PMHNP Pocket Prep 5 Ethical and Legal Principles 192 Questions with Verified Answers
Dusky vs. United States - CORRECT ANSWER the 1960 case that
... [Show More] approved a test of competence that seeks to ascertain whether a crinimal defendant has the ability to consult with a lawyer and to rationally understand the proceedings against him or her. This case established competence to stand trial.
Durham vs. United States - CORRECT ANSWER determined that an individual is not criminally responsible if the unlawful act was the product of mental illness. This case is known as for originating the insanity defense.
O'Connor vs. Donaldson - CORRECT ANSWER 1976 case ruled that harmless mentally ill patients cannot be confined against their will if they can survive outside. This case determined that the presence of a mental illness alone cannot justify involuntary hospitalization.
Rennie vs. Klein - CORRECT ANSWER 1979 case that determined that patients have the right to refuse any treatment and use an appeal process.
NP Core Competencies - CORRECT ANSWER Management of the patient's health status
Maintenance of the nurse practitioner-pt relationship
Teaching and coaching
Professional role
Negotiating health care delivery systems
Monitoring quality of care
Providing culturally sensitive care
NP core competencies in teaching and coaching - CORRECT ANSWER Offering health promotion and disease prevention
Using motivational interviewing to direct beh. change
Providing psychoeducation
Risk reduction
Providing psychopharmacological education
Exceptions to patient confidentiality - CORRECT ANSWER If a patient reveals an intent to harm self or others
For attorneys involved in litigation
When records are released to insurance companies
When answering court orders, subpoenas, or summons
When meeting state requirements for mandatory reporting of diseases or conditions
In cases of child or elder abuse
4 Keys issues of...
IOM Crossing the Quality Chasm: A New Health System for the 21st Century - CORRECT ANSWER 1. The complexity of knowledge, skills, interventions, and treatment required to deliver care
2. The increase in chronic conditions
3. An inefficient, disorganized delivery system
4. Challenges to greater implementation of information technology
Emphasized in the...
IOM Crossing the Quality Chasm: A New Health System for the 21st Century - CORRECT ANSWER 1. Need for HCP to actively collaborate
2. Exchange information
3. Make provisions for care coordination
because the needs of any person or population are beyond the expertise of any single health profession.
6 Goals for Quality improvement...
IOM Crossing the Quality Chasm: A New Health System for the 21st Century - CORRECT ANSWER Safe
Effective
Patient=centered
Timely
Efficient
Equitable
Safe - CORRECT ANSWER avoiding injuries to patients from the care intended to help them
Effective - CORRECT ANSWER providing services based on scientific knowledge to all who could benefit, and refraining from providing services to those not likely to benefit
Patient=centered - CORRECT ANSWER providing care that is respectful of and responsive to individual preferences, needs, and values guide all clinical decisions
Timely - CORRECT ANSWER reducing waits and sometimes harmful delays for both those who receive and those who give care
Efficient - CORRECT ANSWER avoiding the waste of equipment, supplies, ideas, and energy
Equitable - CORRECT ANSWER Providing care that does not vary in quality because of personal characteristics such as gender, ethnicity, geographic location, and socioeconomic status
Services covered under Medicaid - CORRECT ANSWER Inpatient medical hospitalizations
Outpatient services
Family planning services
Home health services when there is no local home health agency
Home health aides
Skill nursing facilities services for those age 21 and older
Serves rendered by NPs and nurse midwives
Medical supplies for use in=home
Pregnancy-related services up to 60 days postpartum
Services NOT covered under Medicaid - CORRECT ANSWER Vision care
Eyeglasses
Dental care
Dentures
Hearing exams
Hearing aids
Routine physical exams
Inpatient psychiatric hospitalizations
Insurance benefit - CORRECT ANSWER the amount the insurance company pays when the insured suffers a loss
Insurance claim - CORRECT ANSWER a request to the insurance company to pay benefits for a loss
Pre-approval - CORRECT ANSWER the requirement set forth by an insurance company to approve certain care before it is provided
Denying the claim - CORRECT ANSWER when an insurance company does not pay a bill because of certain required conditions were not met
Forensic risk assessments - CORRECT ANSWER specifically for those with a violent, dangerous, and/or criminal record and often take place in a judicial arena such as jail, prison or court
Psychiatric evaluations - CORRECT ANSWER are considered risk assessments, not forensic risk assessments. Any patient, regardless of their legal history, could be a candidate for a psych eval and risk assessment in the emergency room setting
Aims of a forensic risk assessment - CORRECT ANSWER 1. Providing expert witness advice to an attorney in the court setting
2. Protecting the public from persons having violent, dangerous, or criminal records
3. Providing treatment and assessment in the jail or prison setting
Managed care - CORRECT ANSWER a system where the insurer is not only the payer but also the provider of health care. The insurer monitors how the health care services are utilized and the cost of those services. The insurer agrees to only pay a flat fee for each patient regardless of what services are required, and thus the provider shares in the financial risk. This system incentivizes insurers and clinicians to provide the highest quality care.
Meaningful use - CORRECT ANSWER financial incentives offered by the federal government to encourage hospitals implement effective use of EHRs. Examples include:
1. Electronic prescribing
2. Electronic medication interaction checks
3. Computerized provider order entry
4. Electronic documentation of all patient demographics and vital signs
5. Electronic submission of public health data
Factors facilitating the growth of NPs - CORRECT ANSWER 1. Patient demand for services
2. Patient acceptance of and satisfaction with NPs
3. Decreasing stigmatization of psychiatric illnesses
4. Emphasis on the need for integrated health care services
Factors constraining the growth of the NP role - CORRECT ANSWER 1. Growing competition in the job market
2. Reduction in salary due to NP oversupply
3. Reimbursement struggles with Medicare and private insurance companies
4. Legislative battles for independent practice
5. Mandatory phyician supervision
6. Resistance from powerful medical organizations
48 states
Oklahoma and Florida cannot - CORRECT ANSWER NPs have the legal authority to prescribe controlled substances in how many states?
Level 1: Systematic review of randomized controlled trials or systematic review of nonrandomized trials
Level 2: Single randomized controlled trial or single nonrandomized trial
Level 3: Systematic review of correlational or observational studies
Level 4: Single correlational or observational study
Level 5: Systematic review of descriptive, qualitative, or physiologic studies
Level 6: Single descriptive, qualitative, or physiologic study
Level 7: Opinions of authorities and expert committees - CORRECT ANSWER List evidence hierarchy from strongest to weakest
Intrapreneur - CORRECT ANSWER an employee within an established system who champions, manages, and embeds new products or services within an organization. They have characteristics similar to entrepreneurs, including commitment, motivation, and skills to take on risk and develop something new.
Entrepreneur - CORRECT ANSWER a person who organizes and operates a business
Innovator - CORRECT ANSWER a person who develops new methods, ideas, or products.
Interdisciplinary - CORRECT ANSWER refers to involving a variety of professionals in decision making
Licensure - CORRECT ANSWER a process by which an agency of state government grants permission to individuals to engage in the practice of that profession
Credentialing - CORRECT ANSWER a process used to protect the public by ensuring a minimum level of professional competence
Certification - CORRECT ANSWER a process by which a professional organization certifies that an individual has met certain predetermined standards specified by that specialty practice. The NP's certification determines her scope of practice, and it assures the public that she has mastered a body of knowledge in a particular specialty
Advanced Practice Nurse - CORRECT ANSWER Some states use the umbrella term that refers to NPs, CNS, Nurse midwives, and Nurse anesthetists. NPs differ from APNs in that they offer a wider range of services to a wider portion of the population
Mid-level practitioner - CORRECT ANSWER not an appropriate of all NPs
Caucus - CORRECT ANSWER a group of members of Congress or a political party created to support a defined political ideology
Grassroots lobbying - CORRECT ANSWER occurs when nonpaid individuals contact their legislators to influence policy.
Special interest group - CORRECT ANSWER a collection of individuals who coordinate lobbying effects around a common interest and seek to influence policymakers
Health Information Technology for Economic and Clinical Health (HITECH) Act - CORRECT ANSWER attempts to update the American infrastructure, including the use of EHRs
Conflict resolution - CORRECT ANSWER Directed by a neutral third party who facilitates a "win-win" situation
Medical care - CORRECT ANSWER describes the goods and services that maintain, improve, or restore an individual's physical, social, or mental well-being
Reflective practice - CORRECT ANSWER the purpose of this model or framework is to systematically "make sense" of each experience. The provider links theory to practice which enhances critical thinking to problem-solve and to enhance clinical reasoning and decision-making.
Firearms - CORRECT ANSWER What method do adolescents MOST commonly use to successfully commit suicide?
Drug overdose - CORRECT ANSWER What method do adolescents MOST commonly use to attempt suicide?
Ambulatory practitioner services
PT, OT, ST
Medical equipment
Diagnostic tests
Some preventative care - CORRECT ANSWER Medicare Part B provides coverage for...
1. Cervical and vaginal cancer screening
2. Colorectal cancer screenings
3. Lung cancer screening
4. Prostate cancer screening - CORRECT ANSWER Preventative care covered by Medicare Part B...
Professional role - CORRECT ANSWER Negotiating legislative change is an example of which core competency?
1.Health assessment
2. Health history
3. Physical exam
4. Screening and diagnostic tests
5. Diagnosing
6. Prescribing medications
7. Prescribing other treatment modalities
8. Evaluations care outcomes - CORRECT ANSWER NP core competencies in the management of a patient's health status include...
Seasonal workers - CORRECT ANSWER those who travel from their permanent residences seasonally for agricultural employment
Migrant workers - CORRECT ANSWER leave their permanent residence to take agricultural jobs in different locations
men, women, and children of all cultures - CORRECT ANSWER Migrant and seasonal workers include...
Depression
Anxiety
Substance abuse - CORRECT ANSWER Migrant and seasonal workers have very high incidences of which mental illnesses
Countertransference - CORRECT ANSWER the nurse's emotional reaction to the client based on his or her own experiences
True - CORRECT ANSWER Countertransference can present in the provider as recurrent episodes of anxiety and uneasiness when dealing with a particular client. T/F
Medicare Advantage plan - CORRECT ANSWER created regional PPOs and gave Medicare enrollees the option of enrolling in private insurance plans
Medigap insurance policies - CORRECT ANSWER private policies purchased by individuals to cover some or all of their medical expenses not paid for by Medicare
Medical savings account - CORRECT ANSWER allows individuals to establish tax-free savings funds to finance their medical care
Medicare + Choice - CORRECT ANSWER part of the Balanced Budget Act of 1997 that significantly increased the number of managed care insurance plans available to Medicare recipients.
Medicare Advantage plan in 2003 - CORRECT ANSWER Medicare + Choice was replaced with the...
Loretta Ford and Henry Silver - CORRECT ANSWER Who established the first NP program?
1965 - CORRECT ANSWER What year was the first NP program established?
University of Colorado - CORRECT ANSWER Where was the first NP program established?
Pediatric NPs with a focus on disease prevention and health promotion - CORRECT ANSWER Who did the first NP program educate?
Testamentary capacity - CORRECT ANSWER the level of competence required to make a legally valid will
1. Comprehension of the act of writing and signing the will
2. Knowledge of potential heirs
3. Understanding the extent of one's assets
4. Lack of undue influence
5. The absence of delusions comprising rational thought - CORRECT ANSWER Key elements to establishing a legally valid will...
1. Mental illness
2. Substance use disorders
3. Poverty
4. Unemployment
5. Inadequate public assistance
6. Domestic violence - CORRECT ANSWER Reasons for homelessness...
Justice - CORRECT ANSWER Doing what is fair
Veracity - CORRECT ANSWER Telling the truth
Respect - CORRECT ANSWER Treating everyone with equal respect
Fidelity - CORRECT ANSWER Being true and loyal
Decision #3 of the Team Leadership Model
Assess for conflicts between group members - action to maintain group performance
Assess for unclear goals
Assess for propersupport - CORRECT ANSWER states that the leader should "decide whether it is necessary to intervene internally or externally"
Decision #1 of the Team Leadership Model
Seek out information to understand the team
Analyze information
Interpret information and decide how to act - CORRECT ANSWER states that the leader should "decide whether it is necessary to monitor the team or take action"
Decision #2 of the Team Leadership Model
Performance functions
Task functions - CORRECT ANSWER states that the leader should "intervene to meet the task or relational need"
1. Prevent clear, imminent harm to the patient or others
2. Prevent significant disruption to treatment program or physical surrounds
3. Assist in treatment as part of ongoing behavior therapy
4. Decrease sensory overstimulation
5. Patient's voluntary reasonable request - CORRECT ANSWER Indications for seclusion and restraint
1. Extremely unstable medical or psychiatric condition
2. Delirious or demented patients unable to tolerate decreased stimulation
3. Overtly suicidal patients
4. Patients with severe drug reactions or overdoses who require close monitoring of their drug dosages
5. For punishment or convenience of staff - CORRECT ANSWER Contraindications for seclusion or restraint
Health Care Financing Administration (HCFA) - CORRECT ANSWER What was the original name of the Centers for Medicaid and Medicare Services (CMS)?
Universal coverage - CORRECT ANSWER When the entire population has health insurance coverage
Meaningful use - CORRECT ANSWER the minimum standards for the effective use of electronic health records
1. Improving quality and safety of health care
2. Empowering patients and families
3. Enhancing care coordination
4. Promoting population health
5. Ensuring privacy of health information - CORRECT ANSWER 5 objectives of meaningful use...
50% - CORRECT ANSWER In the US, what percent of the homeless population has co-occurring substance use disorders and serious mental illness?
15% - 45% - CORRECT ANSWER In the US, what percent of the homeless population have schizophrenia?
Hospitalizations (up to 90 days)
Skilled nursing facility (up to 100 days)
Hospice (up the 6 months for terminally ill)
Some home health - CORRECT ANSWER What does Medicare Part A cover?
Optional coverage for beneficiaries who can choose to receive all of their health care services through one of the provider organizations covered under the Medicare Advantage plan - CORRECT ANSWER What does Medicare Part C cover?
Optional coverage for outpatient pharmaceuticals - CORRECT ANSWER What does Medicare Part D cover?
copayment - CORRECT ANSWER the amount that people pay each time they use a particular health care service
deductible - CORRECT ANSWER the amount that people spend before their health care insurance pays for the cost of health care services.
insurance premimum - CORRECT ANSWER the amount charge for insurance coverage, usually paid on a monthly basis by both the employer and the employee
loading charge - CORRECT ANSWER the amount charged by the health insurance company on a renewal premium when people make claims on their policy
Genuineness
Acceptance
Authenticity
Empathy
Respect
Being nonjudgemental
Maintaining professional boundaries
Focused on client's needs
Goal directed
Theory based
Open to supervision - CORRECT ANSWER Characteristics of the therapeutic relationship...
Negotiation - CORRECT ANSWER the act of discussion among two or more people with the goal of reaching an agreement
1. An imminent danger to self
2. An imminent danger to others
3. Unable to care for themselves adequately - CORRECT ANSWER Involuntary admission to a psych hospital is justified when the patient is...
Police power - CORRECT ANSWER (state as protector) allows the state to intervene if the patient is a danger to others
Parens Patriae - CORRECT ANSWER (state as parent) allows the state to intervene and act as a surrogate parent for those who are unable to care for themselves or who may harm themselves
205,000 - CORRECT ANSWER How many NPs practice today in the US?
About 1% - CORRECT ANSWER In the US, autism spectrum disorder has a prevalence rate of what percent of the population?
Independently licensed practitioner - CORRECT ANSWER Which term appropriately describes a NP?
39 states - CORRECT ANSWER In how many states do NPs have the legal authority to ADMINISTER controlled substances?
Alcohol - CORRECT ANSWER In almost all cultures, what is the MOST commonly used intoxicating substance?
Nursing science - CORRECT ANSWER the domain of knowledge concerned with the adaptation of individuals and groups to actual or potential health problems, the environments that influence health in humans, and the therapeutic interventions that promote health and affect the consequences of illness
Medical science - CORRECT ANSWER emphasizes the concepts of diagnosis and treatment of disease
Natural science - CORRECT ANSWER encompasses the study of the laws of nature and the physical world
Pure science - CORRECT ANSWER refers to seeking and discovering new knowledge. Nursing science is an example of a pure science
culture-bound syndromes - CORRECT ANSWER clusters of symptoms that tend to co-occur among individuals in a specific culture
culture concepts of distress - CORRECT ANSWER the way a cultural group understands behavioral or emotional problems
Cultural idioms - CORRECT ANSWER terms that provide shared ways of experiencing suffering and do not describe a specific disorder
cultural explanations - CORRECT ANSWER labels, attributions, or features of a culturally recognized etiology for distress
preventative factors - CORRECT ANSWER those that protect a person from developing a psych condition
-without a history of mental illness in the family
-healthy nutritional status
-good general health - CORRECT ANSWER biological preventative factors include...
-good self-esteem
-good self-concept
-internal locus of control
-healthy ego defenses - CORRECT ANSWER psychological preventative factors include...
-low-stress occupation
-higher socioeconomic status
-higher level of education - CORRECT ANSWER social preventative factors include...
Low-income children
Low-income pregnant women
Elderly and disabled individuals who qualify for the Supplemental Security Income Program - CORRECT ANSWER Those eligible for Medicaid include the following...
Elderly age 65 and older having worked 40 quarters and paid Medicare taxes
Certain younger individuals with disabilities
Individuals with end-stage renal disease
Individuals in need of a kidney transplant
Individuals receiving Social Security Disability and who have amyotrophic lateral sclerosis - CORRECT ANSWER Those eligible for Medicare include the following...
Influenza and pneumonia - CORRECT ANSWER Which vaccinations are covered under Medicare Part B?
Pap smears
Mammography
Screening for colorectal cancer
Screening for prostate cancer
Screening for cardiovascular disease
Screening for diabetes
Glaucoma screening
Influenza
Pneumonia - CORRECT ANSWER Medicare Part B covered preventative services
1. Defines the NP's roles and actions
2. Identifies competencies assumed to be held by all NPs who function in a particular role
3. Has broad variation from state to state due to outdated legislation - CORRECT ANSWER NP Scope of practice...
1. Give authoritative statements regarding the quality and type of practice that should be provided
2. Offer a way to judge the nature of care provided
3. Reflect the expectation for the care that should be provided to patients
4. Reflect professional agreement focused on the minimum levels of acceptable performance
5. Can be used to legally describe the standard of care
6. May be either precise or general guidelines
7. Reflect one guideline applicable to all PMHNP regardless of their practice location - CORRECT ANSWER NP Standards of Practice
Dereliction of duty directly caused damage (the four Ds)
-The NP owed the plaintiff a duty
-The NP's conduct fell below the standard of care
-The NP's conduct caused the plaintiff injury
Evidence must be greater than 50% - CORRECT ANSWER In medical malpractice cases, the plaintiff must establish what?
systematic needs assessment of the organization - CORRECT ANSWER The first step in beginning a system change project is to conduct a ...
1. Contact the party at risk
2. Notify the police
3. Take appropriate action to protect the party at risk - CORRECT ANSWER When a patient threatens to harm someone, your course of action should follow these steps:
Needs
Interests
Values - CORRECT ANSWER Conflict occurs when a person believes his __________, ___________, or ___________ are incompatible with those of others...usually due to differing viewpoints
Dissemination - CORRECT ANSWER publication in peer-reviewed journals and professional newsletters at the local, regional, and national levels
1. Be careful about establishing a patient-provider relationship.
2. Know the standard of care and practice within it.
3. Follow the practice and protocols adopted by the office or agency and follow them.
4. When in doubt, take a conservative approach
5. Rule out the worst diagnosis early on
6. Know the limits of training and expertise
7. Follow-up - CORRECT ANSWER Ways to prevent medical malpractice suits...
Medicare Prescription Drug Improvement and Modernization Act of 2003 - This legislation replaced Medicare + Choice with Medicare Advantage - CORRECT ANSWER Which piece of legislation established the prescription drug coverage (Part D) option under Medicare?
The Technology Informatics Guiding Education Reform (TIGER) - CORRECT ANSWER initiative that developed a 10-year plan for nursing's path toward computer and information literacy
HIPAA
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 - CORRECT ANSWER What federal statute protects a patient's right to confidentiality?
Prostate, breast, cervical, and colorectal - CORRECT ANSWER Medicare Part B provides coverage for which four cancer screenings?
Privilege - CORRECT ANSWER the patient's right to prevent disclosure of confidential information in judicial hearings
Nonmaleficence - CORRECT ANSWER the principle of bioethics that asserts an obligation not to inflict harm intentionally
Beneficence - CORRECT ANSWER an action done for the benefit of others
Confidentiality - CORRECT ANSWER refers to the NP's responsibility to not release patient information learned in the course of treatment to third parties
To limit patients' choice of which health care provider they can see for treatment - CORRECT ANSWER What is the primary goal of the American Medical Association's Scope of Practice Partnership (SOPP) initiative?
Patients' Access to Responsible Care Alliance (PARCA) - CORRECT ANSWER group of 35 non-physician organizations who aims to provide federal policymakers with more accurate information from all health care disciplines and are committed to ensuring patients have a choice of providers
1. Nurses should practice to the full extent of their education
2. Nurses should seek higher levels of education through seamless academic progression
3. Nurses should be full and equal partners with physicians
4. To improve the quality of health care, nurses need an improved information infrastructure - CORRECT ANSWER IOM's The Future of Nursing: Leading Change, Advancing Health developed 4 key messages
1. Cover physical, mental, and terminal illnesses
2. Assist the chronically mentally ill patient during times of relapse and when their mental judgement is impaired - CORRECT ANSWER A durable power of attorney can...
Living will - CORRECT ANSWER prepared while the client is mentally competent so that the client's health care wishes can be carried out in times of incapacitation
durable power of attorney - CORRECT ANSWER a legal document indicating clients' health care wishes for times when they are unable to make decisions for themselves
Research critique, synthesizing and applying the findings, and measuring the outcomes - CORRECT ANSWER Research utilization involves what processes?
1. Bargain with medical practices for reduced rates on visits
2. Enroll employees by offering premiums that cost less than those of traditional insurers
3. Decrease the number of emergency room visits
4. Decrease the number of hospital stays
5. Decrease a patient's length of stay in the hospital - CORRECT ANSWER How do managed care organizations control health care costs?
1. Risks to participants are minimized
2. Participant selection is equitable
3. Adverse events are reported
4. Risks and benefits are evaluated
5. Informed consent is obtained and documented
6. Data safety monitoring plans are implemented with indicated - CORRECT ANSWER Institutional Review Boards ensure that...
the performance of its components - CORRECT ANSWER From a systems perspective, the goal is to optimize rather than maximize what?
1. Serving as a patient advocate
2. Implementing information technology
3. Using interdisciplinary collaboration
4. Working within and across organizations to improve health care
5. Practicing ethically
6. Showing leadership
7. Undertaking professional development
8. Participating in policymaking - CORRECT ANSWER Professional role core competencies include...
Tarasoff vs. Regents of University of California - CORRECT ANSWER What legal precedent guides the NP's duty to warn?
1. Teaching patients about interventions and ways to cope with specific life-stressors
2. Validating "normalcy" of feelings and ensuring patients that they are not "crazy"
3. Helping patients recognize and identify their feeling and behaviors
4. Helping patients identify resources in their community - CORRECT ANSWER Examples of mental health promotion and education...
Case management - CORRECT ANSWER involves coordinating care across treatment settings to ensure quality outcomes
Outreach
Integrated care
Supportive services in housing
Prevention - CORRECT ANSWER Strategies for reducing homelessness include...
Outreach - CORRECT ANSWER introducing services to homeless persons with serious MI in various settings; building and empathetic, consistent, and caring relationship to provide treatment
Integrated care - CORRECT ANSWER Treatment combining mental health and medical care to improve overall functioning in the community. Can do this by providing co-location of mental health and primary care at a single site.
Supportive services in housing - CORRECT ANSWER moving homeless with MI directly to independent housing with support and intensive attention
Prevention - CORRECT ANSWER beginning with discharge planning in inpatient settings, provide resources for mental health care, housing, transitioning service, and follow-up
The patient's attorney and members of the clegy - CORRECT ANSWER Who is granted unrestricted visitation rights with a patient who is psychiatrically hospitalized?
Medicaid - CORRECT ANSWER Which federal insurance program is funded by both federal and states taxes?
a single parent who is usually female - CORRECT ANSWER The majority of homeless families are headed by:
Crossing the Quality Chasm: A New Health System for the 21st Century - CORRECT ANSWER The evidence-based practice movement gained popularity in 2001 when the IOM published which groundbreaking report?
85% - Iowa is the only state where NPs bill at 100% the allowable physician rate - CORRECT ANSWER In almost every state, NP's are reimbursed at what percentage of the allowable physician rate?
Computer and information literacy - CORRECT ANSWER What nursing skill did the TIGER initiative seek to improve?
Informatics researchers - CORRECT ANSWER those who develop methods in areas such as data mining, text processing, human interface design, decision support, and other tools for data analysis
Vietnamese: "Hit by the wind"
Latin Americans: "Attack of the nerves"
Cambodians: "Soul loss" - CORRECT ANSWER Cultures across the world describe panic attacks using different phrases or terms:
when the scope of practice is defined by a statute - CORRECT ANSWER When is a NP's scope of practice legally the MOST secure?
Inquiring system - CORRECT ANSWER What is the name for a system capable of facilitating learning and organizational change?
Pheochromocytoma produce symptoms such as flushing, trembling, and tachycardia - CORRECT ANSWER What medical condition should be considered in a differential diagnosis of panic disorder?
Hyperthyroidism
Hyperparathyroidism
Cardiac arrythmias - CORRECT ANSWER Other medical conditions that mimic panic disorder include:
Gag rule - CORRECT ANSWER prohibits NPs in a managed care setting from discussing alternative treatment options not covered by the insurance plan. NPs are also prohibited from providing information on the limitations of the plan or commenting negatively about the plan to patients
health alliance - CORRECT ANSWER a public agency that uses its bargaining power to negotiate competitive prices for health insurance from the private insurance market.
special interest agency - CORRECT ANSWER a group of people seeking or receiving special advantages through political lobbying
political action committee - CORRECT ANSWER an organization that raises money privately to influence elections or legislation, especially at the federal level.
The Future of Nursing: Leading Change, Advancing Health - CORRECT ANSWER Which report published by the IOM considered obstacles that all nurses encounter as they provide quality health care in the US
process
policy reform
policy environment
policymakers - CORRECT ANSWER What are the four forms of health policy?
Process - CORRECT ANSWER the formulation, implementation, and evaluation of policy
Policy reform - CORRECT ANSWER the act of changing programs and practices
Policy environment - CORRECT ANSWER refers to the process taking place in the government, media, and public forums
Policymakers - CORRECT ANSWER Key players and stakeholders involved in policy making
Loss of a close, affectionate relationship - CORRECT ANSWER As many as 50% of all alcohol-dependent suicide victims have experienced which of the following in the previous year
1. Achieve adoption and information exchange through the meaning use of health information technology (HIT)
2. Improve care, improve population health, and reduce health care costs through the use of HIT
3. Inspire confidence and trust in HIT
4. Empower individuals with HIT to improve their health and the health care system
5. Achieve rapid learning and technological advancement - CORRECT ANSWER What are the 5 goals on the HITECH Act?
Office of the National Coordinator for Health Information Technology (ONC) - CORRECT ANSWER What federal entity is responsible for accomplishing the goals of the HITECH Act?
direct patient care - CORRECT ANSWER What is an example of a microsystem?
hospitals
skilled nursing facilities
clinics - CORRECT ANSWER What are examples of a macrosystem?
American health care system - CORRECT ANSWER What is an example of a Megasystem?
economic, political, and social level of society - CORRECT ANSWER What are examples of a Metasystem?
True - CORRECT ANSWER In reflective practice, the provider is encouraged to tell a story about themselves and/or others in order to gain insight into practice. T/F
Information literacy - CORRECT ANSWER the ability to identify information needed for a specific purpose, to locate pertinent information, evaluate the information, and apply it correctly
Information technology - CORRECT ANSWER the use of hardware and software for the processing, storage, and retrieval of information.
Health care informatics - CORRECT ANSWER the integration of computer science, information science, and health care
Hardware - CORRECT ANSWER a physical technological object such as disks, disk drives, display screens, keyboards, printers, boards, and chips
Software - CORRECT ANSWER anything that can be stored electronically, such as a word processing program, spreadsheets, and database management systems
staff training
Usability
workflow changes
altered patient-provider interaction
clinician resistance to change - CORRECT ANSWER Barriers to the implementation of meaningful use include:
The Food and Drug Administration (FDA)
-protects consumers from the risks associated with drug purchases
-approve new drugs before they can be sold
-determine which drugs should be assigned over-the-counter or prescription status - CORRECT ANSWER Which federal agency regulates the introduction of new drugs in the US?
24.2% - CORRECT ANSWER What percent of US citizens carry federal (either Medicare or Medicaid) insurance? [Show Less]