1
ANCC Review Manual PMHNP And Answers
1. Core Competencies: 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
2. When was NP role introduced and by whom: 1965
Loretta Ford
University of Colorado
3. State Legislative Statutes: 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
Sets NP credentialing requirements
State grounds for disciplinary actions
May decide about collaborative agreements
4. Collaborative agreement: Protocol that describes what types of drugs might
be prescribed and defines some form of oversight board for NP practice
5. Statutory Law: 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
6. Licensure: A process by which an agency of state government grants permis-
sion to individuals accountable for the practice of a profession to engage in the
practice of that profession
7. Credentialing: Process used to protect the public by ensuring a minimum level
of professional competence
8. Certification: 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
1
, 2
particular specialty
ANCC only one for psych
9. Scope of practice: 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
10. Standards of Practice: 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 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 actions
11. Four Rights of HIPAA: 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
12. HITECH: Incentive payments for sharing specific EHR data
Meaningful use incentives
Improves outcomes
13. Exceptions to confidentiality: 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
14. Justice: Doing what is fair, fairness in all aspects of care
15. Beneficience: Promoting well being and doing good
16. Nonmalfeasance: Doing no harm
17. Fidelity: Being true and loyal
18. Autonomy: Doing for self
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19. Veracity: Telling the truth
20. Respect: Treating everyone with equal respect
21. Deontological Theory: An action is judged as good or bad based on the act
itself regardless of the consequences
22. Teleological Theory: An action is judged as good or bad based on the conse-
quence or outcome
23. Virtue Ethics: Actions are chosen based on the moral virtues (honesty,
courage, compassion, wisdom, gratitude, self respect) or the character of the
person making the decision
24. Four elements of negligence to prove malpractice: 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 substantial damages to the patient as a result
of the breach in the standard of care
25. Commitment Criteria: Person has a diagnosed psychiatric disorder
Person is harmful to self or others as a consequence of the disorder
Person is unaware or unwilling to accept the nature and severity of the disorder
Treatment is likely to improve functioning
26. Primary Prevention: Aimed at decreasing the incidence (number of new
cases) of mental disorders (prevention)
27. Secondary Prevention: Aimed at decreasing prevalence (number of existing
cases) of mental disorders (screening)
28. Tertiary Prevention: Aimed at decreasing the disability and severity of a
mental disorder (rehab)
29. Ethnicity: Self identified race, tribe, or nation with which a person or group
identifies and which greatly influences beliefs and behaviors
30. Schizophrenia accounts for % of US homelessness: 15-45%
31. Sexual Identity: How people identify psychologically on a continuum between
female and male and to whom they are sexually or affectionately attracted
32. Gender Identity: A person's identity along a continuum between normative
constructs of masculinity and femininity
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ANCC Review Manual PMHNP And Answers
1. Core Competencies: 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
2. When was NP role introduced and by whom: 1965
Loretta Ford
University of Colorado
3. State Legislative Statutes: 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
Sets NP credentialing requirements
State grounds for disciplinary actions
May decide about collaborative agreements
4. Collaborative agreement: Protocol that describes what types of drugs might
be prescribed and defines some form of oversight board for NP practice
5. Statutory Law: 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
6. Licensure: A process by which an agency of state government grants permis-
sion to individuals accountable for the practice of a profession to engage in the
practice of that profession
7. Credentialing: Process used to protect the public by ensuring a minimum level
of professional competence
8. Certification: 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
1
, 2
particular specialty
ANCC only one for psych
9. Scope of practice: 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
10. Standards of Practice: 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 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 actions
11. Four Rights of HIPAA: 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
12. HITECH: Incentive payments for sharing specific EHR data
Meaningful use incentives
Improves outcomes
13. Exceptions to confidentiality: 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
14. Justice: Doing what is fair, fairness in all aspects of care
15. Beneficience: Promoting well being and doing good
16. Nonmalfeasance: Doing no harm
17. Fidelity: Being true and loyal
18. Autonomy: Doing for self
2
, 3
19. Veracity: Telling the truth
20. Respect: Treating everyone with equal respect
21. Deontological Theory: An action is judged as good or bad based on the act
itself regardless of the consequences
22. Teleological Theory: An action is judged as good or bad based on the conse-
quence or outcome
23. Virtue Ethics: Actions are chosen based on the moral virtues (honesty,
courage, compassion, wisdom, gratitude, self respect) or the character of the
person making the decision
24. Four elements of negligence to prove malpractice: 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 substantial damages to the patient as a result
of the breach in the standard of care
25. Commitment Criteria: Person has a diagnosed psychiatric disorder
Person is harmful to self or others as a consequence of the disorder
Person is unaware or unwilling to accept the nature and severity of the disorder
Treatment is likely to improve functioning
26. Primary Prevention: Aimed at decreasing the incidence (number of new
cases) of mental disorders (prevention)
27. Secondary Prevention: Aimed at decreasing prevalence (number of existing
cases) of mental disorders (screening)
28. Tertiary Prevention: Aimed at decreasing the disability and severity of a
mental disorder (rehab)
29. Ethnicity: Self identified race, tribe, or nation with which a person or group
identifies and which greatly influences beliefs and behaviors
30. Schizophrenia accounts for % of US homelessness: 15-45%
31. Sexual Identity: How people identify psychologically on a continuum between
female and male and to whom they are sexually or affectionately attracted
32. Gender Identity: A person's identity along a continuum between normative
constructs of masculinity and femininity
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