NR548 Week 8 Final ExamNR548 Psychiatric
Assessment for the (PMHNP) Complete Questions 1-
50 Actual Examplify Online Proctored Exam
Questions and Answers | 100% Pass Guaranteed |
Graded A+
Section 1: Legal & Ethical Issues in Psychiatric Assessment (Questions 1-12)
Question 1
John's sister calls the PMHNP to discuss her concerns that John is under a lot of
stress and may be showing signs of psychosis. John has not permitted the PMHNP
to speak with his sister as they are estranged, and John has asked the PMHNP not
to share information. Is it acceptable for the PMHNP to share information about
John's status with his sister?
A) Yes, because family members have a right to know about a client's health status
B) Yes, if the sister expresses serious concern about his safety
C) No, unless the PMHNP perceives a serious and imminent threat to health or
safety
D) No, never under any circumstances
Correct ,,answer,,,,: C
Rationale: The HIPAA Privacy Rule permits a health care provider to disclose
information to family members of an adult client who has capacity and objects to
disclosure only to the extent that the provider perceives a serious and imminent
threat to the health or safety of the client or others and the family members are in a
,position to lessen the threat. Otherwise, the provider must respect the wishes of the
adult client who objects to disclosure .
Question 2
Is it permissible for the PMHNP to listen to the sister's concerns without sharing
information about John?
A) No, this would still violate HIPAA
B) Yes, HIPAA does not prevent providers from listening to family concerns
C) Yes, but only if the sister signs a release of information
D) No, all communication must go through the client only
Correct ,,answer,,,,: B
Rationale: HIPAA in no way prevents health care providers from listening to
family members or other caregivers who may have concerns about the client's
health. The provider may receive information without disclosing protected health
information in return .
Question 3
John's mother recently had a stroke and is in the neuro ICU. With his mother out of
the home, John has forgotten to take his medications for over a week. He begins to
experience hallucinations and paranoia. At his appointment with the PMHNP, he
threatens to harm his sister. To whom should the PMHNP disclose this
information? (Select all that apply)
A) John's sister
B) John's mother's nurse in the neuro ICU
, C) Law enforcement near the sister's home
D) A social worker from the Board of Developmental Disabilities working with the
family
Correct ,,answer,,,,: A, C, D
Rationale: The Privacy Rule permits a health care provider to disclose necessary
information about a client to law enforcement, family members of the client, or
other persons when the provider believes the client presents a serious and
imminent threat to self or others. When a provider believes in good faith that such
a warning is necessary to prevent or lessen a serious and imminent threat, the
Privacy Rule allows the provider to alert those persons whom the provider believes
are reasonably able to prevent or lessen the threat .
Question 4
Informed consent in psychiatric care:
A) Is a one-time signed document obtained at intake
B) Is an ongoing process that respects client autonomy in medical decision-making
C) Is not required for clients with serious mental illness
D) Only applies to surgical procedures
Correct ,,answer,,,,: B
Rationale: Informed consent for care and treatment is a fundamental ethical and
legal principle that respects the client's autonomy in medical decision-making.
Clients have the right to receive information and ask questions about recommended
treatments so they can make decisions consistent with their beliefs, values, and
goals. Informed consent may change over time and in different circumstances; it is
an ongoing process .
Assessment for the (PMHNP) Complete Questions 1-
50 Actual Examplify Online Proctored Exam
Questions and Answers | 100% Pass Guaranteed |
Graded A+
Section 1: Legal & Ethical Issues in Psychiatric Assessment (Questions 1-12)
Question 1
John's sister calls the PMHNP to discuss her concerns that John is under a lot of
stress and may be showing signs of psychosis. John has not permitted the PMHNP
to speak with his sister as they are estranged, and John has asked the PMHNP not
to share information. Is it acceptable for the PMHNP to share information about
John's status with his sister?
A) Yes, because family members have a right to know about a client's health status
B) Yes, if the sister expresses serious concern about his safety
C) No, unless the PMHNP perceives a serious and imminent threat to health or
safety
D) No, never under any circumstances
Correct ,,answer,,,,: C
Rationale: The HIPAA Privacy Rule permits a health care provider to disclose
information to family members of an adult client who has capacity and objects to
disclosure only to the extent that the provider perceives a serious and imminent
threat to the health or safety of the client or others and the family members are in a
,position to lessen the threat. Otherwise, the provider must respect the wishes of the
adult client who objects to disclosure .
Question 2
Is it permissible for the PMHNP to listen to the sister's concerns without sharing
information about John?
A) No, this would still violate HIPAA
B) Yes, HIPAA does not prevent providers from listening to family concerns
C) Yes, but only if the sister signs a release of information
D) No, all communication must go through the client only
Correct ,,answer,,,,: B
Rationale: HIPAA in no way prevents health care providers from listening to
family members or other caregivers who may have concerns about the client's
health. The provider may receive information without disclosing protected health
information in return .
Question 3
John's mother recently had a stroke and is in the neuro ICU. With his mother out of
the home, John has forgotten to take his medications for over a week. He begins to
experience hallucinations and paranoia. At his appointment with the PMHNP, he
threatens to harm his sister. To whom should the PMHNP disclose this
information? (Select all that apply)
A) John's sister
B) John's mother's nurse in the neuro ICU
, C) Law enforcement near the sister's home
D) A social worker from the Board of Developmental Disabilities working with the
family
Correct ,,answer,,,,: A, C, D
Rationale: The Privacy Rule permits a health care provider to disclose necessary
information about a client to law enforcement, family members of the client, or
other persons when the provider believes the client presents a serious and
imminent threat to self or others. When a provider believes in good faith that such
a warning is necessary to prevent or lessen a serious and imminent threat, the
Privacy Rule allows the provider to alert those persons whom the provider believes
are reasonably able to prevent or lessen the threat .
Question 4
Informed consent in psychiatric care:
A) Is a one-time signed document obtained at intake
B) Is an ongoing process that respects client autonomy in medical decision-making
C) Is not required for clients with serious mental illness
D) Only applies to surgical procedures
Correct ,,answer,,,,: B
Rationale: Informed consent for care and treatment is a fundamental ethical and
legal principle that respects the client's autonomy in medical decision-making.
Clients have the right to receive information and ask questions about recommended
treatments so they can make decisions consistent with their beliefs, values, and
goals. Informed consent may change over time and in different circumstances; it is
an ongoing process .
