LATEST 2024 Domain V - Georgette's (Ethical & Legal Principals), PMHNP Ethics/Legal/QI

The Scope of Practice is determined by The State Legislature (Board of Nursing) Which body identifies competencies assumed to be held by all NPs who function in a particular role? Board of Nursing Does Scope of Practice vary state by state? Yes Does the Standard of Practice vary state to state? No The Standard of Practice is determined by what body? ANA The body that judges the quality of care by nurses is ANA Legal issues are guided by what a reasonably prudent nurse would do in the same/similar circumstances according to Standard of Practice What is used to legally describe the standard of care that must be met by a provider? Standard of Practice What body defines NP roles and actions? State Board of Nursing Are therapy notes disclosed to third parties? Generally No (HIPPA) When a patient has dual diagnoses how are medical records handled? One release for SUD One release for psychiatric disorder What are 8 exceptions to confidentiality (or IC)? (know all) Patient intends to harm self or others Answering court orders, subpoenas, summonses Duty to warn (Tarasoff principle)* Child or elder abuse Litigation (you are sued) Insurance companies Mandatory reporting of diseases or conditions Patient unconscious When is a minor allowed to sign an informed consent? Emancipated minor 18 yo who are married, parents or self-sufficiently living away from family domicile What is needed before presenting a patient's information to a third party? informed consent (release of information) What is the duty to warn victim of homicidal intent? Tarasoff Principle Should the State Board of Nursing be contacted before enacting the Tarasoff Principle? Yes (varies state by state) What are the 5 elements of informed consent? Nature and purpose of proposed treatment/procedure Risks and benefits of treatment Risks and benefits of not undergoing treatment Alternative procedures/treatments Diagnosis and prognosis What are 5 areas an NP must insure when obtaining informed consent? Decision capacity (competency/ability) Full disclosure Comprehension Voluntariness