PMHNP Exam
1.The Nurse Practice Act of every state: -Provides title protection (who may be called a
nurse practitioner)-Defines advanced practice
-Prevailing state laws that define the scope of practice (what NPs may do)
-Places restrictions on practice-Sets NP credentialing requirements (e.g., edu
requirements,certification)
2.Statutory law: -Rules and regulations differ for each state
-May further define scope of practice and practice requirements
-May provide restrictions in practice unique to specific state
3.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
-Advanced practice PMHNP standards are identified in Psychiatric-Mental Health
Nursing: Scope and Standards of Practice
4.Standards of practice: - Authoritative statements regarding the quality and type of
practice that should be provided
-Provide a way to judge the nature of care provided
-Reflect the expectation for the care that should be provided to clients with various
illnesses
-Reflect professional agreement focused on the minimum levels of acceptable
performance
-Can be used to legally describe the standard of care that must be met by a provider
-May be precise protocols that must be followed or more general guidelines
that recommend actions 5. HIPAA: -The first national comprehensive privacy
protection act -Guarantees clients four fundamental rights:
1.To be educated about HIPAA privacy protection,
2.To have access to their own medical records,
3.To request amendment of their health information to which they object,
4.To require their permission for disclosure of their personal information.
6. The Health Information Technology for Economic and Clinical Health Act
(HITECH) of 2009: -Incentive payments for sharing specific EHR data
-Meaningful use incentives
,PMHNP Exam
-EHR can improve both individual and population-based health outcomes.
-EHR can improve quality, safety, efficiency, effectiveness, and outcomes (E-prescribing,
computerized physician order sets, tracking care and avoiding duplication of services)
7. Exceptions to guaranteed confidentiality: -When appropriate persons or organizations
deter-
mine that the need for information outweighs the 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 summonses
-Meeting state requirements for mandatory reporting of diseases or conditions
-Tarasoff principle: Duty to warn a potential victim of imminent danger
of homicidal clients -In cases of child or elder abuse
8. Elements of informed consent: -Nature and purpose of proposed tx or procedure
-Risks or discomforts and benefits of tx
-Risks and benefits of not undergoing tx
-Alternative procedures or tx
-Diagnosis and prognosis
-Provider must document in the medical record that informed consent has been obtained
from the client.
-PMHNP is responsible for ensuring that the client is cognitively
capable of giving informed consent.
9. Ethical principles:
Justice: Doing what is fair; fairness in all aspects of care
10. Ethical principles:
Beneficence: Promoting well-being and doing
good 11. Ethical principles:
Nonmaleficence: Doing no
harm 12. Ethical principles:
Fidelity: Being true and loyal 13.
Ethical principles: Autonomy:
, PMHNP Exam
Doing for self 14. Ethical
principles:
Veracity: Telling the truth
15. Ethical principles:
Respect: Treating everyone with equal respect
16. Nine provisions in the 2015 the American Nurses Association (ANA) publication,
"Code of Ethics for Nurses with Interpretive Statements": 1. Nurse practices with
compassion and respect for inherent dignity, worth, and unique attributes of everyone.
2.Nurse's primary commitment is to client, whether individual, family, group, community,
or population.
3.Nurse promotes, advocates for, and protects the rights, health, and safety of client.
4.Nurse has authority, accountability, and responsibility for nursing practice, makes
decisions, and takes action consistent with obligation to promote health and provide
optimal care.
5.Nurse owes same duties to self as to others: responsibility to promote health and
safety, preserve wholeness of character and integrity, maintain competence, and
continue personal and professional growth.
6.Nurse, through individual and collective effort, estab, maintains, and improves ethical
enviro of work setting and conditions of employment that are conducive to safe, quality
health care.
7.Nurse, in all roles and settings, advances profession through research and scholarly
inquiry, professional standards devel, and generation of both nursing and health policy.
8.Nurse collaborates with other health professionals and public to protect human rights,
promote health diplomacy, and reduce health disparities.
9.Profession of nursing, collectively through its professional organizations, must articulate
nursing values, maintain integrity of profession, and integrate principles of social justice
into nursing and health policy.
17. Malpractice insurance: -Provides financial protection against claims of malpractice
-Coverage for negligent professional acts
-Coverage for highly technical or professional skills required by NPs
-Recommended universally
1.The Nurse Practice Act of every state: -Provides title protection (who may be called a
nurse practitioner)-Defines advanced practice
-Prevailing state laws that define the scope of practice (what NPs may do)
-Places restrictions on practice-Sets NP credentialing requirements (e.g., edu
requirements,certification)
2.Statutory law: -Rules and regulations differ for each state
-May further define scope of practice and practice requirements
-May provide restrictions in practice unique to specific state
3.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
-Advanced practice PMHNP standards are identified in Psychiatric-Mental Health
Nursing: Scope and Standards of Practice
4.Standards of practice: - Authoritative statements regarding the quality and type of
practice that should be provided
-Provide a way to judge the nature of care provided
-Reflect the expectation for the care that should be provided to clients with various
illnesses
-Reflect professional agreement focused on the minimum levels of acceptable
performance
-Can be used to legally describe the standard of care that must be met by a provider
-May be precise protocols that must be followed or more general guidelines
that recommend actions 5. HIPAA: -The first national comprehensive privacy
protection act -Guarantees clients four fundamental rights:
1.To be educated about HIPAA privacy protection,
2.To have access to their own medical records,
3.To request amendment of their health information to which they object,
4.To require their permission for disclosure of their personal information.
6. The Health Information Technology for Economic and Clinical Health Act
(HITECH) of 2009: -Incentive payments for sharing specific EHR data
-Meaningful use incentives
,PMHNP Exam
-EHR can improve both individual and population-based health outcomes.
-EHR can improve quality, safety, efficiency, effectiveness, and outcomes (E-prescribing,
computerized physician order sets, tracking care and avoiding duplication of services)
7. Exceptions to guaranteed confidentiality: -When appropriate persons or organizations
deter-
mine that the need for information outweighs the 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 summonses
-Meeting state requirements for mandatory reporting of diseases or conditions
-Tarasoff principle: Duty to warn a potential victim of imminent danger
of homicidal clients -In cases of child or elder abuse
8. Elements of informed consent: -Nature and purpose of proposed tx or procedure
-Risks or discomforts and benefits of tx
-Risks and benefits of not undergoing tx
-Alternative procedures or tx
-Diagnosis and prognosis
-Provider must document in the medical record that informed consent has been obtained
from the client.
-PMHNP is responsible for ensuring that the client is cognitively
capable of giving informed consent.
9. Ethical principles:
Justice: Doing what is fair; fairness in all aspects of care
10. Ethical principles:
Beneficence: Promoting well-being and doing
good 11. Ethical principles:
Nonmaleficence: Doing no
harm 12. Ethical principles:
Fidelity: Being true and loyal 13.
Ethical principles: Autonomy:
, PMHNP Exam
Doing for self 14. Ethical
principles:
Veracity: Telling the truth
15. Ethical principles:
Respect: Treating everyone with equal respect
16. Nine provisions in the 2015 the American Nurses Association (ANA) publication,
"Code of Ethics for Nurses with Interpretive Statements": 1. Nurse practices with
compassion and respect for inherent dignity, worth, and unique attributes of everyone.
2.Nurse's primary commitment is to client, whether individual, family, group, community,
or population.
3.Nurse promotes, advocates for, and protects the rights, health, and safety of client.
4.Nurse has authority, accountability, and responsibility for nursing practice, makes
decisions, and takes action consistent with obligation to promote health and provide
optimal care.
5.Nurse owes same duties to self as to others: responsibility to promote health and
safety, preserve wholeness of character and integrity, maintain competence, and
continue personal and professional growth.
6.Nurse, through individual and collective effort, estab, maintains, and improves ethical
enviro of work setting and conditions of employment that are conducive to safe, quality
health care.
7.Nurse, in all roles and settings, advances profession through research and scholarly
inquiry, professional standards devel, and generation of both nursing and health policy.
8.Nurse collaborates with other health professionals and public to protect human rights,
promote health diplomacy, and reduce health disparities.
9.Profession of nursing, collectively through its professional organizations, must articulate
nursing values, maintain integrity of profession, and integrate principles of social justice
into nursing and health policy.
17. Malpractice insurance: -Provides financial protection against claims of malpractice
-Coverage for negligent professional acts
-Coverage for highly technical or professional skills required by NPs
-Recommended universally
