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PMHNP Professional Role and Policy

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Which community-based program is a tertiary level intervention? A. educational sessions at the local community mental health center. B. national association of mental illness meetings that provide education and support. C. Partial hospitalization program that provides intensive group therapy for rehabilitation. D. 12 step organization support meetings, i.e. AA - C. Partial hospitalization program that provides intensive group therapy for rehabilitation. Utilitarianism - Healthcare resources are allocated so that the best is done for the greatest number of people The NP had a claims made liability insurance policy in place in 2008, but allows the primary policy to lapse during 2009 when he/she is no longer in practice. In 2010, a malpractice claim is filed against the NP based on a clinical encounter in 2008. True or False: This claim would not fall within the coverage of a claims made policy unless an uninterrupted tail insurance policy is effect? - True: A claims made policy covers the NP only if the injury occurs within the policy period, and if the claim is filed during the period the policy is in effect or when an uninterrupted tail insurance policy is in effect. True or False: The NP certification exam will contain a number of questions about my state's NP practice act. - False, State NP practice acts differ significantly in a number of ways. True or False: Once I am certified, I can practice as a nurse practitioner. - False, In nearly all states, achievement of national certification is one of a number of requirements to obtain a license as a nurse practitioner. NP licensure is handled at the state level through the board of nursing. Information about the NP practice act in your state can be obtained by contacting your state board of nursing. True or False: The charge of the State Board of Nursing is to ensure public safety. - True The Consensus Model for Future Regulation of APRN practice describes four essential components LACE: - 1) Licensure 2) Accreditation

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PMHNP Professional Role and Policy

Which community-based program is a tertiary level intervention?

A. educational sessions at the local community mental health center.

B. national association of mental illness meetings that provide education and support.

C. Partial hospitalization program that provides intensive group therapy for rehabilitation.

D. 12 step organization support meetings, i.e. AA - ✔✔C. Partial hospitalization program that
provides intensive group therapy for rehabilitation.



Utilitarianism - ✔✔Healthcare resources are allocated so that the best is done for the greatest
number of people



The NP had a claims made liability insurance policy in place in 2008, but allows the primary policy to
lapse during 2009 when he/she is no longer in practice. In 2010, a malpractice claim is filed against
the NP based on a clinical encounter in 2008.

True or False: This claim would not fall within the coverage of a claims made policy unless an
uninterrupted tail insurance policy is effect? - ✔✔True: A claims made policy covers the NP only if
the injury occurs within the policy period, and if the claim is filed during the period the policy is in
effect or when an uninterrupted tail insurance policy is in effect.



True or False: The NP certification exam will contain a number of questions about my state's NP
practice act. - ✔✔False, State NP practice acts differ significantly in a number of ways.



True or False: Once I am certified, I can practice as a nurse practitioner. - ✔✔False, In nearly all
states, achievement of national certification is one of a number of requirements to obtain a license
as a nurse practitioner. NP licensure is handled at the state level through the board of nursing.
Information about the NP practice act in your state can be obtained by contacting your state board of
nursing.



True or False: The charge of the State Board of Nursing is to ensure public safety. - ✔✔True



The Consensus Model for Future Regulation of APRN practice describes four essential components

LACE: - ✔✔1) Licensure

2) Accreditation

, 3) Certification

4) Education



-Based on what is legally allowable in each state under its Nurse Practice Act

- Provides guidelines vs. specific mandates for nursing practice

- Is NOT mandated

- Varies widely from state to state - ✔✔Scope of Practice



As an advocate for the client, the nurse must make sure that "safe, effective care" is given in
conformity with the ___________Act. Is this a law? what kind? - ✔✔Nurse Practice Act

Which is a statutory law.



Advanced Practice Registered Nurse (APRN) - ✔✔-Completion of accredited graduate level education

- Passed national certification examination

- Acquired advanced clinical knowledge and skills to provide direct care

- Practice and skills build upon the competencies of a Registered Nurse (greater synthesis of data,
increased complexity of skills and greater role autonomy)

- Educationally prepared to assume responsibility and accountability for direct and indirect patient
care (assessment, diagnosis, management, and prescriptive authority)

- Clinical experience reflects licensure

- Obtained licensure in one of the four APRN roles: CRNA, CNM, CNS, CNP



True or False: APRNs can sign a "Death Certificate" - ✔✔False, only a physician



Non-Maleficence - ✔✔Requirement that the provider do no harm, with or without intention.

Usually viewed as result of benefience (obligation to help people in need)



Clinical Practice Guidelines/Protocols - ✔✔Systematically developed statements to assist practitioner
and patient about appropriate care for specific clinical outcomes



Prescriptive Authority - ✔✔NPs have authority to write pharmacological prescriptions, and also for
medical devices - independent of a physician's signature

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