Georgette Module 5 Questions and Answers 100% Correct
scope of practice is determined by who?
STATE BON
what identifies competencies assumed to be held by all NPs who function in a
particular role and defines NP roles/actions?
SCOPE of practice
who is the standard of practice determined by?
ANA
when you think standard of practice you should really think...
QUALITY
what is required by law for the PMHNP to carry out care in accordance with what
other reasonably prudent nurses would do in the same/similar circumstance?
standard of practice
what is used to provide a way to judge the nature of care provided?
standard of care
what is a process by which an agency of the state government grants permission
to persons to engage in practice of that profession?
licensure
what prohibits others from legally doing protected practice?
licensure
what is the process used to protect the public by ensuring a minimum level of
professional competence?
credentialing
what determines scope of practice?
certification
what is a credential that provides title protection?
certification
what is the process by which a professional organization or association certifies
that a person licensed to practice as a professional has met certain
predetermined standards specified by that profession for specialty practice?
certification
what is a clients right to assume that info given to the provider will not be
disclosed?
confidentiality
HIPAA guarantees what 4 things
1. Education about HIPAA
2. Access to medical records
3. Request amendment of health info to which they object
4. Require permission for disclosure of personal info.
Health Info Tech for Economic & Clinical Health Act (HITECH) of 2009 stated what
4 things
1. Incentive payments for sharing EHR data
2. Meaningful use incentives
, 3. EHR can improve individ. + pop. health outcome
4. EHR can improve quality/safety/efficiency/effectiveness/outcomes
what must happen if a patient has a chemical + psych diagnosis in relation to 3rd
parties? and why?
*Must have 2 SEPARATE releases of info*
Chemical d/o aka SUD= protected by CRF42
Psych d/o= protected by HIPAA
What are the 7 exceptions to confidentiality?
1. Person/org. deems need to release info. > principle of confidentiality
2. State requirements for mandatory reporting
3. Harm to self/others
4. Child/Elder abuse
5. Attorneys in litigation
6. Court subpoenas/order/summonses
7. Insurance
what is the Tarasoff Principle?
*duty to warn potential victims of imminent danger of homicidal clients*
-*does NOT apply in every state*
**if on test question--> choose answer that says to check with state/BON--> not
available then notify person
what is a communication process between provider & client that results in client's
acceptance or rejection of proposed treatment?
informed consent
what is an emancipated minor?
<18 years of age that is...
-married
-parent
-self-sufficient & living away from parents
Informed consent is a right to who...
1. All COMPETENT adults
2. Emancipated minors
List 5 Elements of Informed Consent
1. Decision capacity: ability to make decisions
2. Full Disclosure: risk/benefits discussed
3. Comprehension: comprehends relevant info.
4. Voluntariness: no coerced into giving
5. Documentation: in medical record
if patients are not able to complete 5 elements of informed consent, who can act
as a "surrogate decision-maker" for them?
1. Family
2. Court-appointed guardian
3. Others determined by the state law
who determines a patient's competence?
only a judge****
YOU AS A PMHNP CANNOT DO THIS!!
List the 7 Ethical Principles
scope of practice is determined by who?
STATE BON
what identifies competencies assumed to be held by all NPs who function in a
particular role and defines NP roles/actions?
SCOPE of practice
who is the standard of practice determined by?
ANA
when you think standard of practice you should really think...
QUALITY
what is required by law for the PMHNP to carry out care in accordance with what
other reasonably prudent nurses would do in the same/similar circumstance?
standard of practice
what is used to provide a way to judge the nature of care provided?
standard of care
what is a process by which an agency of the state government grants permission
to persons to engage in practice of that profession?
licensure
what prohibits others from legally doing protected practice?
licensure
what is the process used to protect the public by ensuring a minimum level of
professional competence?
credentialing
what determines scope of practice?
certification
what is a credential that provides title protection?
certification
what is the process by which a professional organization or association certifies
that a person licensed to practice as a professional has met certain
predetermined standards specified by that profession for specialty practice?
certification
what is a clients right to assume that info given to the provider will not be
disclosed?
confidentiality
HIPAA guarantees what 4 things
1. Education about HIPAA
2. Access to medical records
3. Request amendment of health info to which they object
4. Require permission for disclosure of personal info.
Health Info Tech for Economic & Clinical Health Act (HITECH) of 2009 stated what
4 things
1. Incentive payments for sharing EHR data
2. Meaningful use incentives
, 3. EHR can improve individ. + pop. health outcome
4. EHR can improve quality/safety/efficiency/effectiveness/outcomes
what must happen if a patient has a chemical + psych diagnosis in relation to 3rd
parties? and why?
*Must have 2 SEPARATE releases of info*
Chemical d/o aka SUD= protected by CRF42
Psych d/o= protected by HIPAA
What are the 7 exceptions to confidentiality?
1. Person/org. deems need to release info. > principle of confidentiality
2. State requirements for mandatory reporting
3. Harm to self/others
4. Child/Elder abuse
5. Attorneys in litigation
6. Court subpoenas/order/summonses
7. Insurance
what is the Tarasoff Principle?
*duty to warn potential victims of imminent danger of homicidal clients*
-*does NOT apply in every state*
**if on test question--> choose answer that says to check with state/BON--> not
available then notify person
what is a communication process between provider & client that results in client's
acceptance or rejection of proposed treatment?
informed consent
what is an emancipated minor?
<18 years of age that is...
-married
-parent
-self-sufficient & living away from parents
Informed consent is a right to who...
1. All COMPETENT adults
2. Emancipated minors
List 5 Elements of Informed Consent
1. Decision capacity: ability to make decisions
2. Full Disclosure: risk/benefits discussed
3. Comprehension: comprehends relevant info.
4. Voluntariness: no coerced into giving
5. Documentation: in medical record
if patients are not able to complete 5 elements of informed consent, who can act
as a "surrogate decision-maker" for them?
1. Family
2. Court-appointed guardian
3. Others determined by the state law
who determines a patient's competence?
only a judge****
YOU AS A PMHNP CANNOT DO THIS!!
List the 7 Ethical Principles
