ANCC PMHNP Exam Chapters 2-4 Questions
and Answers (2024) (Verified Answers)
Nurse Practitioner Core Competencies
all nurse practitioners upon graduation are expected to meet these. These include scientific
foundations, leadership, quality, practice inquiry, technology and information literacy, policy, health
delivery system, ethics, and independent practice
history of NP role
the NP role was introduced in 1965 by Loretta Ford and Henry Silver, MD at the University of
Colorado. They identified new roles in which experienced RNs with advanced education and skills
were performing clinical duties traditionally reserved for physicians.
License, Accreditation, Certification, and Education Consensus Model
adopted by many nursing organizations, this provides guidance for states to adopt uniformity in the
regulation of APRN roles; finalized in 2008
state legislative statutes
grant legal authority for NP practice
Nurse Practice Act
every state has one; provides title protection (who may be called a nurse practitioner), defines
advanced practice, prevailing state laws that define scope of practice, places restrictions on practice,
sets NP credentialing requirements, states grounds for disciplinary action, and may specifically require
that an NP develop a collaborative agreement with a physician
States grounds for disciplinary action
practicing without a valid license, falsification of records, medicare fraud, failure to use appropriate
nursing judgment, failure to follow accepted nursing standards, failure to complete accurate nursing
documentation
collaborative agreement
a protocol that describes what types of drugs might be prescribed and defines some form of oversight
for NP practice
licensure
a process by which an agency of state government grants permission to persons to engage in the
practice of that profession; also prohibits all others from legally doing protected practice
credentialing
process used to protect the public by ensuring a minimum level of professional competence
certification
credential that provides title protection; determines scope of practice; process by which a
professional organization or association certifies that a person licensed to practice as a professional
meets set standards, assures public of mastery, assures person has acquired necessary skills
, scope of practice
defines NP roles and actions; identifies competencies assumed to be held by all NPs who function in a
particular role; varies broadly from state to state
standards of practice
authoritative statements regarding the quality and type of practice that should be provided; provide a
way to judge nature of care provided; can be used to legally describe standard of care that must be
met by a provider; may be precise protocols or more general guidelines
confidentiality
client's right to assume that info given to provider will not be disclosed, protected under federal
stature through the Medical Record Confidentiality Act of 1995; pertains to written and verbal info;
requires provider obtain signed medical authorization and consent forms to release medical records
and info when requested by client or another healthcare provider
HIPAA
guarantees clients four fundamental rights: to be educated about privacy protection, to have access
to their own medical records, to request amendment of their health info to which they object, and to
require their permission for disclosure of their personal info
HITECH
health information technology for economic and clinical health act of 2009; incentive payments for
sharing specific EHR data, meaningful use incentives
exceptions to guaranteed confidentiality
when appropriate person or organizations determine that the need for info outweighs principle of
confidentiality, if a client reveals an intent to harm self or others, info given to attorneys involved in
litigation, releasing records to insurance companies, answering court orders, subpoenas, or summons,
meeting state requirements for mandatory reporting of diseases or conditions, Tarasoff principle, in
cases of elder or child abuse
informed consent
communication process between provider and client that results in client's acceptance or rejection of
proposed treatment; right of all competent adults and emancipated minors
emancipated minor
persons younger than 18 who are married, parents, or self-sufficiently living away from the family
domicile
elements of informed consent
must include nature/purpose of tx, risks/benefits of tx, risks/benefits of NOT doing tx, alternative tx,
diagnosis and prognosis. Provider must document in medical record that informed consent has been
obtained from client
justice
doing what is fair; fairness in all aspects of care
and Answers (2024) (Verified Answers)
Nurse Practitioner Core Competencies
all nurse practitioners upon graduation are expected to meet these. These include scientific
foundations, leadership, quality, practice inquiry, technology and information literacy, policy, health
delivery system, ethics, and independent practice
history of NP role
the NP role was introduced in 1965 by Loretta Ford and Henry Silver, MD at the University of
Colorado. They identified new roles in which experienced RNs with advanced education and skills
were performing clinical duties traditionally reserved for physicians.
License, Accreditation, Certification, and Education Consensus Model
adopted by many nursing organizations, this provides guidance for states to adopt uniformity in the
regulation of APRN roles; finalized in 2008
state legislative statutes
grant legal authority for NP practice
Nurse Practice Act
every state has one; provides title protection (who may be called a nurse practitioner), defines
advanced practice, prevailing state laws that define scope of practice, places restrictions on practice,
sets NP credentialing requirements, states grounds for disciplinary action, and may specifically require
that an NP develop a collaborative agreement with a physician
States grounds for disciplinary action
practicing without a valid license, falsification of records, medicare fraud, failure to use appropriate
nursing judgment, failure to follow accepted nursing standards, failure to complete accurate nursing
documentation
collaborative agreement
a protocol that describes what types of drugs might be prescribed and defines some form of oversight
for NP practice
licensure
a process by which an agency of state government grants permission to persons to engage in the
practice of that profession; also prohibits all others from legally doing protected practice
credentialing
process used to protect the public by ensuring a minimum level of professional competence
certification
credential that provides title protection; determines scope of practice; process by which a
professional organization or association certifies that a person licensed to practice as a professional
meets set standards, assures public of mastery, assures person has acquired necessary skills
, scope of practice
defines NP roles and actions; identifies competencies assumed to be held by all NPs who function in a
particular role; varies broadly from state to state
standards of practice
authoritative statements regarding the quality and type of practice that should be provided; provide a
way to judge nature of care provided; can be used to legally describe standard of care that must be
met by a provider; may be precise protocols or more general guidelines
confidentiality
client's right to assume that info given to provider will not be disclosed, protected under federal
stature through the Medical Record Confidentiality Act of 1995; pertains to written and verbal info;
requires provider obtain signed medical authorization and consent forms to release medical records
and info when requested by client or another healthcare provider
HIPAA
guarantees clients four fundamental rights: to be educated about privacy protection, to have access
to their own medical records, to request amendment of their health info to which they object, and to
require their permission for disclosure of their personal info
HITECH
health information technology for economic and clinical health act of 2009; incentive payments for
sharing specific EHR data, meaningful use incentives
exceptions to guaranteed confidentiality
when appropriate person or organizations determine that the need for info outweighs principle of
confidentiality, if a client reveals an intent to harm self or others, info given to attorneys involved in
litigation, releasing records to insurance companies, answering court orders, subpoenas, or summons,
meeting state requirements for mandatory reporting of diseases or conditions, Tarasoff principle, in
cases of elder or child abuse
informed consent
communication process between provider and client that results in client's acceptance or rejection of
proposed treatment; right of all competent adults and emancipated minors
emancipated minor
persons younger than 18 who are married, parents, or self-sufficiently living away from the family
domicile
elements of informed consent
must include nature/purpose of tx, risks/benefits of tx, risks/benefits of NOT doing tx, alternative tx,
diagnosis and prognosis. Provider must document in medical record that informed consent has been
obtained from client
justice
doing what is fair; fairness in all aspects of care
