ANCC Review Manual PMHNP questions with complete solutions

Core Competencies correct answer: Management of Health Status Maintenance of Nurse-Patient Relationship Teaching/Coaching Professional Role Managing and Negotiating Healthcare Delivery Systems Monitoring Quality of Care Providing Culturally Sensitive Care When was NP role introduced and by whom correct answer: 1965 Loretta Ford University of Colorado State Legislative Statutes correct answer: Grant legal authority for NP practice Are the Nurse Practice Act of every state Provide title protection Define advanced practice Are prevailing state laws that define scope of practice Place restrictions on practice Sets NP credentialing requirements State grounds for disciplinary actions May decide about collaborative agreements Collaborative agreement correct answer: Protocol that describes what types of drugs might be prescribed and defines some form of oversight board for NP practice Statutory Law correct 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 Licensure correct answer: A process by which an agency of state government grants permission to individuals accountable for the practice of a profession to engage in the practice of that profession Credentialing correct answer: Process used to protect the public by ensuring a minimum level of professional competence Certification correct answer: Credential that provides title protection Determines scope of practice Is the process by which a professional organization/association certifies that an individual licensed to practice as a professional has met certain predetermined standards Assures the public that an individual has mastery of a body of knowledge Assures that the individual has acquired the skills necessary to function in a particular specialty ANCC only one for psych Scope of practice correct answer: Defines NP roles and actions Identifies competencies assumed to be held by all NPs who function in a particular role Has broad variations from state to state Standards of Practice correct answer: Gives authoritative statements regarding the quality and type of practice that should be provided Provides a way to judge the nature of care provided Reflects the expectation for the care that should be provided to patients with various illnesses Reflects 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 Four Rights of HIPAA correct answer: 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 HITECH correct answer: Incentive payments for sharing specific EHR data Meaningful use incentives Improves outcomes Exceptions to confidentiality correct answer: Intent to harm self or others Attorneys involved in litigation When records are released to insurance companies Answering court orders, subpoenas, summons Mandatory reporting of disease and conditions Tarasoff principle: Duty to warn potential victims of imminent danger of homicidal patients Child/elder abuse Justice correct answer: Doing what is fair, fairness in all aspects of care Beneficience correct answer: Promoting well being and doing good Nonmalfeasance correct answer: Doing no harm Fidelity correct answer: Being true and loyal Autonomy correct answer: Doing for self Veracity correct answer: Telling the truth Respect correct answer: Treating everyone with equal respect Deontological Theory correct answer: An action is judged as good or bad based on the act itself regardless of the consequences Teleological Theory correct answer: An action