PMHNP Purple Book Board Reviewwhat
do
What is the LACE consensus model? - ANSThe license, accreditation, certification, and
education consensus model. Identified 4 APRN roles: CRNA, CNM (midwife), CNS, and CNP
(nurse practitioner). Formed in 2008, as part of the model PMHNPs were educated across the
life span. Since 2015, there is only 1 exam for across the life span all others were retired.
what do the state legislative statutes do? - ANSgrand legal authority for NP practice
includes the nurse practice act of every state
states grounds for disciplinary action
defines a collaborative agreement (if applicable)
what are grounds for disciplinary action? - ANSpracticing without a license
falsification of records
medicare fraud
failure to use good judgement
failure to follow nursing standards
failure to complete accurate documentation
whats in the nurses practice act of each state? - ANS- give title protection (who's called an NP)
- defines advanced practice (what we can do)
- sets NP credentialing requirements (education and certification)
what is licensure? - ANSprocess by which state government grants permission to practice and
prohibits others from legally doing protected practice.
what is credentialing? - ANSprocess used to protect public by ensuring a minimum level of
competency.
what is certification? - ANS- credential that gives title protection to provider
- determines scope of practice (whom NPs can see)
- process professional organizations use to certify a person is licensed to practice and met
predetermined standards specified by the profession
- assures the public a person has mastery of a body of knowledge
- assures the person has the skills for their specialty
what are the 4 fundamental rights of HIPAA? - ANS1. to be educated about HIPAA
2. to have access to own medical records
3. to request an amendment of health information if they object
4. to require their permission for disclosure of info
,what is HITECH? - ANSThe health information technology for economic and clinical health act.
Did the following:
- gave incentive payments for sharing EHR data
- gave meaningful use incentives for having an EHR
- posited EHRs can improve outcomes, quality, safety, efficiency, and effectiveness with
e-prescribing, computerized order sets, and tracking care to avoid duplication of services.
what is the Tarasoff principle? - ANSthe duty to warn potential victim of imminent danger of
homicidal clients.
who are emancipated minors? - ANSthose under 18 who are married, parents, or
self-sufficiently living away from family.
explain justice vs beneficence vs non-maleficence vs fidelity vs autonomy vs veracity vs respect
- ANSjustice: doing whats fair
beneficence: doing good
nonmaleficence: doing no harm
fidelity: being loyal and true
autonomy: doing for self
veracity: telling the truth
respect: treating everyone equal
what is mutual decision making? - ANSin psychiatry clients are involved in decision making to
the full extent of their capacity
what are the following theories: deonotological, teleological, virtue ethics - ANSAll are
theoretical approaches to ethical decision making
- deonotological theory: action is good or bad based on the act itself not due to consequences.
- teleological theory: action is good or bad based on consequences or outcomes.
- virtue ethics: acts are chosen based on moral values (honesty, compassion etc.) or character
of the person making the decisions.
what is the ADA? - ANSamericans with disabilities act. If employers have 15 or more employees
they can discriminate a qualified person in hiring or advancement. This includes those with
mental illness/disabilities. Employers also have to make accommodations to qualified applicants
with disabilities.
what 4 things have to be proven for negligence? - ANS1. duty: NP had duty to provide care
2. breach of duty: NP violated standards of care
3. proximate cause: NP caused the injury due to breach in standard of care
4. damages: person received permanent and substantial damages as a result
what is usually required for an involuntary commitment? - ANS- has diagnosed psych disorder
, - is harmful to self or others due to disorder
- person is unaware of severity of their disorder
- treatment can improve functioning
note: involuntary admission only means they cannot come and go as they please, they can still
refuse meds. Amount of time they can be kept varies by state.
what is the difference between the durable power of attorney for healthcare and a living will? -
ANSa DPOA for healthcare is binding in all 50 states. A living will is not legally binding in all 50
states. Also with a DPOA they are also in charge of making financial decisions during illness.
what percentage of homeless people have co-occurring SUD or other SMI? - ANS50%
what percentage of homeless people have schizophrenia? - ANS15-45%
what is colocation? - ANSproviding mental health and primary care services at a single site.
what is a migrant? - ANSsomeone who leaves their permanent residence to take an agricultural
job in different locations. There are more than 3 million migrants and seasonal workers in the
US. They have a high rate of depression, anxiety and substance abuse due to working
conditions. Their wives also endure a lot of abuse due to this.
difference between sexual identity and gender identity - ANSsexual: how they psychological
identify between female and male and to whom they're sexually attracted.
gender: identity on continuum from masculine to feminine. Hormone levels play a role in this.
Social factors also play a role (family messages etc).
note: gender dysphoria is incongruence to their expressed gender and the gender assigned at
birth.
what is transgender vs transsexual? - ANStransgender: term that describes a gender identity
that doesn't match the gender they were given at birth. Doesn't imply sexual orientation.
transsexual: identify as opposite gender from one assigned at birth, some change their bodies
(hormones or surgery) to match gender identity.
note: often pts seek out providers from the same sexual orientation as them (straight, bi, homo,
transgender, transsexual etc).
what are the 4 major dimensions of recovery? - ANShealth
home
purpose
community
do
What is the LACE consensus model? - ANSThe license, accreditation, certification, and
education consensus model. Identified 4 APRN roles: CRNA, CNM (midwife), CNS, and CNP
(nurse practitioner). Formed in 2008, as part of the model PMHNPs were educated across the
life span. Since 2015, there is only 1 exam for across the life span all others were retired.
what do the state legislative statutes do? - ANSgrand legal authority for NP practice
includes the nurse practice act of every state
states grounds for disciplinary action
defines a collaborative agreement (if applicable)
what are grounds for disciplinary action? - ANSpracticing without a license
falsification of records
medicare fraud
failure to use good judgement
failure to follow nursing standards
failure to complete accurate documentation
whats in the nurses practice act of each state? - ANS- give title protection (who's called an NP)
- defines advanced practice (what we can do)
- sets NP credentialing requirements (education and certification)
what is licensure? - ANSprocess by which state government grants permission to practice and
prohibits others from legally doing protected practice.
what is credentialing? - ANSprocess used to protect public by ensuring a minimum level of
competency.
what is certification? - ANS- credential that gives title protection to provider
- determines scope of practice (whom NPs can see)
- process professional organizations use to certify a person is licensed to practice and met
predetermined standards specified by the profession
- assures the public a person has mastery of a body of knowledge
- assures the person has the skills for their specialty
what are the 4 fundamental rights of HIPAA? - ANS1. to be educated about HIPAA
2. to have access to own medical records
3. to request an amendment of health information if they object
4. to require their permission for disclosure of info
,what is HITECH? - ANSThe health information technology for economic and clinical health act.
Did the following:
- gave incentive payments for sharing EHR data
- gave meaningful use incentives for having an EHR
- posited EHRs can improve outcomes, quality, safety, efficiency, and effectiveness with
e-prescribing, computerized order sets, and tracking care to avoid duplication of services.
what is the Tarasoff principle? - ANSthe duty to warn potential victim of imminent danger of
homicidal clients.
who are emancipated minors? - ANSthose under 18 who are married, parents, or
self-sufficiently living away from family.
explain justice vs beneficence vs non-maleficence vs fidelity vs autonomy vs veracity vs respect
- ANSjustice: doing whats fair
beneficence: doing good
nonmaleficence: doing no harm
fidelity: being loyal and true
autonomy: doing for self
veracity: telling the truth
respect: treating everyone equal
what is mutual decision making? - ANSin psychiatry clients are involved in decision making to
the full extent of their capacity
what are the following theories: deonotological, teleological, virtue ethics - ANSAll are
theoretical approaches to ethical decision making
- deonotological theory: action is good or bad based on the act itself not due to consequences.
- teleological theory: action is good or bad based on consequences or outcomes.
- virtue ethics: acts are chosen based on moral values (honesty, compassion etc.) or character
of the person making the decisions.
what is the ADA? - ANSamericans with disabilities act. If employers have 15 or more employees
they can discriminate a qualified person in hiring or advancement. This includes those with
mental illness/disabilities. Employers also have to make accommodations to qualified applicants
with disabilities.
what 4 things have to be proven for negligence? - ANS1. duty: NP had duty to provide care
2. breach of duty: NP violated standards of care
3. proximate cause: NP caused the injury due to breach in standard of care
4. damages: person received permanent and substantial damages as a result
what is usually required for an involuntary commitment? - ANS- has diagnosed psych disorder
, - is harmful to self or others due to disorder
- person is unaware of severity of their disorder
- treatment can improve functioning
note: involuntary admission only means they cannot come and go as they please, they can still
refuse meds. Amount of time they can be kept varies by state.
what is the difference between the durable power of attorney for healthcare and a living will? -
ANSa DPOA for healthcare is binding in all 50 states. A living will is not legally binding in all 50
states. Also with a DPOA they are also in charge of making financial decisions during illness.
what percentage of homeless people have co-occurring SUD or other SMI? - ANS50%
what percentage of homeless people have schizophrenia? - ANS15-45%
what is colocation? - ANSproviding mental health and primary care services at a single site.
what is a migrant? - ANSsomeone who leaves their permanent residence to take an agricultural
job in different locations. There are more than 3 million migrants and seasonal workers in the
US. They have a high rate of depression, anxiety and substance abuse due to working
conditions. Their wives also endure a lot of abuse due to this.
difference between sexual identity and gender identity - ANSsexual: how they psychological
identify between female and male and to whom they're sexually attracted.
gender: identity on continuum from masculine to feminine. Hormone levels play a role in this.
Social factors also play a role (family messages etc).
note: gender dysphoria is incongruence to their expressed gender and the gender assigned at
birth.
what is transgender vs transsexual? - ANStransgender: term that describes a gender identity
that doesn't match the gender they were given at birth. Doesn't imply sexual orientation.
transsexual: identify as opposite gender from one assigned at birth, some change their bodies
(hormones or surgery) to match gender identity.
note: often pts seek out providers from the same sexual orientation as them (straight, bi, homo,
transgender, transsexual etc).
what are the 4 major dimensions of recovery? - ANShealth
home
purpose
community
