Ch. 2 Role, Scope of Practice and Regulatory Process

Question 1

NP role was introduced in 1965 by _________ and _______

Answer 1

Loretta Ford and Henry Silver, at the University of Colorado

Question 2

True or False: State legislative statutes grant legal authority for NP practice

Answer 2

True

Question 3

confidentiality:

Answer 3

the clients right to assume information given to the healthcare provider will not be disclosed

Question 4

True or False: confidentiality is protected under federal statute through the Medical Record Confidentiality Act of 1995

Answer 4

True

Question 5

HIPAA guarantees clients 4 fundamental:

Answer 5

-to be educated about HIPAA privacy protection
-to have access to their own medical records
-to request amendment of their health information to which they object
-to require their permission for disclosure of their personal information

Question 6

The HITECH Act of 2009:

Answer 6

-incentive payments for sharing specific EHR data
-use incentives

Question 7

True or False: Telehealth does not require provisions for emergency care of the client

Answer 7

False, must include provisions for emergency care

Question 8

Tarasoff principle:

Answer 8

duty to warn potential victim of imminent danger of homicidal clients

Question 9

Emancipated minors:

Answer 9

persons younger than 18 yrs old who are married, parents, or self-sufficiently living away from the family domicile

Question 10

True or False: provider must document in the medical record that informed consent has been obtained from the client

Answer 10

True

Question 11

justice:

Answer 11

doing what is fair; fairness in all aspects of care

Question 12

beneficence:

Answer 12

promoting well-being and doing good

Question 13

nonmalficence

Answer 13

do no harm

Question 14

fidelity:

Answer 14

being true and loyal

Question 15

autonomy:

Answer 15

doing for self

Question 16

veracity:

Answer 16

telling the truth

Question 17

respect:

Answer 17

treating everyone w/ equal respect

Question 18

True or False: The client has a right to refuse treatment unless a legal process resulting in a mandatory court order for treatment has been obtained

Answer 18

True

Question 19

Deontological Theory:

Answer 19

an action is judged as good or bad based on the act itself regardless of the consequences

Question 20

Teleological Theory:

Answer 20

An action is judged as good or bad based on the consequence or outcome

Question 21

Virtue Ethics:

Answer 21

Actions are chosen based on the moral virtues (honesty, courage, compassion, wisdom, gratitude, self-respect) or the character of the person making the decision

Question 22

4 elements of negligence that must be established to prove malpractice:

Answer 22

-duty
-breach of duty
-proximate cause
-damages

Question 23

True or False: competency is a medical concept, not a legal concept

Answer 23

False, it is a legal concept
- a person is considered competent until a court rules them to be incompetent

Question 24

Basic criteria for commitment (4)

Answer 24

-person has a diagnosed psychiatric disorder
-person is harmful to self or others as a consequence of the disorder
-person is unaware/unwilling to accept the nature/severity of the disorder
-treatment is likely to improve functioning

Question 25

Durable power of attorney is legally binding in which states?

Answer 25

All 50 states

Question 26

True or False: a living will is legally binding in all states

Answer 26

False

Question 27

True or False: the majority of homeless families are headed by a single parent, usually a male

Answer 27

False, single parent usually a woman
-teen mothers at high risk due to lack of education and incomes that older parents possess

Question 28

Approximately _____% of homeless people have co-occurring SUD and serious mental illness (bipolar, schizophrenia, depression)
a. 30% b. 40% c. 50% d. 65%

Answer 28

c. 50%

Question 29

True or False: Schizophrenia account for 15 to 45% of the US homeless population

Answer 29

True

Question 30

sexual identity:

Answer 30

how people identify psychologically on a continuum between male and female and to whom they are sexually or affectionately attracted

Question 31

gender identity:

Answer 31

a person’s identity along a continuum between normative constructs of masculinity and femininity

Question 32

gender dysphoria:

Answer 32

formal diagnosis to describe a marked incongruence between one’s experienced and expressed gender and the gender assigned at birth

Question 33

sexual orientation:

Answer 33

the direction of sexual attraction
-asexual, bisexual, heterosexual, homosexual

Question 34

Forensic risk assessment:

Answer 34

protect the public from persons w/ known mental disorders having dangerous, violent, and criminal histories