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The diagnosis of psychiatric emergencies can include a wide range of problems—from serious
drug reactions to abuse and suicidal ideation/behaviors. Regardless of care setting, the PMHNP
must know how to address emergencies, coordinate care with other members of the health
care team and law enforcement officials (when indicated), and effectively communicate with
family members who are often overwhelmed in emergency situations. In their role, PMHNPs
can ensure a smooth transition from emergency mental health care to follow-up care, and also
bridge the physical–mental health divide in healthcare.
In 3 pages, address the following:
1. Explain Florida state laws for involuntary psychiatric holds for child and adult psychiatric
emergencies. Include who can hold a patient and for how long, who can release the
emergency hold, and who can pick up the patient after a hold is released.
2. Explain the differences between emergency hospitalization for evaluation/psychiatric
hold, inpatient, and outpatient commitment in your state.
3. Explain the difference between capacity and competency in mental health contexts.
4. Select one of the following topics and explain one legal issue and one ethical issue
related to this topic that may apply within the context of treating psychiatric
emergencies: patient autonomy, EMTALA, confidentiality, HIPAA privacy rule, HIPAA
security rule, protected information, legal gun ownership, career obstacles (security
clearances/background checks), and payer source.
5. Identify one evidence-based suicide risk assessment that you could use to screen
patients.
6. Identify one evidence-based violence risk assessment that you could use to screen
patients.
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