PMHNP ANCC IQ DOMAIN 5 answered all correctly answered;
latest updated summer 2022.
Americans with Disabilities Act of 1990
-prevents employers from discriminating against individuals with mental health disorders
in employment decisions
-Reasonable accomodations need to be made for that individual
Best Example for Continuous Quality Improvement
One that directly serves the needs (peer review process of charts with another provider)
A patient asks to refill for nonpsychiatric med, what do you do?
State that your certification is for psychiatric care only and refer him back to his GP
Requesting admitting priviliges at a local hospital
Persuade the appropriate hospital decision maker, through facts, figures, presentation
of projected benefits to the hospital and of the need to change policy to allow NP
privileges
Psychotherapy notes as defined by HIPAA; refers to what?
Notes recorded in any medium by a mental health professional documenting or
analyzing the contents of conversation during a private session-
HIPAA does requires SEPARATE authorization from patient to release or even provide
some info about these notes
Advocating
Includes advocating for things to reduce barriers to health such as safe and inexpensive
housing
What research design is best used to compare treatments?
Randomized control trials- where patients are randomly allocated to control treatment
groups
Competent elderly with signs of abuse refusing to consent for the provider to
report abuse suspicions
Do not report. Respect patient's decisions if the patient is competent. State mandates
vary on elder and domestic abuse statutes
Veracity or Truthfulness
Includes giving patients information about health needs to facilitate autonomous
decision making
IRBs (institutional review boards)
Ensure informed consent is obtained and documented
Ensure adverse events are reported and benefits/risk evaluated
Ensure risks to participants are minimized
Scope and Standards 5A
PMHNP provides leadership in coordination of care for patients using interdisciplinary
approach to care delivery
Best solution for practitioners who cant afford EHR
, Process notes and patient records in secure electronic system with a template for
patient information and interactions, supporting quick access within your network
Rural hospitals receive financial help for EHRs
Incentives are provided for having EHRs
Incident Reports
Part of organizational reporting mechanism for RISK MANAGEMENT, not included in
medical record
What is included in the medical record?
Format:
1. Reason for encounter and relevant hx
2. Physical exam findings and prior dx tests
3. Assessment, clinical impression or dx
4. Plan of care
5. Legible identity of provider
Additionally if not already documented:
Reason for diagnostic and ancillary services ordered
Past and present dx should be accessible to treating and/or consulting provider
Health risks identified
Response to tx and changes in tx
Revision of dx
What should the progress note reflect?
The type of services and dx codes reflected on the billing statement
CPT codes for service provided
ICD 10 and or DSM V Codes
Social Justice
Bringing care or access to those who have the least means of getting care but need the
care the most
HIPAA 1996
Federal law intended to protect employed Americans by decreasing the chance of
losing existing health insurance coverage, facilitating purchase of individual or family
health insurance coverage if coverage is lost from an employer's plan or no other health
insurance is available
Preceptor’s Responsibility
Gaining permission from the patient for the student to perform evaluation and to ensure
quality of evaluation; preceptor uses judgment if task is appropriate based on student's
capability
Phone Interactions with Patients
Must be documented fully at all times
LACE Consensus Model for APRNS 2015
PMHNP FAMILY POPULATION
AARP 2009 Pamphlet
Identified nurses as "paraprofessionals" trained to assist professionals
Preceptor Role
Contracted defined role with goals.
Teaching is completed through:
latest updated summer 2022.
Americans with Disabilities Act of 1990
-prevents employers from discriminating against individuals with mental health disorders
in employment decisions
-Reasonable accomodations need to be made for that individual
Best Example for Continuous Quality Improvement
One that directly serves the needs (peer review process of charts with another provider)
A patient asks to refill for nonpsychiatric med, what do you do?
State that your certification is for psychiatric care only and refer him back to his GP
Requesting admitting priviliges at a local hospital
Persuade the appropriate hospital decision maker, through facts, figures, presentation
of projected benefits to the hospital and of the need to change policy to allow NP
privileges
Psychotherapy notes as defined by HIPAA; refers to what?
Notes recorded in any medium by a mental health professional documenting or
analyzing the contents of conversation during a private session-
HIPAA does requires SEPARATE authorization from patient to release or even provide
some info about these notes
Advocating
Includes advocating for things to reduce barriers to health such as safe and inexpensive
housing
What research design is best used to compare treatments?
Randomized control trials- where patients are randomly allocated to control treatment
groups
Competent elderly with signs of abuse refusing to consent for the provider to
report abuse suspicions
Do not report. Respect patient's decisions if the patient is competent. State mandates
vary on elder and domestic abuse statutes
Veracity or Truthfulness
Includes giving patients information about health needs to facilitate autonomous
decision making
IRBs (institutional review boards)
Ensure informed consent is obtained and documented
Ensure adverse events are reported and benefits/risk evaluated
Ensure risks to participants are minimized
Scope and Standards 5A
PMHNP provides leadership in coordination of care for patients using interdisciplinary
approach to care delivery
Best solution for practitioners who cant afford EHR
, Process notes and patient records in secure electronic system with a template for
patient information and interactions, supporting quick access within your network
Rural hospitals receive financial help for EHRs
Incentives are provided for having EHRs
Incident Reports
Part of organizational reporting mechanism for RISK MANAGEMENT, not included in
medical record
What is included in the medical record?
Format:
1. Reason for encounter and relevant hx
2. Physical exam findings and prior dx tests
3. Assessment, clinical impression or dx
4. Plan of care
5. Legible identity of provider
Additionally if not already documented:
Reason for diagnostic and ancillary services ordered
Past and present dx should be accessible to treating and/or consulting provider
Health risks identified
Response to tx and changes in tx
Revision of dx
What should the progress note reflect?
The type of services and dx codes reflected on the billing statement
CPT codes for service provided
ICD 10 and or DSM V Codes
Social Justice
Bringing care or access to those who have the least means of getting care but need the
care the most
HIPAA 1996
Federal law intended to protect employed Americans by decreasing the chance of
losing existing health insurance coverage, facilitating purchase of individual or family
health insurance coverage if coverage is lost from an employer's plan or no other health
insurance is available
Preceptor’s Responsibility
Gaining permission from the patient for the student to perform evaluation and to ensure
quality of evaluation; preceptor uses judgment if task is appropriate based on student's
capability
Phone Interactions with Patients
Must be documented fully at all times
LACE Consensus Model for APRNS 2015
PMHNP FAMILY POPULATION
AARP 2009 Pamphlet
Identified nurses as "paraprofessionals" trained to assist professionals
Preceptor Role
Contracted defined role with goals.
Teaching is completed through:
