Georgette Module 5 Exam Questions With Correct Answers

scope of practice is determined by who? - correct answerSTATE BON what identifies competencies assumed to be held by all NPs who function in a particular role and defines NP roles/actions? - correct answerSCOPE of practice who is the standard of practice determined by? - correct answerANA when you think standard of practice you should really think... - correct answerQUALITY what is required by law for the PMHNP to carry out care in accordance with what other reasonably prudent nurses would do in the same/similar circumstance? - correct answerstandard of practice what is used to provide a way to judge the nature of care provided? - correct answerstandard of care what is a process by which an agency of the state government grants permission to persons to engage in practice of that profession? - correct answerlicensure what prohibits others from legally doing protected practice? - correct answerlicensure what is the process used to protect the public by ensuring a minimum level of professional competence? - correct answercredentialing what determines scope of practice? - correct answercertification what is a credential that provides title protection? - correct answercertification what is the process by which a professional organization or association certifies that a person licensed to practice as a professional has met certain predetermined standards specified by that profession for specialty practice? - correct answercertification what is a clients right to assume that info given to the provider will not be disclosed? - correct answerconfidentiality HIPAA guarantees what 4 things - correct answer1. Education about HIPAA 2. Access to medical records 3. Request amendment of health info to which they object 4. Require permission for disclosure of personal info. Health Info Tech for Economic & Clinical Health Act (HITECH) of 2009 stated what 4 things - correct answer1. Incentive payments for sharing EHR data 2. Meaningful use incentives 3. EHR can improve individ. + pop. health outcome 4. EHR can improve quality/safety/efficiency/effectiveness/outcomes what must happen if a patient has a chemical + psych diagnosis in relation to 3rd parties? and why? - correct answer**Must have 2 SEPARATE releases of info** Chemical d/o aka SUD= protected by CRF42 Psych d/o= protected by HIPAA What are the 7 exceptions to confidentiality? - correct answer1. Person/org. deems need to release info. principle of confidentiality 2. State requirements for mandatory reporting 3. Harm to self/others 4. Child/Elder abuse 5. Attorneys in litigation 6. Court subpoenas/order/summonses 7. Insurance what is the Tarasoff Principle? - correct answer**duty to warn potential victims of imminent danger of homicidal clients** -**does NOT apply in every state** **if on test question-- choose answer that says to check with state/BON-- not available then notify person what is a communication process between provider & client that results in client's acceptance or rejection of proposed treatment? - correct answerinformed consent what is an emancipated minor? - correct answer18 years of age that is... -married -parent -self-sufficient & living away from parents Informed consent is a right to who... - correct answer1. All COMPETENT adults 2. Emancipated minors List 5 Elements of Informed Consent - correct answer1. Decision capacity: ability to make decisions 2. Full Disclosure: risk/benefits discussed 3. Comprehension: comprehends relevant info. 4. Voluntariness: no coerced into giving 5. Documentation: in medical record if patients are not able to complete 5 elements of informed consent, who can act as a "surrogate decision-maker" for them? - correct answer1. Family 2. Court-appointed guardian 3. Others determined by the state law who determines a patient's competence? - correct answeronly a judge**** YOU AS A PMHNP CANNOT DO THIS!! List the 7 Ethical Principles - correct answerJustice Nonmaleficence Beneficence Veracity Fidelity Autonomy Respect What ethical principle is doing what is fair - correct answerJustice Ex. care provided on equal basis regardless of social/financial status, sex. orientation, ethnicity what ethical principle is doing no harm - correct answerNonmaleficence Ex. Stopping med that may cause harmful SE like trazodone causing priapism Ex. Pt asks for be prescribed a med but you don't give because you know if my cause them harm What ethical principle is doing good or promoting well-being? - correct answerBeneficence What ethical principle is being true/loyal? - correct answerFidelity Fidelity comes from the Latin meaning "fides" meaning.... - correct answerfaithfulness- concerned with promise keeping/integrity/honesty What is role fidelity? (Ethical Principle) - correct answermeeting patient's reasonable expectations by being respectful, competent, professional aka being "true/loyal" what ethical principle is telling the truth? - correct answerVeracity What ethical principle is the right to self-determination? - correct answerAutonomy What ethical principle allows healthcare teams to respect & support a patient's decision to accept/refuse life-sustaining treatment? - correct answerAutonomy **Rennie v. Klein court case** - correct answer- Involuntarily committed patient - NOT incompetent - NOT an emergency ***RIGHT TO REFUSE PSYCHOTROPIC MED*** What ethical principle is treating everyone with equal respect? - correct answerRespect Is case management part of a PMHNP's role? - correct answeryes What are 4 main things to know about case management? - correct answer1. Controlled **OVERSIGHT** 2. Authorization of **SERVICES** 3. **MONITORING** plan of care 4. Goal= promote QUALITY + COST-EFFECTIVE outcomes what is the overall goal of case management? - correct answerpromote QUALITY + COST-EFFECTIVE outcomes what is a system of controlled oversight and authorization of services and benefits provided to clients consisting of coordinating care, ensuring quality outcomes, monitoring plan of care, and doing advocacy? - correct answercase management What is Stark Law?********* - correct answerLaw that prohibits referral to family members for treatment of your patients as this could be seen as fraudulent by the Federal government/Medicare Ex. sister has med practice & you have psych prac. You CANNOT refer patients to her*** What is PICOT used for? - correct answerto form a clinical question What does PICOT stand for? - correct answerPopulation/People/Problem Intervention Comparison Outcome Time What is primary research? - correct answeroriginal study aka research you do yourself What type of research are these an example of? Randomized controlled trial, cohort study, case-control study, case series/reports - correct answerPrimary research what is secondary research? - correct answerexisting information, similar original studies Ex. Meta-analysis (quantitative), Meta-ethnography(qualitative) Level of Evidence Order - correct answer**1. Systemic Review/Meta-analysis of relevant RCT **2. At least 1 RCT 3. Trial w/o randomization (quasi-experimental) 4. Case-control/cohort study 5. Systemic review/Meta-synthesis of descriptive/qualitative studies 6. Single descriptive/qualitative study 7. Expert opinion/comittee PMHNP interventions always consist of what 3 things - correct answer1. EBP ** 2. Client goal-directed 3. Consider ethnicity/culture** Test strategy: Always look for CULTURE in a question***** - correct answer1. Look for cultural answer 2. Cultural expected response to stress DOESN'T always mean mental illness 3. Don't know mental illness vs culture, then ASK PT to interpret 4. RESPECT always Test strategy: If question is relating to stigma...what do you do****** - correct answerALWAYS**educate the BIGGEST POPULATION** - think "which answer choice can I reach the MOST amount of AUDIENCE" which is more restrictive inpatient or crisis stabilization unit? - correct answerinpatient unit what are the 3 rights of patients???** - correct answer1. Confidentiality 2. Informed Consent (give/withdraw at anytime) 3. Least Restrictive environment if pt is agitated, what is NOT the first thing to do? - correct answergive med you can take them to a quiet environment, etc. What do PMHNPs do in relation to health policy? - correct answerthey actually help with the policy making part, NOT FUNDING What is health policy? - correct answer- Decisions/Plans/Actions - By group/organization/community - Achieve healthcare goals - Through laws/regulations Ex. Health/Human Services policy that delineates what HHS is willing to expend to achieve the goal of one of its mandate projects what are the 4 components of health policy??** - correct answerP.E.R.M Process: form/implement/eval Environment: area where process takes place Reform: change in program/practice Makers: key players/stake holders *******In health policy, what MUST you do before meeting with stake holders?!?!?**********VERY HIGH YIELD******** - correct answer***Assess/Address organizational barriers/facilitators*** Test strategy: If you see the word "funding".... - correct answermost of the time it is wrong, because you should be part of policy making despite this What is the order for health policy that you MUST KNOW*** - correct answerAssess/address barriers/facilitators BEFORE meeting with stake holders Test strategy: When asking about education regarding mental health, need to remember what.. - correct answerthere is strength in NUMBERS!!! the more people the better - join organization to make a change, the more people the more you can do A nurse advocate ensures that patient's _________ & __________ is respected - correct answerautonomy & self-determination 4 ways to provide Patient Advocacy - correct answer1. Advocate for pt autonomy + self-determination 2. Reduce mental illness stigma***Educate*** 3. Help clients receive services 4. Promote mental health by joining organization How to reduce mental health stigma?? what is this a part of? - correct answer-Educate about mental illness & telling people value of what PMHNP does -Patient Advocacy 3 Organizations to join to help promote mental health? What is this a part of? - correct answer1. ANA: American Nurses Association 2. APNA: American Psychiatric Nurses Association 3. ISPN: International Society of Psychiatric Nurses ***Important to remember that Stigma can present as.... ***When you think stigma, what should you think to do?? - correct answer***SHAME*** ***EDUCATE*** what is the best way to decrease stigma???? ****HIGH YIELD*** - correct answerEDUCATE (remember to the MOST amount of people) What is Just Culture? - correct answerpromotes individuals to report mistakes to better understand how to fix system issues*** In a just culture, individuals are continually __________, designing _____ ____ & managing ___________ _______ - correct answerlearning safe systems behavioral choices