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NRNP 6675 Final Exam

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NRNP 6675 Final Exam

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NRNP 6675 Final Exam




which of the following is not a core competency of APRN'S? - ANSWER Delegated
Practice is not a core competency of the APRN. The nurse practitioner may delegate
individual tasks but not the practice. The APRN must demonstrate competency in
technology and information literacy health delivery systems ethical principles and
decision-making.

Which of the following is characteristic of the leadership competency for APRN's? -
ANSWER Participating in a community focused program that promotes mental
health exemplifies a leadership competency. Evaluating the appropriate use of
seclusion and restraints, developing an age-appropriate treatment plan, and
modifying the treatment plan based on clients' needs are clinical competencies.

All of the following are characteristics of the independent practice competency
except: - ANSWER Taking opportunities to influence health policy and reduce
stigma of mental health services exemplifies health policy competency. Considering
differential diagnoses, conducting psychotherapy and implementing plans to
minimize comorbidity are examples of practicing with full practice authority at the top
of the professional license.

A state's Nurse Practice Act specifies all of the following except: - ANSWER The
state Nurse Practice Act does not provide oversight of services and benefits
provided to the patient. It does define who may use the title and the work of the
nurse practitioner as well as restrict the practice of the professional.

Which of the following may govern the profession of the PMHNP? - ANSWER
Statutory laws govern the practice of a profession. the U.S Constitution,
certifications, and city ordinances do not address professional practices.

Which of the following factors are facilitating the growth of the PMHNP? - ANSWER
Decreased stigmatization regarding mental health enhances the growth of the
profession. Increased competition, overlapping scope of practice, and mandated
collaborative practice relationships restrict the growth of the profession.

Why is it necessary for insurance companies to credential PMHNP'S? - ANSWER
The purpose of credentialing is to ensure public safety and a minimum level of
professional competence: this helps reduce vicarious liability on insurance
companies. Insurance companies do not define the scope of practice: they have
nothing to do with professional organizations who grant certification. State governing
bodies define the role of the nurse practitioner.

which of the following allows the PMHNP to practice in a state? - ANSWER
Certification allows a professional to practice their profession in a state. Certification

, designates successful completion of a course of study. Credentialing is a process
that verifies minimum levels of professional competency to ensure public safety.
Graduation is ceremony offered by an education institution in accordance with
established criteria of completion.

All of the following statements are true regarding scope of practice except: -
ANSWER The cope of practice defines the nurse practitioner role and actions,
identifies minimal competencies held by all nurse practitioners, and varies broadly
from state to state. It does not provide a way to judge the nature of care provided.

All of the following statements are true regarding standards of practice except: -
ANSWER Standards of practice reflect the professional agreement that focuses on
the minimum levels of acceptable performance, a means of judging the nature of
care provided, and can be used legally to describe the standard of care that must be
met by a provider. it does not identify competencies held by all nurse practitioners as
that is provided in the scope of practice.

All of the following are considered personal health identifiers except: - ANSWER
Personal health identifiers include name, address, and phone number. Patient
diagnosis is not considered a personal health identifier.

Unless the patient provides consent for releasing information, the health information
Portability and Accountability Act (HIPAA) Prohibits the disclosure of personal health
identifiers to all of the following except: - ANSWER The patient must consent to the
release of personal health identifiers to next of kin, clergy and an attorney. Patient
consent is not required to release personal health identifiers to a patient's health
insurance company.

All of the following circumstances would allow the release of medical information
without the patients consent except: - ANSWER Medical information may be
released to parties needing to know to prevent harm to self or others, arranging for
payment from health insurance company, and in response to court subpoenas or
summonses. the patient must consent to release medical information to the next of
kin helping to make health care decisions.

A PMHNP is asked to determine if the patient has the capacity for informed consent.
All of the following elements are necessary for making this determination except: -
ANSWER The following elements must be considered when asked to determine
capacity for informed consent: the patients understanding of the purpose of the
proposed treatment, the risks and discomforts, benefits and alternatives to the
intended procedure. the therapeutic alliance with the surgeon is not essential for a
capacity decision.

Which of the following ethical principles deals with promoting the well being of a
paitent? - ANSWER The principle of beneficence is that of doing good for the
patient. Justice is the principle of equity. Nonmaleficense is the principle of first doing
no harm. Autonomy is the principle of respecting the individual's right to self-
determination.

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