📘 Important for GNM/BSc Nursing, AIIMS, NHM, NORCET, GPSC & Mental Health Nursing Exams
🔰 What Are Standards of Psychiatric Nursing Practice?
They are authoritative guidelines that define the quality, scope, and accountability of psychiatric and mental health nursing care.
✅ These standards ensure safe, ethical, effective, and patient-centered care to individuals with mental illness.
(Developed by ANA – American Nurses Association)
🔹 Collect comprehensive physical, emotional, psychological, cultural, and social data
🔹 Use tools like Mental Status Examination (MSE)
🔹 Analyze assessment data
🔹 Formulate nursing diagnoses (e.g., disturbed thought process, risk for violence)
🔹 Identify realistic and measurable outcomes in collaboration with the client
🔸 Example: “Client will verbalize reduced anxiety in 3 days”
🔹 Develop individualized care plan
🔸 Include short- and long-term goals
🔹 Carry out planned interventions
🔸 Include medication administration, counseling, behavior therapy, health education
🔹 Determine effectiveness of the interventions
🔸 Modify care plan if needed
🔹 Practice is guided by ethical principles (autonomy, confidentiality, beneficence)
🔹 Continuously upgrade knowledge and skills in psychiatric nursing
🔹 Integrate latest research findings into care
🔹 Ensure safe, competent, and quality-focused practice
🔹 Use effective verbal and non-verbal communication with clients, family, team
🔹 Demonstrate leadership in clinical decision-making and team coordination
🔹 Work with psychiatrists, psychologists, social workers, and family
🔹 Regular self-evaluation and peer feedback
🔹 Use human and material resources efficiently
🔹 Maintain therapeutic and safe ward environment
🅰️ Evaluation
✅ 🅱️ Assessment
🅲️ Planning
🅳️ Diagnosis
Correct Answer: 🅱️ Assessment
Rationale: Assessment is always the first step of nursing care.
🅰️ Administering medications
🅱️ Terminating the client session
✅ 🅲️ Setting measurable goals
🅳️ Discharging the client
Correct Answer: 🅲️ Setting measurable goals
Rationale: It involves setting realistic and measurable outcomes.
🅰️ Maintaining confidentiality
✅ 🅱️ Forcing treatment without consent
🅲️ Respecting autonomy
🅳️ Ensuring informed consent
Correct Answer: 🅱️ Forcing treatment without consent
Rationale: It violates ethical standards.
🅰️ Administering injections
✅ 🅱️ Collaborating with the health team
🅲️ Recording vital signs
🅳️ Conducting group therapy
Correct Answer: 🅱️ Collaborating with the health team
Rationale: It is part of professional behavior and teamwork.
🅰️ Checking air pollution
🅱️ Cleaning footpaths
✅ 🅲️ Providing a safe and therapeutic environment
🅳️ Ensuring social gatherings
Correct Answer: 🅲️ Providing a safe and therapeutic environment
Rationale: Environment affects mental health recovery.
📘 Important for GNM/BSc Nursing, NHM, AIIMS, NORCET, GPSC & Mental Health Nursing Exams
📜 Based on the Mental Healthcare Act, 2017
🔰 What are Patient Rights in Mental Health?
Rights of mentally ill patients are the legal, ethical, and humane entitlements guaranteed to individuals undergoing psychiatric care.
✅ The Mental Healthcare Act, 2017 ensures dignity, autonomy, and equality for persons with mental illness.
✅ Every person has the right to affordable, accessible, and quality mental health services.
✅ Patients have the right to live in family or community-based environments (not isolated institutions).
✅ Patients must be treated with dignity and respect, not subjected to torture or abuse.
✅ No discrimination based on gender, caste, religion, or mental illness.
✅ Personal mental health information must be kept private, unless required by law.
✅ Patients have the right to know about their diagnosis, treatment options, and risks in a language they understand.
✅ Patients can pre-decide how they want to be treated in future when unable to decide.
✅ A trusted person can be appointed to take decisions on patient’s behalf when needed.
✅ Patients can avail free legal services for complaints and grievances.
✅ Patients can inspect and obtain copies of their medical records.
✅ Patients are allowed to communicate with family, friends, and legal advisors.
✅ Complaints can be made to the Mental Health Review Board (MHRB) if rights are violated.
✅ No treatment can be given without patient’s consent, unless in emergency.
✅ Mentally ill persons can refuse treatment if they are competent to decide.
✅ Patients have the right to employment, education, and social reintegration support.
🅰️ Anyone from the public
🅱️ Only family members
✅ 🅲️ The patient themself
🅳️ Media
Correct Answer: 🅲️ The patient themself
Rationale: Section 25 grants the right to access personal health records.
🅰️ Refuse to be admitted to a hospital
🅱️ Make financial decisions
✅ 🅲️ Pre-decide treatment choices when capacity is lost
🅳️ Appoint hospital staff
Correct Answer: 🅲️ Pre-decide treatment choices when capacity is lost
Rationale: The Advance Directive helps plan care during future illness.
🅰️ Health insurance
✅ 🅱️ Cruel and degrading treatment
🅲️ Family interactions
🅳️ Group therapy
Correct Answer: 🅱️ Cruel and degrading treatment
Rationale: Respect and humane treatment are legally guaranteed.
🅰️ Indian Nursing Council
🅱️ AIIMS
✅ 🅲️ Mental Health Review Board
🅳️ Police station
Correct Answer: 🅲️ Mental Health Review Board
Rationale: MHRB is a legal forum for grievance redressal.
🅰️ A politician
🅱️ A psychiatrist
✅ 🅲️ Any person of the patient’s choice
🅳️ Hospital nurse
Correct Answer: 🅲️ Any person of the patient’s choice
Rationale: NR is appointed by the patient to take decisions if needed.
📘 Important for GNM/BSc Nursing, AIIMS, NHM, NORCET, GPSC & Mental Health Nursing Exams
📜 Based on the Mental Healthcare Act, 2017 and general legal-ethical nursing practice.
🔰 What Are Legal Responsibilities?
Legal responsibilities refer to the obligations of healthcare providers to follow laws, rules, and ethical principles when caring for mentally ill patients.
✅ These ensure patient safety, rights protection, and lawful care delivery.
✅ No treatment, medication, or procedure can be given without the patient’s consent, unless in emergency or if capacity is lacking.
🔸 Always explain risks, benefits, and alternatives.
🔸 Use language the patient understands.
✅ Uphold rights such as:
✅ Patient’s mental health records and conditions must be kept private.
🔸 Information can only be shared with patient consent or legal requirement.
✅ Comply with correct legal sections:
✅ Maintain accurate, complete, and timely records of:
✅ Nurses must report:
✅ Provide safe, standard care as per nursing protocols.
🔸 Avoid giving medications without orders, physical abuse, or ignoring symptoms.
✅ In life-threatening situations, temporary treatment can be given without consent up to 72 hours (Section 94).
🔸 Must notify proper authority and document reasons.
✅ Only when absolutely necessary for safety.
🔸 Must follow legal guidelines, get proper orders, and monitor the patient.
🔸 Never use restraints as punishment.
✅ Follow patient’s advance directive (Section 11) and respect the role of the Nominated Representative in decision-making.
🅰️ 24 hours
🅱️ 48 hours
✅ 🅲️ 72 hours
🅳️ 96 hours
Correct Answer: 🅲️ 72 hours
Rationale: Section 94 allows up to 72 hours of emergency treatment.
🅰️ Right to treatment
✅ 🅱️ Right to confidentiality
🅲️ Right to legal aid
🅳️ Right to informed consent
Correct Answer: 🅱️ Right to confidentiality
Rationale: Section 23 protects this right.
🅰️ As a punishment
🅱️ On patient’s request
✅ 🅲️ Only if safety is threatened
🅳️ Routinely at night
Correct Answer: 🅲️ Only if safety is threatened
Rationale: Restraints are legally allowed only in emergencies.
🅰️ Give injection forcefully
✅ 🅱️ Respect their refusal
🅲️ Call police
🅳️ Restrain and isolate
Correct Answer: 🅱️ Respect their refusal
Rationale: Informed refusal must be respected if the patient is competent.
🅰️ Hospital ID card
🅱️ Patient Care Note
✅ 🅲️ Advance Directive
🅳️ Discharge Sheet
Correct Answer: 🅲️ Advance Directive
Rationale: Section 11 permits this legal provision.