PMHNP Professional Role and Policy 50 Questions with Verified Answers
Which community-based program is a tertiary level intervention?
A. educational
... [Show More] sessions at the local community mental health center.
B. national association of mental illness meetings that provide education and support.
C. Partial hospitalization program that provides intensive group therapy for rehabilitation.
D. 12 step organization support meetings, i.e. AA - CORRECT ANSWER C. Partial hospitalization program that provides intensive group therapy for rehabilitation.
Utilitarianism - CORRECT ANSWER Healthcare resources are allocated so that the best is done for the greatest number of people
The NP had a claims made liability insurance policy in place in 2008, but allows the primary policy to lapse during 2009 when he/she is no longer in practice. In 2010, a malpractice claim is filed against the NP based on a clinical encounter in 2008.
True or False: This claim would not fall within the coverage of a claims made policy unless an uninterrupted tail insurance policy is effect? - CORRECT ANSWER True: A claims made policy covers the NP only if the injury occurs within the policy period, and if the claim is filed during the period the policy is in effect or when an uninterrupted tail insurance policy is in effect.
True or False: The NP certification exam will contain a number of questions about my state's NP practice act. - CORRECT ANSWER False, State NP practice acts differ significantly in a number of ways.
True or False: Once I am certified, I can practice as a nurse practitioner. - CORRECT ANSWER False, In nearly all states, achievement of national certification is one of a number of requirements to obtain a license as a nurse practitioner. NP licensure is handled at the state level through the board of nursing. Information about the NP practice act in your state can be obtained by contacting your state board of nursing.
True or False: The charge of the State Board of Nursing is to ensure public safety. - CORRECT ANSWER True
The Consensus Model for Future Regulation of APRN practice describes four essential components
LACE: - CORRECT ANSWER 1) Licensure
2) Accreditation
3) Certification
4) Education
-Based on what is legally allowable in each state under its Nurse Practice Act
- Provides guidelines vs. specific mandates for nursing practice
- Is NOT mandated
- Varies widely from state to state - CORRECT ANSWER Scope of Practice
As an advocate for the client, the nurse must make sure that "safe, effective care" is given in conformity with the ___________Act. Is this a law? what kind? - CORRECT ANSWER Nurse Practice Act
Which is a statutory law.
Advanced Practice Registered Nurse (APRN) - CORRECT ANSWER -Completion of accredited graduate level education
- Passed national certification examination
- Acquired advanced clinical knowledge and skills to provide direct care
- Practice and skills build upon the competencies of a Registered Nurse (greater synthesis of data, increased complexity of skills and greater role autonomy)
- Educationally prepared to assume responsibility and accountability for direct and indirect patient care (assessment, diagnosis, management, and prescriptive authority)
- Clinical experience reflects licensure
- Obtained licensure in one of the four APRN roles: CRNA, CNM, CNS, CNP
True or False: APRNs can sign a "Death Certificate" - CORRECT ANSWER False, only a physician
Non-Maleficence - CORRECT ANSWER Requirement that the provider do no harm, with or without intention.
Usually viewed as result of benefience (obligation to help people in need)
Clinical Practice Guidelines/Protocols - CORRECT ANSWER Systematically developed statements to assist practitioner and patient about appropriate care for specific clinical outcomes
Prescriptive Authority - CORRECT ANSWER NPs have authority to write pharmacological prescriptions, and also for medical devices - independent of a physician's signature
Collaborative Practice Agreements - CORRECT ANSWER A written agreement between a supervising physician and NP outlining the NP's role and responsibility to the clinical practice. A copy of this agreement must be kept at the NP's practice setting and mailed to the state board of nursing. Most states require an annual review of the agreement that contains signatures of the individuals involved and dates.
__________ is a legal requirement to practice as an NP. It is obtained through a governmental entity, the SBON. The NP must meet the minimal educational and clinical requirements in order to become ________. - CORRECT ANSWER Licensure
_______ is generally a "voluntary" process and is done through a nongovernmental entity such as a professional nursing association or specialty organization. The majority of states in the United States now mandate this as a condition to obtain licensure. - CORRECT ANSWER Certification
Professional designations such as RN or NP, advanced registered nurse practitioner [ARNP], and advanced practice registered nurse [APRN]) are protected by law. It is illegal for any person to use these titles without a valid license. ___________ is mandated by the state nurse practice act. _________ protects the public from unlicensed "nurses." - CORRECT ANSWER Title Protection
__________ is enacted into law by the state legislature. Therefore the NP's legal right to practice is derived from the state legislature. Each state has its own ________ that contains regulations that dictate the educational requirements, responsibilities, and the scope of practice for NPs and for other nurses (e.g., RNs, licensed practical nurses, midwives, etc.) who practice in the state. NP practice is not regulated by the federal government, the AMA, or the DHHS. - CORRECT ANSWER State Nurse Practice Act
__________ is responsible for enforcing the state's nurse practice act. The __________ is a formal governmental agency that has the statutory authority to regulate nursing practice. The ________ has the legal authority to license, monitor, and discipline nurses. The _________ is also authorized to revoke a nurse's license (after formal hearings). - CORRECT ANSWER State Board of Nursing
The PMH-NP is responsible for initiating a quality improvement at a community mental health clinic. The effective strategy for evaluating the clinics service it to.
A. analyze the data from epidemiological studies
B. conduct a root cause analysis.
C. interview patient families
D. use a survey to elicit patient satisfaction responses. - CORRECT ANSWER D. Use a survey to elicit patient satisfaction responses.
Any court of law that evaluates the standards of care provided by a psychiatric-mental health nurse practitioner.
A. compares the actions to the standards of care provided by a psychiatrist.
B. considers what a reasonably prudent health care provider would do.
C. evaluates patient satisfaction data.
D. review the nurse practitioner's charts for similar patients. - CORRECT ANSWER B. Considers what a reasonably prudent health care provider would do.
Autonomy - CORRECT ANSWER The right of a competent person to choose a personal plan of life & action by exercising the rights of independence and freedom.
(unless it interferes with others, i.e. a TB pt can not refuse treatment, it would pose a threat to the public)
Seatbelt campaign is an example of ___________ prevention? - CORRECT ANSWER Primary, includes measures to promote health prior to onset of any recognizable problems.
What does Medicare Part A cover? - CORRECT ANSWER Coverage for hospitalization (up to 90 days)
SNF (up to 100 days)
Hospice (up to 6 months of terminal illness)
Some home healthcare
True or False Family planning is not covered under madicaid? - CORRECT ANSWER False, Medicaid covers; family planning, out pt. services, in pt. medical hospitalization, home health services (when there is no local home health agency), home health aids, SNF for 21 yrs and older, services rendered by NPs, in-home medical supplies, pregnancy services and up to 60 days post-partum.
True or False Eye exam and eye glasses are covered under medicaid? - CORRECT ANSWER False, Medicaid does NOT cover; vision, eye glasses, dental, dentures, hearing test, hearing aids, routine physical exams, in-pt. psych hospitalization.
Beneficence - CORRECT ANSWER Obligation to help people in need.
The PMHNP is concerned about access to care issues in the local community and wants to help develop health care policy to help patients access care more effectively. The NP knows one of the most effective avenues for developing and advocating for policy is:
A. asking the clinic manager to explore options for access.
B. organizing a political protest.
C. working with the local chapter of the nurse's professional association.
D. writing letters to the editor of the local newspaper - CORRECT ANSWER C. working with the local chapter of the nurse's professional association.
What is covered under Medicare Part B? - CORRECT ANSWER Ambulatory practitioner services; PT, OT, ST, medical equipment, diagnostic test, some preventive care.
The clients right to refuse treatment is an example of _________ laws? - CORRECT ANSWER Civil
IOM defines Equitable as? - CORRECT ANSWER Providing care that does not vary in quality because of personal characteristics such as; gender, ethnicity, geographic location, or socioeconomics.
IOM defines Efficient as? - CORRECT ANSWER Avoiding the waste of equipment, supplies, ideas and energy.
The PMH-NP is in a newly created attending role on a psychiatric inpatient unit. To promote an interprofessional environment, the nurse practitioner:
A. discusses the resistance directly with the physicians.
B. assigns a role for all staff members in improving patient outcomes.
C. educates staff members on the role a a PMHNP.
D. works with the nurse manager to organize all levels of nursing staff. - CORRECT ANSWER B. assigns a role for all staff members in improving patient outcomes.
IOM defines Patient-Centered Care as? - CORRECT ANSWER Care that is respectful of and responsive to individual patient preferences, needs, and values and ensuring that patients values guide all clinical decisions.
What are the 6 aims, or domains of health care quality as established by the Institute of Medicine (IOM) - CORRECT ANSWER Equitable, Patient-centered care, efficient, safe, timely, effective.
What are the 6 principles of ethical behavior in the nurse leader's role? - CORRECT ANSWER respect for person, beneficence, non-maleficence, justice, veracity, and fidelity.
True or False: An occurrence basis policy covers injuries that occurred while the policy was active, regardless of whether the policy was renewed or is in effect. - CORRECT ANSWER True
The PMHNP is tasked with continually improving the quality of care on an inpatient unit. The NP implements:
A. chart review analysis.
B. a root cause analysis.
C. a plan-do-study-act process
D. failure effect mode analysis. - CORRECT ANSWER C. a plan-do-study-act process
To improve treatment and patient outcomes, the psychiatric-mental health nurse practitioner utilizes evidence-based practices. An acceptable resource for evidence-based meta analysis is the:
A. Cochrane database
B. Medscape database.
C. PubMed database
D. WebMD database - CORRECT ANSWER A. Cochrane database
Culturally Responsive: - CORRECT ANSWER Being cognizant of patients' norms, beliefs, language, and behaviors that not only shape the meaning of their health but also their health-seeking and health-related behaviors.
True or False: The culturally responsive practitioner engages in a dynamic, respectful, and reciprocal dialogue with each person irrespective of their race, ethnicity, gender, social position, sexual orientation, immigration status, and educational level. - CORRECT ANSWER True
Direct Care - CORRECT ANSWER Nursing care provided to individuals or families that is intended to achieve specific health goals or achieve selected health outcomes, it may be provided in a wide range of settings, including acute and critical care, long term care, home health, community-based settings, and educational settings
Indirect Care - CORRECT ANSWER Treatments or services related to the patient, that dose not require interaction between the health care provider and the patient. Examples include charting and scheduling.
"Just Culture" - CORRECT ANSWER A phrase used to recognizes that competent professionals make mistakes and acknowledges that even competent professionals will develop unhealthy norms but has zero tolerance for reckless behavior.
Quality Improvement (QI) - CORRECT ANSWER Systematic and continuous actions that lead to measurable improvement in health care services and the health status of targeted patient groups.
Which IOM, quality improvement health care, goal can be described as; providing care that does not vary in quality because of personal characteristics?
A. Effective
B. Efficient
C. Patient-Centered
D. Equitable - CORRECT ANSWER D. Equitable
Which of the following activities indicates that the NP is engaging in health policy?
A. Lecturing and presenting at a national conference.
B. Managing conflicts between colleagues.
C. Working with the media to bring awareness to end the stigma associated with mental health.
D. Supporting a junior colleague in the development of their health assessment skills. - CORRECT ANSWER C. Working with the media to bring awareness to end the stigma associated with mental health.
Which moral duty does the NP leader uphold when they tell the truth?
A. Justice
B. Respect
C. Fidelity
D. Veracity - CORRECT ANSWER D. Veracity
True or False: NPs have a legal and ethical responsibility to serve as patient advocates, and they should participate in local, state, national, and international health policy activities and fight for patients' rights. - CORRECT ANSWER True [Show Less]