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<\/figure>\n\n\n\nAccording to Milliken (2018), a patient\u2019s right to self-determination (autonomy) entails their ethical obligation of what would be best for them in the context of a specific clinical situation and what is known of their goals and values. To develop and foster ethical awareness means nurses have to remember that ethics cover all nursing actions and should not be viewed in isolation of nursing duties to promote good( beneficence) and to prevent harm( non-maleficence) even as they advocate their patient\u2019s autonomy. A PMHNP intent of beneficence may encounter conflict with the mental health patient autonomy necessitating the former to document the patient has demonstrated understanding of the predictable consequences of the patient\u2019s decision to act against medical advice (Olejarczyk & Young, 2021). The practitioner must at all times remember that according to Florida Nursing Practice Laws, members of a healthcare team or the patient\u2019s family members violate a patient\u2019s autonomy if they pressure the patient or act on the patient\u2019s behalf without the victim\u2019s consent in a non-emergency situation (Toney-Butler & Martin, 2018). Additionally, Florida Nursing Laws decree that only a psychiatric nurse who meets the requirements in S. 394.455(35) may prescribe psychotropic substances in treating mental disorders.(The Principle of Patient Autonomy Comprehensive Nursing Essay Example)<\/p>\n\n\n\n
In the case of patients below 18 years, Sawyer & Rosenberg (2020) opine that literature exists whose findings demonstrate minors aged 14 years can understand medical information and arrive at reasoned decisions similar to those of young adults. Unlike patient autonomy in adulthood, teenagers are unlikely to activate rational decision-making abilities in emotionally fraught scenarios. A nurse in clinical practice must be ready to utilize the principle of patient autonomy and its derivatives of informed consent and truth-telling despite the resistance that may be present (Varkey, 2021). The practitioner must appreciate that culture comprising customer beliefs, material and social traits of the patient\u2019s racial, religious or social group is both dynamic and autonomous with changes expected as new trends emerge over the years.(The Principle of Patient Autonomy Comprehensive Nursing Essay Example)<\/p>\n\n\n\n
Patient autonomy as a foundational principle in psychiatric and mental health care<\/a> can create dilemmas and challenges whose impact appears to jeopardize the patient’s health. Consistent recognition of these legal and ethical obligations and their implications should solely be guided by the care that supports patient goals and preferences. Nurses should therefore be empowered to act as moral agents who offer patient care in a care setting that meets the set standards at the legal, ethical, and safety level.(The Principle of Patient Autonomy Comprehensive Nursing Essay Example)<\/p>\n\n\n\n Dutra, V. F. D., Bossato, H. R., & Oliveira, R. M. P. D. (2017). Mediating autonomy: an essential care practice in mental health. Escola Anna Nery<\/em>, 21<\/em>.(The Principle of Patient Autonomy Comprehensive Nursing Essay Example) https:\/\/www.scielo.br\/j\/ean\/a\/6xVmW9DDvbTn7TJScWRFp7M\/?lang=en<\/a><\/p>\n\n\n\n Milliken, A. (2018). Ethical awareness: what it is and why it matters. Online J Issues Nurs<\/em>, 23<\/em>(10.3912). (The Principle of Patient Autonomy Comprehensive Nursing Essay Example)https:\/\/ojin.nursingworld.org\/MainMenuCategories\/ANAMarketplace\/ANAPeriodicals\/OJIN\/TableofContents\/Vol-23-2018\/No1-Jan-2018\/Ethical-Awareness.html<\/a><\/p>\n\n\n\n Olejarczyk, J. P., & Young, M. (2021). Patient Rights And Ethics. In StatPearls [Internet]<\/em>. StatPearls Publishing. (The Principle of Patient Autonomy Comprehensive Nursing Essay Example)https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK538279\/<\/a><\/p>\n\n\n\n Sawyer, K., & Rosenberg, A. R. (2020). How Should Adolescent Health Decision-Making Authority Be Shared?. AMA Journal of Ethics<\/em>, 22<\/em>(5), 372-379.(The Principle of Patient Autonomy Comprehensive Nursing Essay Example) https:\/\/journalofethics.ama-assn.org\/article\/how-should-adolescent-health-decision-making-authority-be-shared\/2020-05<\/a><\/p>\n\n\n\n![\"The](\"https:\/\/nursingstudy.org\/examples\/wp-content\/uploads\/2023\/10\/image-15.png\")
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