PMHNP BOARDS EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTION

PMHNP BOARDS EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTION State legislative statues do what two things 1. grant legal authority for NP practice 2. Provides nurse practice act specific to state What does the Nurse Practice Act do 1. provides title protection 2. defines advanced practice 3. prevailing state laws that define scope of practice 4. places restriction on practice 5. disciplinary action 6. regulate NP development of collaborative agreement with MD 7. guides statutory law 8. oversees license 9. credentialing 10. certification 11 defines scope of practice 12. defines standards of practice what are state grounds for disciplinary action - practicing with out licesne - falsification of records - medicare fraud - failure to use appropriate nursing judgement -failure to follow accepted nursing standards - failure to complete accurate nursing documentation what is a collaborative aggrement also known as a protocol that describes whaty types of durgs might be prescribed and difines some form of oversight for NP practice what is statutory law -rules and regulations difer for each state -may further define scope of practice and practice requirements -may provide restrictions in practice unique to specific state what is licensure - a process by which an agency of state gov. grants permission to persons to engate in the practice of that profession -also progibits all others from legally doing protectedpractice what is credentialing process used to protect the public y ensureing a minimum level of professional competence What is certification? -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 practic as a professional has met certain predetermed standsrds specified by that profession for specialty practice -assuuers the public that a person has mastery of specified body of knowledge -assures that the person has acquired the skils necessary to function in a particular specialty define scope of practice -defines the NP roles and actions -identifies the competencies assumed to be held by all nps who function in a particluar role -varies broadly from state to state - what are standards of practice. authoritative statements regarding the quality and type of practice that should be provided -provide a way to judge the nature of care provided -reflect professional agreement focused on the minimum levels of acceptable performance -reflect the expectation for the care that should be provided to clients with vaious illnesses -can be used to legally describe the standard of care that must be met by a provider -may be precise protocols thta must be followed o more general guidelines that recommend actions. what is confidentiality -the clients right to assume that information given to the healthcare provider will not be discoled -protected under federal statute through the medical record confidentiality act of 1995 -pretains to verbal and written client information -requires that the provider discuss confidentiality issues with clients establish consent and clarify andy questions about disclosure of information -requires that provider obtain a signed medical authorization and consent form to reease medical records and information when requested by the client o another healthcare provider What is HIPPA -the first nathional comprehensive rivacy protection act -guarantees clients four fundamental rights to: -to be educated about HIPAA privacy protection -to have access to their own medi al records, -to request amendment of their health inforamtion to which they object -to require their permission for disclosure of their prsonal information What is the HITECH Act? incentive payments for sharing specific electronic health record data meaningful use incentives electronic heal reconds can improve both individual and population based health outcomes electronic health records can improve quality safety efficiency effectiveness and outcome what does HITECH include e-prescribing computerized physican order set tracking care and avoiding uplication of services what is telehealth the use of telephone or videconferencing tools to deliver mental health care to clients who reside in rural areas or who may otherwise not be ale to access care must follow the same standars as care what are facilitating factors for growth of the np role consumer demand acceptance of the advanced practice nursing role emergence of the pmhnp role decreaseing stigmatization emphasis on integrated healthcare servies what are constraining factors for NP role growth growing competition in job market in gneral for nps reimbursement struggles with medicare and private insurance companies overlapping scope of practice with other nps increased concerns over reimbursement fraud and abuse scope of practice and need for formal supervisory or collaborative relationshiops with physicians what are exceptions to guaranteed confidentiality when appropriate persons or organizations determine that the need for information outweighs the princple of confidentiality if a clt reveals an intent to harm self or others information given to attorneys involved in litigation releasing records to insureance companies answering court orders, subpeonas, or summonses meeting state requirements for mandatory reporting of dz or conditions tarasoff principle or the duty to warn potential victim of imminent danger of homicidal clts in cases of child or elder abuse informed consent is the communication process between the provider and the client that results in the clts acceptance or rejection of the proposed treatment an explanation of relevant information that enables the client to make an appropriate and informed decision the right of all competent adults or emancipated minors what is an emancipated minor persons younger than 18 who are married, parents, or self-sufficiently living away from the family domicile what are the elements of informed consent nature and purpose of proposed treatment or procedure risks or discomforts and benefits of treatment risks and benefits of not undergoing treatment alternative procedures or treatments diagnosis and prognosis - provider must document in the record that informed consent has been obtained -pmhnp is responsible for ensuring that the clt is cognitively capable of giving informed consent what is ethics important aspect of the np role that deals with moral duties obligations and responsibilties what is right vs what is wrong ethical principles that provide foundation and direction for complex desicions in 2015 the ana pubulished the code of ethics for nurses with interpretive statements with nine provisions what are ethical principles justice-doing what is fiar; fairness in all aspects of care beneficence- promoting well being and doing good nonmaleficence- doing no harm fidelity- being true and loyal autonomy- doing for self veracity- telling the truth respect- treating everyone with equal respect what are the nin provision of the code of ethics 1. the nurse practices with compassion and respect for the inherent dignity , worth and unique attributes of everyone 2. the nurses primary commitment is to the client, whether an individual, family, group, community, or population 3. the nurse promotes, advocate4s for, and protects the rights, health and safety of the clt. 4. the nurse has the authority, accountability, and responsibility for nursing practice, makes decisions, and takes action consistent with the oblication to promote health and provide optimal care. 5. The nurse owes the same duties to self as to others, including the responsibilty to promote health and safety, preserve wholeness of character and integrity, maintain competence, and continue personal and professional growth 6. the nurse through individual and c ollective effort establishes maintains and improves the ethical environment of the work setting and conditions of employment that are conducive to safe quality health care 7. the nurse in all roles and settings advances the profession through research and scholarly inquirey, professional standards development and the generation of both nursing and health policy 8. the nurse collaborates with other health professionals and the public to protect human rights, promote health diplomacy, and reduce health disparities 9. the profession of nursing collectively through its professional organizations must articulate nursing values, maintain the integrity of the profession and integrate principles of social justice into nursing and health policy. what are important ethical principles in psychiatry 1. clietns must be involved in decision mainking to the full extent of their capacity 2. clts have a right to treatment in the least restrictive setting