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Psychiatric Mental Health Nurse Practitioner
Role, Scope of Practice, and Regulatory
Process. Exam Study Guide.
State Legislative Status - Answers✔Grant legal authority for NP practice
The Nurse Practice Act - Answers✔-Provides title protection (who may be called a nurse
practitioner)
-Defines advanced practice
-Prevailing state laws that define scope of practice
-Places restrictions on practice
-Sets NP credentialing requirements
Collaborative Agreement - Answers✔Also known as protocol that describes what types of drugs
might be prescribed and defines some from of oversight for NP practice
Statutory Law - Answers✔-Rules and regulations differ for each state
-May further define scope of practice and practice requirements
-May provide restrictions in practice unique to specific state
Licensure - Answers✔-A process by which an agency or state government grants permission to
persons to engage in the practice of that profession
-Also prohibits all others from legally doing protected practice
Credentialing - Answers✔Process used to protect the public by ensuring a minimum level of
professional competence
Certification - Answers✔-A credential that provides title protection
-Determines scope of practice
-The process by which a professional organization or association certifies that a person licensed
to practice as a professional has met certain predetermined standards specified by that profession
for specialty practice
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-Assures the public that a person has mastery of a specific body of knowledge
-Assures that the person has acquired the skills necessary to function in a particular specialty
Scope of Practice - Answers✔-Defines NP roles and actions
-Identifies competencies assumed to be help by all NP's who function in a particular role
-Varies broadly from state to state
Standards of Practice - Answers✔-Authoritative statements regarding the quality and type of
practice that should be provided
-Provide a way to help judge the nature of care provided
-Reflect the expectation for the care that should be provided to clients with various illnesses
-Reflect professional agreement focused on the minimum levels of acceptable performance
-Can be used to legally describe the standard of care that must be met by a provider
-May be precise protocols that must be followed or more general guidelines that recommend
action
Confidentiality - Answers✔-The client's right to assume that information given to the healthcare
provider will not be disclosed
-Protected under federal stature through the Medical Record Confidentiality Act of 1995
-Pertains to written and verbal client information
-Requires that the provider discuss confidentiality issues with clients, establish consent, and
clarify any questions about disclosure of information
-Requires that provider obtain a signed medical authorization and consent form to release
medical records and information when requested by the client or another healthcare provider
HIPAA - Answers✔-The first national comprehensive privacy protection act
-Guarantees patients four fundamental rights:
1. To be educated about HIPAA privacy protection
2. To have access to their own medical records
3. To request amendment of their health information to which they object
4. To require their permission for disclosure of their personal information
The Health Information Technology for Economic and Clinical Health Act (HITECH) of 2009 -
Answers✔-Incentive payments for sharing specific electronic health record data