Georgette's PMHNP Module 5: Ethics, Legal
Principles & Cultural Care Newest Questions
(2026) latest update this year Download now
and pass first try!
Exam Information
Course: Georgette's PMHNP Review – Module 5: Ethics, Legal Principles, and
Cultural Care
Target Audience: Psychiatric-Mental Health Nurse Practitioner (PMHNP)
certification candidates
Core Domains Covered: Scope of practice, standards of practice, ethical principles
(Justice, Autonomy, Beneficence, Veracity, Nonmaleficence), informed consent,
confidentiality, HIPAA, patient advocacy, cultural competency, case management,
social determinants of mental health, health policy, just culture, quality improvement,
and research
Question Format: Multiple-choice, with answers and detailed rationales
Key Topics in This Module
Category Specific Focus Areas
,Scope & Standards of State legislative statutes determine scope; ANA
Practice determines standards; reasonably prudent PMHNP
standard
Ethical Principles Autonomy, Beneficence, Nonmaleficence, Justice,
Veracity, Fidelity
Informed Consent Five elements: decision capacity, full disclosure,
comprehension, voluntariness, documentation
Confidentiality & Psychotherapy notes require authorization; six
HIPAA exceptions to confidentiality; separate releases for
chemical and psychiatric information
Legal Principles & Tarasoff duty to warn; standard of care
Cases
Cultural Competence Culturally competent care; culture-bound syndromes
Telehealth Informed consent and HIPAA compliance required
Research & PICOT framework; evidence-based practice integrates
Evidence-Based research, clinical expertise, and patient preferences
Practice
SECTION 1: SCOPE & STANDARDS OF PRACTICE (Questions 1-10)
1. Who determines the NP scope of practice?
A) The American Nurses Association (ANA)
B) State legislative statutes (state board of nursing)
C) The federal government
, D) The hospital or clinic where the NP works
Answer: B. The NP scope of practice is determined by state legislative statutes (state
board of nursing). The ANA determines standards of practice, not scope.
2. What defines the NP roles and actions?
A) Standards of practice
B) Scope of practice
C) Hospital policies
D) Federal regulations
Answer: B. Scope of practice identifies competencies assumed to be held by all NPs who
function in a particular role and varies broadly from one state to another.
3. What authority determines the standard of practice?
A) State legislative statutes
B) The American Nurses Association (ANA)
C) The federal government
D) Individual healthcare institutions
Answer: B. Standards of practice are determined by the American Nurses Association
(ANA).
4. Standards of practice are best described as:
A) Guidelines that are optional for healthcare providers
B) Authoritative statements regarding the quality and type of practice that should be
provided
, C) A list of medications that can be prescribed
D) Requirements set by insurance companies
Answer: B. Standards of practice are authoritative statements regarding the quality and
type of practice that should be provided. They provide a way to judge the nature of care
provided and can be used to legally describe the standard of care that must be met by a
provider.
5. The PMHNP is required by law to carry out care in accordance with:
A) What the physician would do in the same circumstances
B) What other reasonably prudent nurses would do in the same or similar
circumstances
C) What the patient requests
D) What the hospital policy dictates
Answer: B. The PMHNP is required by law to carry out care in accordance with what other
reasonably prudent nurses would do in the same or similar circumstances.
6. Any court of law that evaluates the standards of care provided by the PMHNP:
A) Compares actions to the standard of care provided by a psychiatrist
B) Considers what a reasonably prudent PMHNP would do in the same or similar
circumstance
C) Evaluates patient satisfaction data
D) Reviews the nurse practitioner's charts for similar patients
Answer: B. Courts consider what a reasonably prudent PMHNP would do in the same or
similar circumstance.
Principles & Cultural Care Newest Questions
(2026) latest update this year Download now
and pass first try!
Exam Information
Course: Georgette's PMHNP Review – Module 5: Ethics, Legal Principles, and
Cultural Care
Target Audience: Psychiatric-Mental Health Nurse Practitioner (PMHNP)
certification candidates
Core Domains Covered: Scope of practice, standards of practice, ethical principles
(Justice, Autonomy, Beneficence, Veracity, Nonmaleficence), informed consent,
confidentiality, HIPAA, patient advocacy, cultural competency, case management,
social determinants of mental health, health policy, just culture, quality improvement,
and research
Question Format: Multiple-choice, with answers and detailed rationales
Key Topics in This Module
Category Specific Focus Areas
,Scope & Standards of State legislative statutes determine scope; ANA
Practice determines standards; reasonably prudent PMHNP
standard
Ethical Principles Autonomy, Beneficence, Nonmaleficence, Justice,
Veracity, Fidelity
Informed Consent Five elements: decision capacity, full disclosure,
comprehension, voluntariness, documentation
Confidentiality & Psychotherapy notes require authorization; six
HIPAA exceptions to confidentiality; separate releases for
chemical and psychiatric information
Legal Principles & Tarasoff duty to warn; standard of care
Cases
Cultural Competence Culturally competent care; culture-bound syndromes
Telehealth Informed consent and HIPAA compliance required
Research & PICOT framework; evidence-based practice integrates
Evidence-Based research, clinical expertise, and patient preferences
Practice
SECTION 1: SCOPE & STANDARDS OF PRACTICE (Questions 1-10)
1. Who determines the NP scope of practice?
A) The American Nurses Association (ANA)
B) State legislative statutes (state board of nursing)
C) The federal government
, D) The hospital or clinic where the NP works
Answer: B. The NP scope of practice is determined by state legislative statutes (state
board of nursing). The ANA determines standards of practice, not scope.
2. What defines the NP roles and actions?
A) Standards of practice
B) Scope of practice
C) Hospital policies
D) Federal regulations
Answer: B. Scope of practice identifies competencies assumed to be held by all NPs who
function in a particular role and varies broadly from one state to another.
3. What authority determines the standard of practice?
A) State legislative statutes
B) The American Nurses Association (ANA)
C) The federal government
D) Individual healthcare institutions
Answer: B. Standards of practice are determined by the American Nurses Association
(ANA).
4. Standards of practice are best described as:
A) Guidelines that are optional for healthcare providers
B) Authoritative statements regarding the quality and type of practice that should be
provided
, C) A list of medications that can be prescribed
D) Requirements set by insurance companies
Answer: B. Standards of practice are authoritative statements regarding the quality and
type of practice that should be provided. They provide a way to judge the nature of care
provided and can be used to legally describe the standard of care that must be met by a
provider.
5. The PMHNP is required by law to carry out care in accordance with:
A) What the physician would do in the same circumstances
B) What other reasonably prudent nurses would do in the same or similar
circumstances
C) What the patient requests
D) What the hospital policy dictates
Answer: B. The PMHNP is required by law to carry out care in accordance with what other
reasonably prudent nurses would do in the same or similar circumstances.
6. Any court of law that evaluates the standards of care provided by the PMHNP:
A) Compares actions to the standard of care provided by a psychiatrist
B) Considers what a reasonably prudent PMHNP would do in the same or similar
circumstance
C) Evaluates patient satisfaction data
D) Reviews the nurse practitioner's charts for similar patients
Answer: B. Courts consider what a reasonably prudent PMHNP would do in the same or
similar circumstance.
