PMHNP BOARDS EXAM 2022/2023 QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS

what is telehealth Correct answer- the use of telephone or videconferencing tools to deliver mental health care to clients who reside in rural areas or who may otherwise not be ale to access care must follow the same standars as care what are facilitating factors for growth of the np role Correct answer- consumer demand acceptance of the advanced practice nursing role emergence of the pmhnp role decreaseing stigmatization emphasis on integrated healthcare servies what are constraining factors for NP role growth Correct answer- growing competition in job market in gneral for nps reimbursement struggles with medicare and private insurance companies overlapping scope of practice with other nps increased concerns over reimbursement fraud and abuse scope of practice and need for formal supervisory or collaborative relationshiops with physicians what are exceptions to guaranteed confidentiality Correct answer- when appropriate persons or organizations determine that the need for information outweighs the princple of confidentiality if a clt reveals an intent to harm self or others information given to attorneys involved in litigation releasing records to insureance companies answering court orders, subpeonas, or summonses meeting state requirements for mandatory reporting of dz or conditions tarasoff principle or the duty to warn potential victim of imminent danger of homicidal clts in cases of child or elder abuse informed consent is Correct answer- the communication process between the provider and the client that results in the clts acceptance or rejection of the proposed treatment an explanation of relevant information that enables the client to make an appropriate and informed decision the right of all competent adults or emancipated minors what is an emancipated minor Correct answer- persons younger than 18 who are married, parents, or self-sufficiently living away from the family domicile what are the elements of informed consent Correct answer- nature and purpose of proposed treatment or procedure risks or discomforts and benefits of treatment risks and benefits of not undergoing treatment alternative procedures or treatments diagnosis and prognosis - provider must document in the record that informed consent has been obtained -pmhnp is responsible for ensuring that the clt is cognitively capable of giving informed consent what is ethics Correct answer- important aspect of the np role that deals with moral duties obligations and responsibilties what is right vs what is wrong ethical principles that provide foundation and direction for complex desicions in 2015 the ana pubulished the code of ethics for nurses with interpretive statements with nine provisions what are ethical principles Correct answer- justice-doing what is fiar; fairness in all aspects of care beneficence- promoting well being and doing good nonmaleficence- doing no harm fidelity- being true and loyal autonomy- doing for self veracity- telling the truth respect- treating everyone with equal respect