of the internal rights      protection system with those of the external advocacy system.  (Give an example of each, i.e. internal rights protection vs external advocacy system).

Concept 6:        Describe the differences between UST (Unfit to stand trial), NGRI(Not      guilty by reason of insanity),  and GBMI (Guilty but Mentally      Ill).   Give an example of a famous trial outcome using each      criminal judicial process (UST, GBMI, and GBMI).

Concept 7:        Discuss the legal liability in psychiatric nursing practice

Concept 8:        Discuss HIPAA and Protection of Health Information versus Mandates to      Inform    

Case Study II: Schizophrenia Case Study 

Write 2-3 paragraphs addressing the schizophrenia questions below using APA format of this scenario.  The entire paper should be no more than 2-3 pages in length not including the title page and reference page.  

Include 3 peer reviewed scholarly nursing journals as references.    Support your rationales with the literature.

Scenario I:   Mr. J. has just received a diagnosis of schizophrenia.  During a recent outpatient visit, he confides to a nurse that he just has stress and does not think that he really has any psychiatric problems.  Identify assessment areas that should be pursued before the patient leaves his appointment.  How would you confront the denial (Townsend, 2015, p. 370) ?

Scenario II:  Discuss how therapeutic communication might have to change when working with a person with schizophrenia who is displaying primarily negative symptoms.  How will you deal with the person’s diminished response to you (both verbally and emotionally) when you are teaching or giving instructions for activities?  How will you help the person compensate for some of his or her cognitive deficits (Townsend, 2015, p. 370) ?

1. Scenario III:   Ms. R. was prescribed olanzapine (Zyprexa) for schizophrenia one month ago.  Since her last monthly visit, she has gained 15 pounds.  She is considering discontinuing her medication regimen because of the weight gain.  Develop a plan to address her weight gain and her intention to discontinue her medication regimen (Townsend, 2015, p. 370).

Rubric

Patient Rights and Legal Issues Concepts

1. Quality of Content (40 Points)

_____/5:        Concept 1:  Consider the relationship of self-determination to      competence by differentiating patients who are competent to give consent      and those who are incompetent.  Discuss the steps in determining      whether a patient is competent to provide informed consent for a      treatment.

 _____/5:        Concept 2: Define competency to consent to or refuse treatment and relate      the definition to the Self-Determination Act.

1. _____/5:        Concept 3: Discuss the purposes of living wills and health proxies.       Discuss their use in psychiatric- mental health care.

_____/5:        Concept 4:  Identify the legal and ethical issues underlying the      Tarasoff case and mandates to inform.

_____/5:        Concept 5:  Compare the authority and responsibilities of the      internal rights protection system with those of the external advocacy      system.

1. _____/5:        Concept 6:  Describe the differences between UST (Unfit to stand trial),      NGRI( Not guilty by reason of insanity),  and GBMI (Guilty but      Mentally Ill).   Give an example of a famous trial outcome using      each criminal judicial process (UST, GBMI, and GBMI).

_____/5:        Concept 7:  Describe the legal liability in psychiatric nursing      practice

_____/5:        Concept 8:  Discuss HIPAA and Protection of Health Information versus      Mandates to Inform (Boyd & Luebbert, 2020)

1. Schizophrenia Case Study 

Quality of Content (40 Points)

1). _____/5    APA Cover page, Introduction of topic, conclusion, and include level of headings in your paper. 

1. 2). ____/10 pts   Scenario I

3).  ____/15 pts   Scenario II

4).  ____/10 pts   Scenario III

1. Include 3 Peer reviewed Scholarly journals, and websites if applicable.

Quality of Writing (20 Points)
__/5 Format – Professional Presentation and if Text meets APA/MSN standards
__/5: Organization – Organization of paper demonstrates critical thinking
__/5: Precision – Student uses terminology and writes clearly and concisely
__/5: Mechanics – Student spells, constructs sentences, and punctuates correctly