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Ethical and Legal Foundations of PMHNP Care

Psychiatric Mental Health Nurse Practitioner (PMHNP) plays a significant role in restoring patients’ mental health and improving the quality of life in the discourse. However, it is paramount to note that psychotherapy becomes successful when it is grounded on legal and ethical practices. As PMHNPs perform their duty, they must stay loyal to ethics and legal framework to have all the required impact on a patient’s liver failure, which may lead people to question its credibility. Beneficence is an ethical practice in healthcare that ensures that all patients are treated with care and are accorded the correct respect and honor and upholds the patients’ rights at all times.

Beneficence is an act of kindness, mercy, and a moral obligation for a practitioner to treat a patient with dignity. No matter how professional a practitioner is, failure to practice the principle of beneficence may deprive the patient of the services. All practitioners have the moral duty always to do what is right. Any practitioner believing in the principle of beneficence must always do what is right per the patient’s expectations. The principle allows a practitioner to develop a positive relationship with patients and their families. The practitioner must understand and respect the relationship with colleagues and other stakeholders in healthcare service delivery.

In a nutshell, the principle requires a practitioner to act for the good of others at all times so that the patients feel that the hospital is operating for the good of the people. An example of the principle applies when a hospital has a policy that all admissions must be accompanied by a cash deposit at the accounts department. A practitioner may come across a patient in need but unable to pay the required fees. For the benefit of the patients and the hospital rules, a practitioner who believes in the principle of beneficence would pay personal money to the hospital to ensure that the patient gets assistance regardless of his financial status. Such a patient enjoys the practitioner’s beneficence and would live all his life grateful to the practitioner who saved his life. Once practitioners understand the principle of beneficence, they will lead to better service delivery.

Article 1: Ethics and culture in mental health care. Ethics & Behavior

The article investigates the relationship between patients, practitioners, and mental health department stakeholders. The article underscores the importance of culture, values, and beliefs when dealing with mental health cases. A person must therefore understand the patients’ rights and abide by them before, during, and after administering the required medication in the discourse. Beneficence serves an important role in the mental health domain because the people who serve mental health patients need to create a long-lasting relationship with the family and other concerned people to ensure that the correct laws and procedures are followed.

The article underscores the importance of practicing beneficence and offers an opportunity for all the practitioners in the field of mental health to practice and ensure that all the people in the hospital practice it. Ethics and culture are intertwined in mental health service provision. People must always work towards becoming aware of the principle and practice it to the last later (Hoop et al. 2021). The practice of the principle of beneficence can be achieved through continuous staff training to understand empathy and cultural awareness to ensure that when a patient is admitted for medication, their cultural background must be known to ensure that the people are treated according to their beliefs and customs. According to the article, multiculturalism and cultural competence is key to delivering services in the mental health domain.

Article 2: Treatment over Objection: Minds, Bodies, and Beneficence

The article focuses on the hypothesis by John Stewart Mill, which stated that the only freedom people can enjoy is doing good for others. The theory is premised on the golden rule that a person should treat others in the way that they expect to be treated. Although the principle causes challenges for most healthcare practitioners because human rights and professional requirements meet. The article focuses on the contract of acceptance and voluntary treatment. No matter how sick a person appears in the mental health domain, treatment can only be started after the required consent is given to make the patients confident of the services offered in the discourse. The case of forced treatment sees the patient being subjected not only to physical coerce but also mental torture. A person in the mental health domain must understand the importance of the patient’s culture and include it in the treatment plan.

Cultural competence is a significant factor and must always be included when offering services. When a person is admitted to the healthcare domain, they must be asked about their area of their religion, culture, and their beliefs so that the outcome may be determined in the due course. If a person is a Christian, he may request to be attended by a practitioner who is a Christian believer (Sarkar, & Adshead, 2002). As the principle of beneficence ensures that a person must do well in all that they do, they must be able to understand their patients and do well by abiding to their cultural competencies. The most salient ethical issue in the article is cultural competence and awareness to offer the best services in the mental health department.

Article 3: A Practitioner’s guide to ethical decision making

Ethical decision-making is paramount in the delivery of services in the healthcare domain. In the mental health domain, different people seek services and the quality of services is determined by how ethical a person behaves. It is therefore imperative to maintain the highest ethical standards possible to have the principle of beneficence to be practiced in the healthcare setting. The article state that the counselor has a moral responsibility towards the patients and must do all possible efforts for the good and the benefit of the patients. Further, the article underscores the fact that beneficence can be achieved if and only if the practitioner is prepared to do good for the patient and ensure that they protect the patients from harm whenever the harm is inevitable (Davis, & Forester-Miller, 2011). The concept of concern in the mental health is to prevent harm whenever it is about to harm people.


Davis, T., & Forester-Miller, H. (2011). A Practitioner’s guide to ethical decision making. Dictionary. com.(nd). Retrieved12.

Hoop, J. G., DiPasquale, T., Hernandez, J. M., & Roberts, L. W. (2008). Ethics and culture in mental health care. Ethics & Behavior18(4), 353-372.

Sarkar, S. P., & Adshead, G. (2002). Treatment over Objection: Minds, Bodies and Beneficence. July 2002 J. Mental Health L., 105.


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