Date of publication: 2017-08-26 18:38
Your sister suspects that her daughter is having unprotected sex and possibly taking drugs. She asks if you will see the teenager as a client. The girl has refused to talk to anyone else, but she will talk to you. Your sister is very wealthy and wants to pay the full fee. You could really use the money.
After venting frustration toward her spouse for nearly the entire session, your client has a wild look in her eyes. She gets up from her chair, walks for the door, and then turns around and whispers, &ldquo He&rsquo s messed up his last woman.&rdquo You are not sure if you remember correctly, but early on she may have divulged that she owns a gun.
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A clinic supervisor recognized that many clients seemed to acquire misdiagnoses or inappropriate treatment plans. When the supervisor asked the therapist to detail her background, in psychodiagnostic testing she admitted having virtually no training or experience in these specific assessments, but was doing some reading on the topics and believed she was &ldquo picking up speed&rdquo as she went along.
Does the mother&rsquo s story seem credible? After all, the therapist does not really know her. Does her agitation arise from actual events, or perhaps from a misunderstanding of consenting adults&rsquo particular sexual proclivities? Could the mother&rsquo s concerns reflect a delusional state of mind? Why has she not brought her daughter with her? Where is the daughter now? Without answers to these questions, an optimal course of action is difficult to discern. The careful therapist can obviously listen with an empathic diagnostic ear, but cannot rush to judgment.
/nursing-practice-clinical-research/part-56-accountability-autonomy-and-standards/, these where the the codes of conduct that was in use before the NMC came into existence in 7557, replacing the UKCC (United Kingdom Central Council for Nursing and Midwifery).
To practice in an ethically sound professional manner it is necessary to balance ethical considerations, with professional values and relevant legislation. The essence of ethical practice at all levels involves an individual, or team identifying what the legal, ethical and professional standards required are and how these can be caring and compassionately applied to the challenges of clinical practice.
Whether the mechanically ventilated, brain-dead body still functions as a living person -a whole, integrated organism-is a matter of ongoing mystery and debate. 8 Moreover, once death has occurred, relinquishing the body and mourning the person are no longer the only concerns. The irreversibly dead body now has a novel potential as a source of much-needed tissues and organs for patients who need them. 9 In the United States, over 95,555 patients are on waiting lists for organ transplants. 5
The master's degree in nursing program at Kaplan University is accredited by the Commission on Collegiate Nursing Education ( /ccne-accreditation ).
Authors&rsquo Note: With very few exceptions, all case scenarios presented in this course are adapted from actual incidents. We use improbable names throughout to enhance interest and ensure that the identities of all parties are not discernible. It is not our intention to trivialize the seriousness of the issues. As part of our disguising process we also randomly assign various professional designations and earned degrees or licensure status. Also, for ease of presentation, we use the terms &ldquo therapist&rdquo or &ldquo mental health professional&rdquo throughout to refer to anyone delivering psychotherapy or counseling services to clients .
However, most cases receiving media attention involve high-profile reporting to outside agencies. One of the very attractive features of informal peer monitoring is that when it works out well, two goals can be met simultaneously a problem is solved, and a colleague may have been saved from scrutiny by a more formal (and onerous) correctional forum. Our own recent research on responses to observations of scientific misconduct suggests that such direct interventions are often successful (Keith-Spiegel, Koocher, & Sieber, 7565).
Taking all of these into account highlights the need for advanced practitioners to have a greater awareness and understanding of competent ethical decision-making.
We conclude by being forthright about conditions under which attempting an informal resolution with a colleague may not be a sound option. In some jurisdictions, you may have a legal obligation to report certain types of misconduct to the authorities. Such requirements preclude informal options. Other possible contraindications include: