Questions and Correct
Answers | New Update
The Nurse Practice Act of every state - ANSWER ✔✔-Provides title
protection (who may be called a nurse practitioner)-Defines advanced
practice
-Prevailing state laws that define the scope of practice (what NPs may
do)
-Places restrictions on practice-Sets NP credentialing requirements (e.g.,
edu requirements,certification)
Statutory law - ANSWER ✔✔-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
Scope of practice - ANSWER ✔✔-Defines NP roles and actions
-Identifies competencies assumed to be held by all NPs who function in
a particular role
-Varies broadly from state to state
-Advanced practice PMHNP standards are identified in Psychiatric-
Mental Health
Nursing: Scope and Standards of Practice
Standards of practice - ANSWER ✔✔- Authoritative statements
regarding the quality and type of practice that should be provided
-Provide a way to judge the nature of care provided
-Reflect the expectation for the care that should be provided to clients
with various illnesses
-Reflect 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
HIPAA - ANSWER ✔✔-The first national comprehensive privacy
protection act
-Guarantees clients four fundamental rights:
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.
The Health Information Technology for Economic and Clinical Health Act
(HITECH) of 2009 - ANSWER ✔✔-Incentive payments for sharing
specific EHR data
-Meaningful use incentives
-EHR can improve both individual and population-based health
outcomes.
-EHR can improve quality, safety, efficiency, effectiveness, and
outcomes (E-prescribing, computerized physician order sets, tracking
care and avoiding duplication of services)
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PRIVACY STATEMENT. ALL RIGHTS RESERVED
, Exceptions to guaranteed confidentiality - ANSWER ✔✔-When
appropriate persons or organizations determine that the need for
information outweighs the principle of confidentiality
-If a client reveals an intent to harm self or others
-Info given to attorneys involved in litigation
-Releasing records to insurance companies
-Answering court orders, subpoenas, or summonses
-Meeting state requirements for mandatory reporting of diseases or
conditions
-Tarasoff principle: Duty to warn a potential victim of imminent danger of
homicidal clients
-In cases of child or elder abuse
Elements of informed consent - ANSWER ✔✔-Nature and purpose
of proposed tx or procedure
-Risks or discomforts and benefits of tx
-Risks and benefits of not undergoing tx
-Alternative procedures or tx
-Diagnosis and prognosis