ANCC PMHNP Review [Chapter 2] Exam Questions and Answers

ANCC PMHNP Review [Chapter 2] Exam Questions and Answers growth factors [NP role] - Answer ️️ -consumer demand; role acceptance; ↓ role stigmatization; emphasis on integrated services Nurse Practice Act - Answer ️️ -provides title protection; defines advance practice; establishes scope of and restriction on practice, credentialing requirements, grounds for disciplinary action, and collaborative agreement requirements statutory law - Answer ️️ -laws made by states; will vary licensure - Answer ️️ -process by which an agency of state government (i.e., BoN) grants permission to persons to engage in the practice of that profession credentialing - Answer ️️ -process used to protect the public by ensuring a minimum level of professional *competence* (e.g., educational and certification requirements) board certification - Answer ️️ -process by which a professional organization or association (i.e., ANCC) certifies that a person licensed to practice as a professional has meet certain predetermined standards specified by that profession for speciality practice scope of practice - Answer ️️ -defines NP roles and actions standards of practice - Answer ️️ -authoritative statements regarding the quality and type of practice that should be provided; can be used legally as "standard of care" collaborative agreement - Answer ️️ -protocol that describes what types of drugs might be prescribed and defines some form of oversight for NP practice (i.e., SCA) guaranteed confidentiality [definition] - Answer ️️ -client's right to assume that information given to the healthcare provider will not be disclosed as per federal statute (MRCA, 1995); pertains to verbal and written client information; requires signed medical authorization and consent form to release medical records and information; there are some exceptions HIPAA [definition] - Answer ️️ -1st national comprehensive *privacy* protection action HITECH - Answer ️️ -establishes EMR meaningful use requirements and incentive payments telehealth - Answer ️️ -care provided via phone or video; must include provisions for emergency care guaranteed confidentiality [exceptions] - Answer ️️ -need for info > principle of confidentiality; intent to harm self/others; legal cases (litigating attorneys, court orders, subpoenas, and summonses); insurance companies; state mandated disease and child/elder abuse reporting requirements; Tarasoff principle informed consent [definition] - Answer ️️ -communication process between the provider and the client that results in the client's acceptance or rejection of the proposed treatment; must be obtained and documented in medical record; provider is responsible for ensuring client is cognitively capable to consent emancipated minor - Answer ️️ -persons < 18 yo who are married, parents, or self-sufficiently living away from the family domicile ethics - Answer ️️ -what is *right* versus what is *wrong* as per ANA's Code of Ethics for Nurses (2015) justice - Answer ️️ -doing what is *fair*; fairness in all aspects of care beneficence - Answer ️️ -promoting well-being and doing *good* nonmalficence - Answer ️️ -doing *no harm* fidelity - Answer ️️ -being *true and loyal* autonomy - Answer ️️ -doing for *self* veracity - Answer ️️ -telling the *truth* respect - Answer ️️ -treating everyone with *equal respect* ethical dilemma - Answer ️️ -situation in which there are ≥ 2 justifiable alternatives to promote good deontological theory - Answer ️️ -an action is judged as good or bad based on the act itself regardless of the consequence teleological theory - Answer ️️ -an action is judged as good or bad based on the consequence or outcome virtue ethics theory - Answer ️️ -actions are chosen based on the moral virtues or the character of the character of the person making the decision ADA - Answer ️️ -prevents *discrimination* by employers w/≥ 15 employees against persons *physically or mentally disabled* in hiring, firing, advancement, job training, compensation, and workplace conditions; affords disabled opportunity for employment on equal basis w/non- disabled; employers required to make *reasonable accommodations* if disability status is disclosed malpractice insurance - Answer ️️ -provides financial protection against claims of malpractice and coverage for negligent professional acts, including legal representation; does not protect against or or cover practicing outside of scope negligence - Answer ️️ -duty, breach of duty, proximate cause, and damages; *all* required duty - Answer ️️ -NP had a duty to exercise reasonable care when undertaking and providing care to the client breach of duty - Answer ️️ -NP violated the applicable standard of care in treating the client's condition proximate cause - Answer ️️ -there is a causal relationship between the breach in the standard of care and the client's injuries damages - Answer ️️ -the client experiences permanent and substantial damages as a result of the breach in the standard or care competency - Answer ️️ -determination that a client can make reasonable judgments and decisions regarding treatment and other health concerns; *legal, not medical, concept*; person is deemed competent until a court rules otherwise and appoints guardian to make healthcare decisions commitment - Answer ️️ -process of forcing a person to involuntarily receive an evaluation or treatment involuntary admission - Answer ️️ -admission to a hospital or other treatment facility against the person's will; all civil liberties m