PMHNP Test - Domain 5 - Ethical & Legal
Principles || Questions & Answers
(Graded A+)
2024/2025
CONCEPTIAL RESEARCH
,PMHNP Test - Domain 5 - Ethical & Legal
Principles || Questions & Answers
(Graded A+)
Exceptions to confidentiality - ANSWER - -When appropriate persons or organizations
determine the need for info outweighs the principle of confidentiality (Ex: being
unconscious)
-If a client reveals an intent to harm self or others
-Info given to attorneys involved in litigation. Court orders, subpoenas
-Releasing records to insurance companies
-Mandatory reporting of diseases per state guidelines
-Child or elder abuse
-Tarasoff Principle (Duty to warn potential victim of imminent danger of homicidal
patients)
Tarasoff Principle - ANSWER - The duty to warn potential victim of imminent danger of
homicidal clients
Tarasoff vs. Regents at the University of California, 1976
*Varies from state to state, check with state BON to make sure it applies*
Informed Consent - ANSWER - Communication process between provider & client that
results in client's acceptance or rejection of proposed treatment
Explanation of relevant information that enables the client to make an appropriate &
informed decision
Disclose risks vs. benefits
Competency - ANSWER - A LEGAL, not medical, concept - determination that a client
can make reasonable judgements & decisions regarding treatment & other health
concerns
A person is considered competent until a court rules the person to be incompetent -
then a court-appointed guardian will make health-care related decisions for that person
, Ethical Principles - ANSWER - Aspect of the NP role that deals with moral duties,
obligations, & responsibilities
What is right vs. wrong
Justice
Nonmaleficence
Beneficence
Fidelity
Veracity
Autonomy
Respect
Who determines NP scope of practice? - ANSWER - State legislative statutes - aka
State Board of Nursing (BON)
Nurse Practice Act - Varies widely from state to state
Who is the certifying body for PMHNPs? - ANSWER - American Nurses Credentialing
Center (ANCC), which is a subsidiary of the American Nurses Association (ANA)
What is scope of practice? - ANSWER - Defines NP roles & actions
Identifies competencies assumed to be held by all NPs who function in a particular role
Varies widely from state to state based on that states nurse practice act
Who determines standards of practice? - ANSWER - ANA
What is standards of practice? - ANSWER - Authoritative statements regarding the
quality & type of practice that should be provided
A way to judge the nature of care provided
Determined by the ANA
What would a reasonable NP do? Required by law to carry out in accordance with what
other reasonably prudent nurses would do in same/similar circumstances
Confidentiality - ANSWER - Client's right to assume that info given to a provider will not
be disclosed (includes written & verbal)
Requires that provider obtain a signed medical authorization & consent form to release
medical records
HIPPA - ANSWER - National comprehensive privacy protection act
Principles || Questions & Answers
(Graded A+)
2024/2025
CONCEPTIAL RESEARCH
,PMHNP Test - Domain 5 - Ethical & Legal
Principles || Questions & Answers
(Graded A+)
Exceptions to confidentiality - ANSWER - -When appropriate persons or organizations
determine the need for info outweighs the principle of confidentiality (Ex: being
unconscious)
-If a client reveals an intent to harm self or others
-Info given to attorneys involved in litigation. Court orders, subpoenas
-Releasing records to insurance companies
-Mandatory reporting of diseases per state guidelines
-Child or elder abuse
-Tarasoff Principle (Duty to warn potential victim of imminent danger of homicidal
patients)
Tarasoff Principle - ANSWER - The duty to warn potential victim of imminent danger of
homicidal clients
Tarasoff vs. Regents at the University of California, 1976
*Varies from state to state, check with state BON to make sure it applies*
Informed Consent - ANSWER - Communication process between provider & client that
results in client's acceptance or rejection of proposed treatment
Explanation of relevant information that enables the client to make an appropriate &
informed decision
Disclose risks vs. benefits
Competency - ANSWER - A LEGAL, not medical, concept - determination that a client
can make reasonable judgements & decisions regarding treatment & other health
concerns
A person is considered competent until a court rules the person to be incompetent -
then a court-appointed guardian will make health-care related decisions for that person
, Ethical Principles - ANSWER - Aspect of the NP role that deals with moral duties,
obligations, & responsibilities
What is right vs. wrong
Justice
Nonmaleficence
Beneficence
Fidelity
Veracity
Autonomy
Respect
Who determines NP scope of practice? - ANSWER - State legislative statutes - aka
State Board of Nursing (BON)
Nurse Practice Act - Varies widely from state to state
Who is the certifying body for PMHNPs? - ANSWER - American Nurses Credentialing
Center (ANCC), which is a subsidiary of the American Nurses Association (ANA)
What is scope of practice? - ANSWER - Defines NP roles & actions
Identifies competencies assumed to be held by all NPs who function in a particular role
Varies widely from state to state based on that states nurse practice act
Who determines standards of practice? - ANSWER - ANA
What is standards of practice? - ANSWER - Authoritative statements regarding the
quality & type of practice that should be provided
A way to judge the nature of care provided
Determined by the ANA
What would a reasonable NP do? Required by law to carry out in accordance with what
other reasonably prudent nurses would do in same/similar circumstances
Confidentiality - ANSWER - Client's right to assume that info given to a provider will not
be disclosed (includes written & verbal)
Requires that provider obtain a signed medical authorization & consent form to release
medical records
HIPPA - ANSWER - National comprehensive privacy protection act
