ANCC Review Manual PMHNP Exam Questions And
100% Correct Answers
When was NP role introduced and by whom - ANSWER 1965
Loretta Ford
University of Colorado
State Legislative Statutes - ANSWER Grant legal authority for NP practice
Are the Nurse Practice Act of every state
Provide title protection
Define advanced practice
Are prevailing state laws that define scope of practice
Place restrictions on practice
Establishes NP credentialing requirements
State grounds for disciplinary actions
May determine collaborative agreements
Collaborative agreement - ANSWER Document outlining what types of medications may
be prescribed and describes some type of oversight board for NP practice
Statutory Law-ANSWER Laws and regulations vary from state to state
May further define scope of practice and practice requirements
May supply restrictions in practice unique to that state
Core Competencies - ANSWER Management of Health Status
Maintenance of Nurse-Patient Relationship
Teaching/Coaching
Professional Role
,Managing and Negotiating Healthcare Delivery Systems
Monitoring Quality of Care
Providing Culturally Sensitive Care
Licensure - ANSWER A process by which an agency of state government grants
permission to individuals accountable for the practice of a profession to engage in the
practice of that profession
Credentialing - ANSWER Process used to protect the public by ensuring a minimum
level of professional competence
Certification - ANSWER Credential that provides title protection
Determines scope of practice
is the process by which a professional organization/association certifies that an
individual licensed to practice as a professional has met certain predetermined
standards
Assures the public that an individual has mastery of a body of knowledge
Assures that the individual has acquired the skills necessary to function in a particular
specialty
ANCC only one for psych
Scope of practice - ANSWER Defines NP roles and actions
Identifies competencies assumed to be held by all NPs who function in a particular role
Has broad variations from state to state
Standards of Practice - ANSWER Gives authoritative statements regarding the quality
and type of practice that should be provided
Provides a way to judge the nature of care provided
Reflects the expectation for the care that should be provided to patients with various
illnesses
,Reflects professional consensus of the minimal levels of acceptable performance Can
be legally used to describe standard of care a provider is held to May be very specific
protocols which must be adhered to or even less concrete guidelines encouraging
action
Four Rights of HIPAA - ANSWER 1. The right to be Informed about HIPAA privacy
protection 2. The right for an individual to obtain a copy of their medical records
3. Request amendment of their health information to which they object
4. Require their permission for disclosure of their personal information
HITECH - ANSWER Incentive payments for sharing specific EHR data
Meaningful use incentives
Improves outcomes
Exceptions to confidentiality - ANSWER Intent to harm self or others
Attorneys involved in litigation
When records are released to insurance companies
Answering court orders, subpoenas, summons
Mandatory reporting of disease and conditions
Tarasoff principle: Duty to warn potential victims of imminent danger of homicidal
patients
Child/elder abuse
Justice - ANSWER Doing what is fair, fairness in all aspects of care
Beneficience - ANSWER Promoting well being and doing good
Nonmalfeasance - 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
Deontological Theory - ANSWER an act is labeled as good or bad based upon the act
itself regardless of the consequences
Teleological Theory - ANSWER an act is labeled good or bad based upon the
consequence or outcome
Virtue Ethics - ANSWER actions are selected based upon the moral virtues [honesty,
courage, compassion, wisdom, gratitude, self respect] or character of the individual
making the decision
Four elements of negligence to prove malpractice - ANSWER Duty: NP had a duty to
exercise reasonable care when undertaking and providing treatment to the patient
Breach of duty: NP violated the applicable standard of care in treating the patient's
condition
Proximate cause: causal relationship between the breach in the standard of care and
the patient's injuries
Damages:there are permanent and significant damages to the patient as a result of the
breach in the standard of care
Commitment Criteria - ANSWER Individual has an diagnosed psychiatric disorder
Individual is dangerous to self or others as a result of the disorder
Individual is unaware of or unwilling to accept the nature and severity of the disorder
100% Correct Answers
When was NP role introduced and by whom - ANSWER 1965
Loretta Ford
University of Colorado
State Legislative Statutes - ANSWER Grant legal authority for NP practice
Are the Nurse Practice Act of every state
Provide title protection
Define advanced practice
Are prevailing state laws that define scope of practice
Place restrictions on practice
Establishes NP credentialing requirements
State grounds for disciplinary actions
May determine collaborative agreements
Collaborative agreement - ANSWER Document outlining what types of medications may
be prescribed and describes some type of oversight board for NP practice
Statutory Law-ANSWER Laws and regulations vary from state to state
May further define scope of practice and practice requirements
May supply restrictions in practice unique to that state
Core Competencies - ANSWER Management of Health Status
Maintenance of Nurse-Patient Relationship
Teaching/Coaching
Professional Role
,Managing and Negotiating Healthcare Delivery Systems
Monitoring Quality of Care
Providing Culturally Sensitive Care
Licensure - ANSWER A process by which an agency of state government grants
permission to individuals accountable for the practice of a profession to engage in the
practice of that profession
Credentialing - ANSWER Process used to protect the public by ensuring a minimum
level of professional competence
Certification - ANSWER Credential that provides title protection
Determines scope of practice
is the process by which a professional organization/association certifies that an
individual licensed to practice as a professional has met certain predetermined
standards
Assures the public that an individual has mastery of a body of knowledge
Assures that the individual has acquired the skills necessary to function in a particular
specialty
ANCC only one for psych
Scope of practice - ANSWER Defines NP roles and actions
Identifies competencies assumed to be held by all NPs who function in a particular role
Has broad variations from state to state
Standards of Practice - ANSWER Gives authoritative statements regarding the quality
and type of practice that should be provided
Provides a way to judge the nature of care provided
Reflects the expectation for the care that should be provided to patients with various
illnesses
,Reflects professional consensus of the minimal levels of acceptable performance Can
be legally used to describe standard of care a provider is held to May be very specific
protocols which must be adhered to or even less concrete guidelines encouraging
action
Four Rights of HIPAA - ANSWER 1. The right to be Informed about HIPAA privacy
protection 2. The right for an individual to obtain a copy of their medical records
3. Request amendment of their health information to which they object
4. Require their permission for disclosure of their personal information
HITECH - ANSWER Incentive payments for sharing specific EHR data
Meaningful use incentives
Improves outcomes
Exceptions to confidentiality - ANSWER Intent to harm self or others
Attorneys involved in litigation
When records are released to insurance companies
Answering court orders, subpoenas, summons
Mandatory reporting of disease and conditions
Tarasoff principle: Duty to warn potential victims of imminent danger of homicidal
patients
Child/elder abuse
Justice - ANSWER Doing what is fair, fairness in all aspects of care
Beneficience - ANSWER Promoting well being and doing good
Nonmalfeasance - 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
Deontological Theory - ANSWER an act is labeled as good or bad based upon the act
itself regardless of the consequences
Teleological Theory - ANSWER an act is labeled good or bad based upon the
consequence or outcome
Virtue Ethics - ANSWER actions are selected based upon the moral virtues [honesty,
courage, compassion, wisdom, gratitude, self respect] or character of the individual
making the decision
Four elements of negligence to prove malpractice - ANSWER Duty: NP had a duty to
exercise reasonable care when undertaking and providing treatment to the patient
Breach of duty: NP violated the applicable standard of care in treating the patient's
condition
Proximate cause: causal relationship between the breach in the standard of care and
the patient's injuries
Damages:there are permanent and significant damages to the patient as a result of the
breach in the standard of care
Commitment Criteria - ANSWER Individual has an diagnosed psychiatric disorder
Individual is dangerous to self or others as a result of the disorder
Individual is unaware of or unwilling to accept the nature and severity of the disorder
