PMHNP CC PART 5 Flashcards
What determines the Scope of Practice for Nurse Practitioners?
State legislative statutes (State Board of Nursing)
Defines NP roles and actions, which vary widely from state to state.
Who determines the Standard of Practice in nursing?
The ANA (American Nurses Association)
It relates to the quality of care and provides a means to evaluate the nature of care delivered.
What is the definition of Confidentiality in healthcare?
Clients have the right to expect that information provided to the healthcare provider will remain private
Informed consent is required before releasing information.
Fill in the blank: Disclosing patient information to a pharmacy without _______ constitutes a breach of confidentiality.
informed consent
Informed consent is crucial before sharing patient information.
List some exceptions to Confidentiality.
- When benefits of releasing information outweigh risks
- Intent to harm oneself or others
- Court orders, subpoenas, summonses
- Disclosures to attorneys involved in litigation
- Insurance company requirements
- Mandated state reporting
These exceptions allow for specific circumstances where confidentiality may be breached.
What is Informed Consent?
A communication process between the provider and patient that leads to an agreement on the course of treatment
It ensures that patients understand the benefits and risks of their treatment.
What ethical principle involves committing to fairness in all aspects of patient care?
Justice
An example includes not excluding an individual from a medication trial solely based on financial status.
What does Nonmaleficence mean in healthcare ethics?
Abstaining from causing harm
An example is discontinuing a medication that may be harmful to the patient.
What is Beneficence?
Encouraging well-being and performing good deeds
For instance, prescribing antidepressants to a patient suffering from depression exemplifies beneficence.
What is the ethical principle of Fidelity?
Maintaining faithfulness and loyalty
This includes fulfilling the patient’s legitimate expectations of role fidelity.
What does Veracity mean in the context of healthcare ethics?
Upholding the truth
It is essential for building trust between patients and healthcare providers.
What are the Patient’s Rights?
- The right to the least restrictive environment
- The right to informed consent
- The right to confidentiality
These rights ensure that patients are treated with respect and dignity.
In the scenario provided, which patient right may have been breached?
Confidentiality
The PMHNP electronically sent the prescription without ensuring confidentiality.
What does SBIRT stand for?
Screening Brief Intervention to Treatment
It is a comprehensive, evidence-based approach used to identify and manage patients with substance use disorders.
What instrument screens for substance use disorders?
CAGE Questionnaire
AUDIT score and Drug Abuse Screening Test (DAST) are also used.
What is Patient Advocacy in nursing?
Ensuring that the patient’s autonomy and self-determination are honored
Advocates prioritize the patient’s best interests while respecting the family’s perspective.
What is a Just Culture of Care?
A culture committed to continual learning and designing safe systems while managing behavioral choices
It emphasizes patient safety and learning from errors.
What is the Recovery Module in mental health?
A therapeutic approach that prioritizes resilience and management of life’s challenges rather than complete symptom elimination
It focuses on individual-centered care and recognizes recovery as a non-linear process.
What are the components of Quality Improvement?
- Process: Formulation, Implementation, and Evaluation (FIE)
- Policy Reform: Changes in Programs and Practices
- Policy Environment: Where the Processes Take Place
- Policy Makers: Key Players and Stakeholders
These components guide the improvement of healthcare systems.
What is Case Management?
A type of care delivery that considers patient and provider satisfaction as well as cost considerations
It enhances clients’ self-care and promotes cost-effective use of resources.
What does Habeas Corpus ensure in psychiatry?
Protection against unlawful and indefinite incarceration
It is a legal principle that safeguards individual freedom.
What does the Tarasoff Principle mandate?
A duty to warn a potential victim of imminent danger from homicidal clients
It may involve notifying authorities or following state board of nursing policies.
What is the Anti-Kickback Statute?
A set of laws designed to prevent illegal kickbacks or bribes in healthcare
Violations can result in severe penalties, including fines and imprisonment.
What are the stages of Piaget’s theory of cognitive development?
- Pre-Operational stage: 2-7 years old
- Formal operational: 12 years old – adult
These stages outline how children’s cognitive abilities develop over time.
What is the Industry vs. Inferiority stage in Erikson’s theory?
A stage where school-age children develop a sense of competency and achievement
Unfavorable outcomes may lead to a feeling of inferiority.
What is the most likely diagnosis for a patient showing increasing forgetfulness and decreased activity with no abnormalities found?
Depression
Symptoms can often mimic cognitive decline, but underlying mood disorders should be considered.
What action should be taken when a patient reports a suicidal threat from their spouse?
Contact the police and notify them of the husband’s suicidal threat and location
Immediate action is crucial in preventing potential harm.
Which patient is at higher risk of suicide?
A 68-year-old single Caucasian male with depression
Age and mental health history are significant risk factors.
