Georgettes Module 5 Ethical and Legal
Principles with complete solution
Who determines the PMHNP scope of practice/ NP role and actions? - correct answer
The STATE legislation
Who determines Standard of Practice ("Quality" of Practice)?
High quality of care consistent with standards / minimum levels of acceptable
performance - correct answer ANA
HIPAA and psychotherapy notes: - correct answer No disclosure without authorization
What should you remember about your pt with dual dx? - correct answer separate ROI
for chemical dependency and psych. info
Exceptions to confidentiality? - correct answer Intent to harm self or others
info given to attorney in litigation
Releasing records to insurance companies
answering court orders/subpoena/summons
Tarasoff Principle (1976) - correct answer Duty to warn potential victim of imminent
danger
Does not apply in every state - contact BON
What is the right of all competent adults or emancipated minors? - correct answer
Informed consent
explanation of all relevant info that enables client to make a decision
Elements of informed consent - correct answer - decision making capacity
-full disclosure (benefits/risk, likelihood of risks occuring)
-comprehension
-voluntariness
*Document consent was obtained
Ethical principle of authority - correct answer Right to self determination
right to refuse treatment
Rennie vs Klein court case - correct answer determined it is the right of the pt to refuse
a psychotropic medication (if not found to be incompetent, absent an emergency)
Startk Law - correct answer cannot refer patients to family members
(seen as fraud by govt/medicare)
Principles with complete solution
Who determines the PMHNP scope of practice/ NP role and actions? - correct answer
The STATE legislation
Who determines Standard of Practice ("Quality" of Practice)?
High quality of care consistent with standards / minimum levels of acceptable
performance - correct answer ANA
HIPAA and psychotherapy notes: - correct answer No disclosure without authorization
What should you remember about your pt with dual dx? - correct answer separate ROI
for chemical dependency and psych. info
Exceptions to confidentiality? - correct answer Intent to harm self or others
info given to attorney in litigation
Releasing records to insurance companies
answering court orders/subpoena/summons
Tarasoff Principle (1976) - correct answer Duty to warn potential victim of imminent
danger
Does not apply in every state - contact BON
What is the right of all competent adults or emancipated minors? - correct answer
Informed consent
explanation of all relevant info that enables client to make a decision
Elements of informed consent - correct answer - decision making capacity
-full disclosure (benefits/risk, likelihood of risks occuring)
-comprehension
-voluntariness
*Document consent was obtained
Ethical principle of authority - correct answer Right to self determination
right to refuse treatment
Rennie vs Klein court case - correct answer determined it is the right of the pt to refuse
a psychotropic medication (if not found to be incompetent, absent an emergency)
Startk Law - correct answer cannot refer patients to family members
(seen as fraud by govt/medicare)
