Nursing and decision making in mental health nursing Essay

nurse and decision making in mental health nursing - Essay ExampleWhile admitted as a uncomplaining in the mental health facility, Jo actually showed signs of improvement in that his emotional produce grew more balanced and he showed signs of functioning as an ordinary person even though he was not given any medicine. He also regularly participated in argueions with the professionals and seemed to understand the methods to use so as to restrain his emotions when he experienced stressful occurrences in the outside world. Jo appeared to be on his direction to full recovery when he was suddenly visited by two friends the evening after he had returned from his leave. The friends appeared to be in possession of marihuana as well as knives. When some of Jos fellow patients, who were in the same room in which Jo sat with his visiting friends, reported this to the nurses that they had heard about a potential fight, they were removed from the room and Jos friends left even without being asked to. Soon after, Jo demanded to be allowed to leave the ward. Against the advice and suggestions of the nurses that he remain, he insisted and was then allowed to leave. Owing to the fact that the member of staff was anxious that Jo would return with weapons to the ward, they asked him to discharge himself ahead leaving. The authorities also predicateed the police of the presence of Jos friends and the fact that they were in possession of cannabis and knives before they left the ward. A Key Decision within the Case When a nurse is confront with a decision to pass on between harbouring a potentially destructive client or divine revelation his or her intentions to law enforcement authorities, the nurse is usually faced with the problem of having to decide whether to protect the other patients and respecting the rights of the patient who is showing the potential for causing combat injury to himself or others (Antonius, Fuchs, Herbert, Kwon, Fried, Burton, Straka, Levin, Calig or, and Malaspina 2010). In normal circumstances, the nurse would merely discuss the patients concerns with him or her and then offer advice on how best to tackle feelings of hopelessness and terminal before they could become unmanageable. The nurse will only consider the possibility of letting other throng know about the problems of her patient if he or she refuses to take the advice that is being offered (Fiscella 2004). By letting her supervisors or even law enforcement authorities know about a clients threats to cause harm to others, the nurse is actually violating the patients confidentiality (Wolf, Lehman, Quinlin, Rosenszweig, Friede, Zullo and Hoffman 2008). In this case, it can be said that the decision to inform the police of the presence of Jos friends and subsequent request to Jo to discharge himself from the ward when he insisted on attach to his knife and cannabis carrying friends, is the key decision. Even though the Jo was begged to stay in the ward by the nurses, he insisted on going after his friends who had openly spoken about a fight that was going to happen. The Ethical, Legal, policy-making and Professional Issues that are Related to this Key Decision Professional In psychiatric practice, patients can make the choice to refuse treatment even if it may actually improve their lives. This means that Jo was merely exercise his rights by refusing to remain at the ward even when he was asked to remain by nurses who were worried that pictorial matter to reckless characters would merely