growth factors [NP role] Ans-consumer demand; role acceptance; ↓ role stigmatization;
emphasis on integrated services
Nurse Practice Act Ans-provides title protection; defines advance practice; establishes scope
of and restriction on practice, credentialing requirements, grounds for disciplinary action, and
collaborative agreement requirements
statutory law Ans-laws made by states; will vary
licensure Ans-process by which an agency of state government (i.e., BoN) grants permission
to persons to engage in the practice of that profession
credentialing Ans-process used to protect the public by ensuring a minimum level of
professional *competence* (e.g., educational and certification requirements)
board certification Ans-process by which a professional organization or association (i.e.,
ANCC) certifies that a person licensed to practice as a professional has meet certain
predetermined standards specified by that profession for speciality practice
scope of practice Ans-defines NP roles and actions
standards of practice Ans-authoritative statements regarding the quality and type of
practice that should be provided; can be used legally as "standard of care"
collaborative agreement Ans-protocol that describes what types of drugs might be
prescribed and defines some form of oversight for NP practice (i.e., SCA)
, guaranteed confidentiality [definition] Ans-client's right to assume that information given to
the healthcare provider will not be disclosed as per federal statute (MRCA, 1995); pertains to
verbal and written client information; requires signed medical authorization and consent form
to release medical records and information; there are some exceptions
HIPAA [definition] Ans-1st national comprehensive *privacy* protection action
HITECH Ans-establishes EMR meaningful use requirements and incentive payments
telehealth Ans-care provided via phone or video; must include provisions for emergency
care
guaranteed confidentiality [exceptions] Ans-need for info > principle of confidentiality;
intent to harm self/others; legal cases (litigating attorneys, court orders, subpoenas, and
summonses); insurance companies; state mandated disease and child/elder abuse reporting
requirements; Tarasoff principle
informed consent [definition] Ans-communication process between the provider and the
client that results in the client's acceptance or rejection of the proposed treatment; must be
obtained and documented in medical record; provider is responsible for ensuring client is
cognitively capable to consent
emancipated minor Ans-persons < 18 yo who are married, parents, or self-sufficiently living
away from the family domicile
ethics Ans-what is *right* versus what is *wrong* as per ANA's Code of Ethics for Nurses
(2015)
justice Ans-doing what is *fair*; fairness in all aspects of care