In your role as a PMHNP, you will encounter several situations that will require your ability to make sound judgments and practice decisions for the safety and well-being of individuals, families, and communities. There may not be a clear-cut answer of how to address the issue, but your ethical decision making must be based on evidenced-based practice and what is good, right, and beneficial for patients. You will encounter patients who do not hold your values, but you must remain professional and unbiased in the care you provide to all patients regardless of their socio-demographic and ethnic/racial background. You must be prepared to critically analyze ethical situations and develop an appropriate plan of action. For this Assignment, you review the literature and discover the various ethical dilemmas PMHNPs encounter and how these issues are typically addressed in your state.

PMHNPs face many ethical problems, such as confidentiality, informed consent and boundary violations. They also have to fulfill their duty of warning. Confidentiality is a critical ethical issue, and PMHNPs must maintain patients’ privacy and protect their health information while complying with the Health Insurance Portability and Accountability Act (HIPAA) regulations. PMHNPs need to obtain informed consent from patients, explain the options available, and tell patients about potential risks and benefits.

PMHNPs should be alert to and avoid boundary violations such as inadvertent relationships with patients, or dual relationships. PMHNPs need to balance the duty of warning patients about potential harm with their responsibility to respect their privacy and autonomy. Finally, PMHNPs must consider the ethical implications of involuntary hospitalization and ensure that patients’ rights are protected.

PMHNPs need to rely upon ethical principles such as justice, autonomy, beneficence and non-maleficence in order to address ethical problems. They also have the responsibility of applying them to particular situations. PMHNPs must also adhere to the American Nurses Association’s (ANA) Code of Ethics for Nurses and the American Psychiatric Nurses Association (APNA) standards of practice.

PMHNPs face many ethical problems that demand sound judgement, critical thinking and the adherence of professional standards and ethical principles. PMHNPs are able to provide safe, ethical and efficient care to patients by being mindful of such issues and applying these principles in specific circumstances.

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