PMHNP Chapter 1 (NP Role, Scope, Standards, Regulatory)
State Legislative Statutes - Grants legal authority; are the Nurse Practice Act; provides title
... [Show More] protection, is
the state law that defines sop, defines advanced practice, puts restrictions on practice, sets
credentialing requirements, sets grounds for disciplinary actions, may require a protocol (type of drugs,
supervision)
Statutory Law - rules/regs differ per state
may further define sop & practice requirements
may provide practice restrictions unique to state
Licensure - Process where state grants permission to practice and stops others from legally doing
protected practice
Credentialing - Process that protects public by ensuring minimum competence
Certification - Is a credential that provides title protection, decides sop; process as to how ancc certifies
that np has met specified standards; assures mastery and skills; ANA primary certifying body for psych
nursing.
PROFESSIONAL ROLE RESPONSIBILITIES - Confidentiality
Informed Consent
Ethics
Theoretical Approaches to Ethical Decision Making - Deontological Theory -action good or bad based on
act
Teleological Theory - action good or bad based on consequence
Virtue Ethics - action chosen based on moral virtures (honesty) or character of person deciding
4 Elements of Negligence to Prove Malpractice - Duty - Breach of Duty - Proximate Cause - Damages
PUBLIC HEALTH PRINCIPLES - Prevention: Primary, Secondary, Tertiary
Primary Prevention - Decrease incidence/new cases
e.g.: help pts avoid stressors or cope better
stress mgmt. classes, smoking prevention classes
Secondary Prevention - Decrease prevalence/existing cases
e.g.: early case-finding, screening, fast/effective tx: e.g. hotlines, crisis intervention, disaster response
Tertiary Prevention - Decrease disability/severity
Rehab, avoid complications
e.g.: day tx, case mgmt. for needs, social skills training
ADVANCE DIRECTIVES - Living Will
Durable POA for Health Care
Living Will - Client makes while competent to be used if becomes incompetent
Durable POA = Health Care Proxy - Designates agent to act for pt if pt can no longer make health
decisions
Not limited to terminal illness; includes financial during illness
It is part of relapse planning for chronic psych pts...
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