ANCC Study Book Ch 2-7, 9-17 complete solution

ANCC Study Book Ch 2-7, 9-17 complete solution The 9 Nurse Practitioner Core Competencies - correct answer Scientific Foundations Leadership Quality Practice Inquiry Technology and Information Literacy Policy Health Delivary System Ethics Independent Practice Facilitating factors for growth of the NP role: - correct answer Consumer demand Acceptance of APN role Emergence of PMHNP role Decreasing stigma Emphasis on integrated healthcare services Constraining factors for growth of NP role: - correct answer Growing competition in job market Reimbursement issues: Medicaid/private insurance Overlapping scopes of practice with other NPS Concerns regarding reimbursement fraud and abuse in coding and billing Scope of practice and need for collaborative dr. What are the state legislative statues regarding NP practice - correct answer State legislative statues grant legal authority for NP practice, provide title protection (who can be called NP), define advanced practice, our state laws define scope of practice, place restrictions on practicesand set NP credentialing requirements. Grounds for disciplinary action by our state legislature statues: - correct answer Practicing without valid license, falsifying records, Medicare fraud, inappropriate nursing judgement, inaccurate documentation, failure to follow accepted nursing standards. Collaborative agreement - correct answer AKA protocol that describes what types of drugs may be prescribed and defines oversight for NP practice. Statutory laws for NPs - correct answer Regulation differ by state, they further define scope of practice and may provide restrictions in practice unique to that specific state. Licensure - correct answer Process by which a government agency authorizes individuals to work in a given occupation Credentialing - correct answer Process used to protect the public by ensuring a minimum level of professional competence. Certification for NPs - correct answer Provides title protection, determines scope of practice, determines the NP has met specified standars, assures public the NP has mastery of a specific body of knowledge and skills to function in that specialty. ANCC American Nurses Credentialing Center - correct answer is a subsidiary of the ANA and is the only certifying body for psychiatric APN. Scope of practice: - correct answer Defines NP roles and actions, identifies competencies asumed to be held by all NPs in a particular role, varies broadly from state to state. For PMHNP they are identified in the PMHNP scopes and standards of practice. Standards of practice: - correct answer authoritative statements regarding quality and type of practice that should be provided, provide a way to judge nature of care provided, reflect professional agreement focused on minimum levels of accepted performance, can be used to legally describe standards of care that must be met, and may be precise protocols that must be followed OR more general guidelines that recommend actions. Professional role responsibilities: - correct answer Confidentiality, HIPAA, the Health Information Technology for Economic and Clinical Health Act, Telehealth, exceptions to guaranteed confidentiality, informed consent, and ethics. Confidentiality - correct answer protection of privacy without diminishing access to quality care, protected under federal statute through Medical Record Confidentiality Act, requires consent and signed authorization to release records. HIPPA - correct answer Health Insurance Portability and Accountability Act. the first national comprehensive privacy act. Health Information Technology for Economic and Clinical Health Act (HITEC) - correct answer law promoting the adoption and use of health information technology to improve individual and popuation based health outcomes. It can improve quality, safety, efficacy, effectiveness and outcomes. Used for e-scribing, computerized order sets, and tracking care/avoiding duplication of services. Telehealth - correct answer Use of phome/videoconfrencing to deliver mental health care in rural areas. Must follow same standards as in person care. Must be practiced in accordance with international, federal and state regulations. Must provide for emergency care of client. HIPPA regualtions must be followed. Exceptions to guaranteed confidentiality: - correct answer When appropriate person/organization determines need for info outweighs confidentiality. Pt is harm to self or others Info is given to attorney in litigation Releasing records to insurance company Court order, subpoenas, or summons Meeting state requirements for mandatory reporting of disease or conditions Tarasoff principle - warning a potentail victim of imminent danger Cases of child or elder abuse Tarasoff principle - correct answer Duty to warn if there is danger to self and/or others. Informed consent - correct answer Advising patient of risks and benefits of treatment. Applies to adults and emancipated minors. Emancipated minor - correct answer Persons under age 18 years who are financially responsible for themselves and free of parental care. Elements of informed consent - correct answer -Purpose of treatment -Risks of treatment -Risks and benefits of NOT undergoing treatment -Alternative treatmets -Diagnosis and prognosis -Provider must document in medical recod that informed consent has been obtained -NP is responsible for ensuring that client is cognitively capable of giving informed consent. Ethics - correct answer The principles of right and wrong that guide an individual in making decisions Justice - correct answer fair treatment in matters related to physical and psychosocial care and use of resources Beneficence - correct answer To do good, promote well-being Nonmaleficence - correct answer avoidance of harm or pain as much as possible when giving treatments Fidelity - correct answer Faithfulness; loyalty Autonomy - correct answer Self-rule; independence Veracity - correct answer truthfulness, honesty