NSC 882- Exam 1
Study online at https://quizlet.com/_hde7y7
1. ANA scope of standards are developed by: nurse experts from APNA and ISPN
updates every 5 years
2. psychiatric nursing was developed when: in the late 19th century
3. What happened in 1913: psychiatric nursing education program at John Hopkin's
4. what happened in 1954: first graduate nursing program established by Peplau
5. when did psychiatric nursing role expand: WW2 when PTSD first recognized and demand
increased and treatment advanced
6. When did deinstitutionalization begin?: late 1950s
7. what act was developed in 1963: community mental health act- many pts discharged back to
community
8. what happened in 1946: national mental health act- led to national institute for mental health
9. when was the decade of the brain: 1990s
huge advances
new medications
SSRIs, atypicals
hospital stay is shorter- focus on crisis and stabilization
10. SAMHSA 2006 goal: recovery is most important goal- focus on prevention and integrated care, need to
understand cultural aspects
11. most recent goal in mental health is focused on: well-being
consists of prevention, integrated care and teleheatlh
12. which population has a high suicide rate: while males
13. what method of suicide has the most completions: firearms
14. what is the CARA act: comprehensive addiction and recovery act- increases education, increases nalox-
one, treats the incarcerated, drop boxes for subscriptions
15. What does the support act do: expand access to care
16. What did the ACA do: increased access to care
17. definition of equity: achievement of equitable and optimal care for all
18. Diversity, equality and inclusion consists of: have to pay attention to SDOH, stigma still
prevents care, disparities in insurance coverage reimbursement prevent care
19. Person-centered, recovery oriented public health care model, prevention
focused consists of: prevention, screening/early intervention, integrated care, technology, energy models
of acute care, workforce plan
, NSC 882- Exam 1
Study online at https://quizlet.com/_hde7y7
20. prevention benefits: strengthen protective factors and lowering risk factors
21. screening/early intervention benefits: half of all disorders starts at midteens
screening with PCP and at school can identify more
federal push for early screening for psychiatric disorders
22. emerging models of acute care are: trauma informed care
stabilization in the least restrictive environment
limited seclusion and restraint
23. primary prevention examples: vaccinations, diet, exercise, etc
24. secondary prevention examples: early screenings (GAD, PHQ, CSSRS)
25. tertiary prevention examples: ongoing illness managment
26. what are the components of PMHNP practice according to the scope of
practice: identification
prevention
treatment
27. what is provision 3: sexual intimacy with pt, pt relative, pt guardians, or family members is never okay
pts are very vulnerable and it is illegal
unethical to have dual relationships (sister in law)
careful with self-disclosures
28. duty to self and others highlights this critical principle: self care
29. PMHNPs are obligated to report: observations of safety
30. the 17 standards of practice outline what: minimum criteria for job proficiency; defines quality
of care
divergence from standards can result in professional negligence
31. key elements of PMHNP role: research based clinical practice
integration of care across the illness continuum
collaborations and coordination of care
family assessment
discharge planning
clinical leadership
32. components of informed consent: disclosure, voluntariness and competency
33. must give ample notice of leaving job or can be accused of: patient abandonment
34. tort: wrongful act leading to legal liability
, NSC 882- Exam 1
Study online at https://quizlet.com/_hde7y7
35. negligence: deviation from accepted standards of practice
36. 4 components of malpractice: duty to treat
treatment below standards of care
damage/injury/adverse outcome
direct causation between negligence and damage
37. assault: can be verbal threat
38. battery: actual assault
39. defamation: libel or slander
40. libel: written
41. slander: verbal
42. autonomy: patient participation/choices
43. beneficience: prevent harm and promote good
44. nonmaleficence: do no harm
45. justice: fairness in providing services
46. fidelity: loyalty, honoring commitments
47. veracity: truthfulness, essential for patient autonomy
48. utilitarianism: greatest good for greatest number
49. HIPAA Title 2 covered entities: healthcare providers
health plans
healthcare clearinghouses
business associates
50. required HIPAA disclosures: to individual
to HHS for review
51. permitted HIPAA disclosures: treatment, consultation, referral
payment
reporting abuse and neglect
law enforcement
serious threat to health or safety
duty to warn
disclose only minimum necessary
52. patients rights: written notice of privacy rights, right to copies of medical records (except therapy)
Study online at https://quizlet.com/_hde7y7
1. ANA scope of standards are developed by: nurse experts from APNA and ISPN
updates every 5 years
2. psychiatric nursing was developed when: in the late 19th century
3. What happened in 1913: psychiatric nursing education program at John Hopkin's
4. what happened in 1954: first graduate nursing program established by Peplau
5. when did psychiatric nursing role expand: WW2 when PTSD first recognized and demand
increased and treatment advanced
6. When did deinstitutionalization begin?: late 1950s
7. what act was developed in 1963: community mental health act- many pts discharged back to
community
8. what happened in 1946: national mental health act- led to national institute for mental health
9. when was the decade of the brain: 1990s
huge advances
new medications
SSRIs, atypicals
hospital stay is shorter- focus on crisis and stabilization
10. SAMHSA 2006 goal: recovery is most important goal- focus on prevention and integrated care, need to
understand cultural aspects
11. most recent goal in mental health is focused on: well-being
consists of prevention, integrated care and teleheatlh
12. which population has a high suicide rate: while males
13. what method of suicide has the most completions: firearms
14. what is the CARA act: comprehensive addiction and recovery act- increases education, increases nalox-
one, treats the incarcerated, drop boxes for subscriptions
15. What does the support act do: expand access to care
16. What did the ACA do: increased access to care
17. definition of equity: achievement of equitable and optimal care for all
18. Diversity, equality and inclusion consists of: have to pay attention to SDOH, stigma still
prevents care, disparities in insurance coverage reimbursement prevent care
19. Person-centered, recovery oriented public health care model, prevention
focused consists of: prevention, screening/early intervention, integrated care, technology, energy models
of acute care, workforce plan
, NSC 882- Exam 1
Study online at https://quizlet.com/_hde7y7
20. prevention benefits: strengthen protective factors and lowering risk factors
21. screening/early intervention benefits: half of all disorders starts at midteens
screening with PCP and at school can identify more
federal push for early screening for psychiatric disorders
22. emerging models of acute care are: trauma informed care
stabilization in the least restrictive environment
limited seclusion and restraint
23. primary prevention examples: vaccinations, diet, exercise, etc
24. secondary prevention examples: early screenings (GAD, PHQ, CSSRS)
25. tertiary prevention examples: ongoing illness managment
26. what are the components of PMHNP practice according to the scope of
practice: identification
prevention
treatment
27. what is provision 3: sexual intimacy with pt, pt relative, pt guardians, or family members is never okay
pts are very vulnerable and it is illegal
unethical to have dual relationships (sister in law)
careful with self-disclosures
28. duty to self and others highlights this critical principle: self care
29. PMHNPs are obligated to report: observations of safety
30. the 17 standards of practice outline what: minimum criteria for job proficiency; defines quality
of care
divergence from standards can result in professional negligence
31. key elements of PMHNP role: research based clinical practice
integration of care across the illness continuum
collaborations and coordination of care
family assessment
discharge planning
clinical leadership
32. components of informed consent: disclosure, voluntariness and competency
33. must give ample notice of leaving job or can be accused of: patient abandonment
34. tort: wrongful act leading to legal liability
, NSC 882- Exam 1
Study online at https://quizlet.com/_hde7y7
35. negligence: deviation from accepted standards of practice
36. 4 components of malpractice: duty to treat
treatment below standards of care
damage/injury/adverse outcome
direct causation between negligence and damage
37. assault: can be verbal threat
38. battery: actual assault
39. defamation: libel or slander
40. libel: written
41. slander: verbal
42. autonomy: patient participation/choices
43. beneficience: prevent harm and promote good
44. nonmaleficence: do no harm
45. justice: fairness in providing services
46. fidelity: loyalty, honoring commitments
47. veracity: truthfulness, essential for patient autonomy
48. utilitarianism: greatest good for greatest number
49. HIPAA Title 2 covered entities: healthcare providers
health plans
healthcare clearinghouses
business associates
50. required HIPAA disclosures: to individual
to HHS for review
51. permitted HIPAA disclosures: treatment, consultation, referral
payment
reporting abuse and neglect
law enforcement
serious threat to health or safety
duty to warn
disclose only minimum necessary
52. patients rights: written notice of privacy rights, right to copies of medical records (except therapy)
