PMHNP Chapter 2-History, Role, Scope of Practice, and
Regulatory Process of the Psychiatric-Mental Health Nurse
Practitioner EXAM LATEST 200 QUESTIONS AND 100%
Verified ANSWERS
Which ethical theory is primarily concerned with achieving the greatest good for the greatest number
of people?
A) Virtue Ethics
B) Deontological Theory
C) Teleological Theory
D) Natural Law Theory - answer>>C) Teleological Theory
Teleological theory, particularly utilitarianism, focuses on the consequences of actions and the
principle of maximizing pleasure and good for the most people
Ethics of Disclosure by Providers (3) - answer>>Clients have a right to know what is happening during
the course of their treatment.
Providers have an ethical responsibility to disclose medical errors, accidents, injuries, and negative
results to clients.
As a result of the disclosure, a client may have legal right to compensation for harm suffered due to
medical misadventures (Sadock, Sadock, & Ruiz, 2015).
Risks vs. Benefits of Disability Regarding Employment (3) - answer>>The ADA works to prevent
discrimination by employers with 15 or more employees against qualified persons in hiring, firing,
advancement, job training, compensation, and workplace conditions
The ADA is federal legislation granting Americans who have disabilities, including mental illness, the
opportunity for employment on an equal basis with the nondisabled
,Employers are required to make reasonable accommodations for qualified applicants or employees
with a disability
What are six risks of disclosing disability regarding employment? - answer>>Employers may find ways
to avoid hiring persons known to have a disability
Coworkers may harass or discriminate against persons with psychiatric illnesses
Assumption that persons with psychiatric illnesses may be less productive
May limit an employee's chance for advancement in career
Feedback for improvement may not be given to employee because others may attribute the
employee's behavior to the psychiatric illness
Labeling oneself as "disabled" may effect one's belief or self-image
What are six benefits of disclosing disability regarding employment? - answer>>Able to request
reasonable accommodations
Opportunity to have a job coach come to the worksite and communicate directly with employer
Employee can involve an employment service provider, employee assistance program, or other third
party in the development of accomdations
Easier for employee to come to work during an exacerbation of symptoms
Allows coworkers to offer personal support
,May help with recovery process or empower another employee to disclose
Legal Considerations: Malpractice Insurance - answer>>Provides financial protection against claims of
malpractice and covers negligent professional acts
Coverage for highly technical or professional skills required by health professionals, including NPs
Provides NPs their own legal representation to advocate for them even if their agency also carries
malpractice liability insurance
What does and doesn't malpractice insurance cover? - answer>>DOES cover negligent acts for highly
technical or professional skills by NPs
DOESN'T protect NPs from charges of practicing outside their legal scope of practice
What are the four elements of negligence that must be established to prove malpractice? -
answer>>Duty: The NP had a duty to exercise reasonable care when undertaking and providing
treatment to the client
Breach of Duty: The NP violated the applicable standard of care in treating the client's condition
Proximate Cause: There is a casual relationship between the breach in the standard care and the
client's injuries
Damages: The client experiences permanent and substantial damages as a result of breach in standard
of care
In regards to negligence and malpractice, what is proximate cause? - answer>>There is a casual
relationship between the breach in the standard care and the client's injuries; the connection between
an act and an injury is strong enough to justify imposing liability
, In regards to negligence and malpractice, what is breach of duty? - answer>>The NP violated the
applicable standard of care in treating the client's condition
In regards to negligence and malpractice, what are considered damages? - answer>>The client
experiences permanent and substantial damages as a result of breach in standard of care
A nurse is assigned to care for a patient recovering from surgery. Which of the following best illustrates
the nurse's duty in this scenario?
A) Ensuring the patient's pain is completely resolved before discharge.
B) Maintaining the standard of care by monitoring vital signs regularly.
C) Prescribing medication for post-operative pain
.D) Referring the patient to a specialist for follow-up care. - answer>>B) Maintaining the standard of
care by monitoring vital signs regularly.
A nurse forgot to administer a patient's medication, which resulted in the patient's condition
worsening. Which element of malpractice does this situation describe?
A) Causation/Proximate Cause
B) Duty
C) Breach of Duty
D) Damages - answer>>C) Breach of Duty
A patient develops a severe infection after a nurse failed to follow sterile technique during a
procedure. The infection led to prolonged hospitalization. Which element of negligence does this
describe?
A) Duty
B) Breach of Duty
Regulatory Process of the Psychiatric-Mental Health Nurse
Practitioner EXAM LATEST 200 QUESTIONS AND 100%
Verified ANSWERS
Which ethical theory is primarily concerned with achieving the greatest good for the greatest number
of people?
A) Virtue Ethics
B) Deontological Theory
C) Teleological Theory
D) Natural Law Theory - answer>>C) Teleological Theory
Teleological theory, particularly utilitarianism, focuses on the consequences of actions and the
principle of maximizing pleasure and good for the most people
Ethics of Disclosure by Providers (3) - answer>>Clients have a right to know what is happening during
the course of their treatment.
Providers have an ethical responsibility to disclose medical errors, accidents, injuries, and negative
results to clients.
As a result of the disclosure, a client may have legal right to compensation for harm suffered due to
medical misadventures (Sadock, Sadock, & Ruiz, 2015).
Risks vs. Benefits of Disability Regarding Employment (3) - answer>>The ADA works to prevent
discrimination by employers with 15 or more employees against qualified persons in hiring, firing,
advancement, job training, compensation, and workplace conditions
The ADA is federal legislation granting Americans who have disabilities, including mental illness, the
opportunity for employment on an equal basis with the nondisabled
,Employers are required to make reasonable accommodations for qualified applicants or employees
with a disability
What are six risks of disclosing disability regarding employment? - answer>>Employers may find ways
to avoid hiring persons known to have a disability
Coworkers may harass or discriminate against persons with psychiatric illnesses
Assumption that persons with psychiatric illnesses may be less productive
May limit an employee's chance for advancement in career
Feedback for improvement may not be given to employee because others may attribute the
employee's behavior to the psychiatric illness
Labeling oneself as "disabled" may effect one's belief or self-image
What are six benefits of disclosing disability regarding employment? - answer>>Able to request
reasonable accommodations
Opportunity to have a job coach come to the worksite and communicate directly with employer
Employee can involve an employment service provider, employee assistance program, or other third
party in the development of accomdations
Easier for employee to come to work during an exacerbation of symptoms
Allows coworkers to offer personal support
,May help with recovery process or empower another employee to disclose
Legal Considerations: Malpractice Insurance - answer>>Provides financial protection against claims of
malpractice and covers negligent professional acts
Coverage for highly technical or professional skills required by health professionals, including NPs
Provides NPs their own legal representation to advocate for them even if their agency also carries
malpractice liability insurance
What does and doesn't malpractice insurance cover? - answer>>DOES cover negligent acts for highly
technical or professional skills by NPs
DOESN'T protect NPs from charges of practicing outside their legal scope of practice
What are the four elements of negligence that must be established to prove malpractice? -
answer>>Duty: The NP had a duty to exercise reasonable care when undertaking and providing
treatment to the client
Breach of Duty: The NP violated the applicable standard of care in treating the client's condition
Proximate Cause: There is a casual relationship between the breach in the standard care and the
client's injuries
Damages: The client experiences permanent and substantial damages as a result of breach in standard
of care
In regards to negligence and malpractice, what is proximate cause? - answer>>There is a casual
relationship between the breach in the standard care and the client's injuries; the connection between
an act and an injury is strong enough to justify imposing liability
, In regards to negligence and malpractice, what is breach of duty? - answer>>The NP violated the
applicable standard of care in treating the client's condition
In regards to negligence and malpractice, what are considered damages? - answer>>The client
experiences permanent and substantial damages as a result of breach in standard of care
A nurse is assigned to care for a patient recovering from surgery. Which of the following best illustrates
the nurse's duty in this scenario?
A) Ensuring the patient's pain is completely resolved before discharge.
B) Maintaining the standard of care by monitoring vital signs regularly.
C) Prescribing medication for post-operative pain
.D) Referring the patient to a specialist for follow-up care. - answer>>B) Maintaining the standard of
care by monitoring vital signs regularly.
A nurse forgot to administer a patient's medication, which resulted in the patient's condition
worsening. Which element of malpractice does this situation describe?
A) Causation/Proximate Cause
B) Duty
C) Breach of Duty
D) Damages - answer>>C) Breach of Duty
A patient develops a severe infection after a nurse failed to follow sterile technique during a
procedure. The infection led to prolonged hospitalization. Which element of negligence does this
describe?
A) Duty
B) Breach of Duty
