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Board Certification 2 (Purple book) > Scope of practice and regulations > Flashcards

Scope of practice and regulations Flashcards

1
Q

Nurse Practitioner core competencies

A 
Scientific Foundations
Leadership
Quality
Practice Inquiry 
Technology and Information Literacy 
Policy
Health Delivery System
Ethics 
Independent Practice
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2
Q

The nurse practitioner advanced practice specialized competencies

A

The specialty competencies are designed for entry level psych NPs.

They are meant to be used along side the NP core competencies.

The specialty competencies address people all across the lifespan, families, and populations.

As changes occur in the world, the competencies will change too

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3
Q

Leadership competencies

A

Participates in community and population-focused programs. These programs promote mental health and reduce risk.

Advocates for people’s rights

Works interprofessionally to advocate, reduce disparities, and improve outcomes for populations.

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4
Q

Quality competencies

A

Evaluates if restraints and seclusions are used appropriately

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5
Q

Policy competencies

A

Influences policies so that stigma is reduced

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6
Q

Independent practice competencies

A

There are too many to list.

It’s any competency that you need in your own practice, like, “ safely prescribes medication, teaches clients,” etc.

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7
Q

Things that are helping the NP role to grow

A

Consumer demand for services

Acceptance of NPs

Decreasing stigma

Emergence of the NP role

Emphasis on integrated care

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8
Q

Things that are preventing the NP role from growing

A

Competition in the job market

Problems getting reimbursed by Medicare and other insurance companies

Overlapping scope of practice with other NPs

Concern about fraud and abuse (issues with coding and billing)

Scope of practice and needing to be supervised by a physician

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9
Q

Nurse Practice act for each state:

A

Provides title protection (who can be called an “NP”)

Defines what advanced practice is

Defines the scope of practice (what the NP is allowed to do)

Places restrictions on what you can’t do and decides on disciplinary actions

Sets the NP credentialing requirements

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10
Q

Things that you could do to get a disciplinary action

A

Practicing without a license, falsifying records, medicare fraud, not using good judgement, not following the standards, not completing the documentation

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11
Q

Statutory law

A

It differs between states

Sometimes the statutory law further defines scope of practice and practice requirements

It also might provide restrictions for practice

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12
Q

Licensure means that you are allowed to practice, and also that

A

others without a license are NOT allowed to practice

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13
Q

Credentialing

A

Process used to protect the public by ensuring a minimum level of competence

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14
Q

Certification

A

It does a lot of the same things that we’ve already talked about:

Certification is a credential that provides title protection.
Determines scope of practice
It says that you are not only licensed, but you also meet further criteria.
Assures the public the you know what you’re doing

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15
Q

The ANCC

A

It’s the only certifying body. It’s a subsidiary of the ANA

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16
Q

Scope of practice

A

Defines the NP role

Identifies the competencies that all NPs in a specific role should have

Varies between states

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17
Q

Standards of practice

A

It says what is the standards of quality

Can be used in legal situations

It can include very specific protocols or very general things

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18
Q

Confidentiality

A

It is protected under the Medical Record Confidentiality Act (not HIPAA)

Providers have to get written permission to release info.

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19
Q

HIPAA includes 4 patient rights:

A

To be educated about HIPAA
To have access to their own records
To request that their record is amended if they want to
To require permission to disclose their information

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20
Q

Health Information Technology for Economic and Clinical Health Act (HITECH)

A

Incentive payments for sharing specific information from EMRs

Incentives for meaningful use (meaningful use is using EHRs in a way that is meaningful because it benefits patients and providers)

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21
Q

An example of how EHR can be beneficial is

A

Using physician order sets

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22
Q

Telehealth

A

Must include provisions for what you’ll do if the patient has an emergency

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23
Q

Exceptions to confidentiality

A

Information given to attorneys/courts

Meeting state requirements for mandatory reporting of diseases

Tarasoff Principle (warning a vicim who is in danger from the patient)

In cases of child or elder abuse

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24
Q

Who has the right to informed consent

A

Adults and emancipated minors

25
Q

Informed consent includes

A

discomforts of the treatment

alternative treatment

diagnosis and prognosis

Risks/benefits of NOT doing the treatment

26
Q

Justice

A

what is fair

27
Q

Beneficence

A

doing good

28
Q

nonmaleficence

A

do no harrm

29
Q

Fidelity

A

Being true and loyal

30
Q

the Code of Ethics for nurses has 9 provisions:

A
  • Practice with compassion/respect for the dignity that all people have
  • Your primary commitment is to the patient
  • Promotes, advocates, and protects the patient
  • You have the authority and responsibility to make decisions and promote health
  • You have a duty to care for yourself just like you care for the patients, and also to continue your education
  • Make your work place ethical and safe
  • Contribute to the profession through research and policy
  • Maintain social justice
31
Q

Ethics

Deontological theory

A

Judging the action by itself, it doesn’t matter what the outcome is

32
Q

Ethics

Teleological theory

A

An action is judged based on it’s consequences (ends justify the means)

33
Q

Ethics

Virtue Ethics

A

Choosing the action based on moral virtues, or the character of the person

34
Q

Americans with Disabilities Act

A

Companies with at least 15 employees can’t discriminate against people with disabilities

35
Q

Malpractice insurance

A

Coverage from negligent actions.

Does not protect you from things that are outside of your scope.

It gives you your own legal representation.

36
Q

The 4 elements of malpractice

A

Duty- you had a duty to care for the patients

Breach of duty- You didn’t follow the standard of that duty

Proximate cause- Not following the standard of care caused harm to the patient

Damages- The harm is substantial

37
Q

Competency

A

It’s a legal, not a medical term

You are considered competent until a court says otherwise

If you court rules that you are incompetent, the court will appointment a guardian to make decisions for you

38
Q

Commitment (aka involuntary commitment)

A

It has to be a situation where treatment is likely to actually help the person

The timeframe and other rules vary according to the state

39
Q

Scholarly activities that NPs should be a part of

A

Publishing
Lecturing/presenting
Preceptorship
Continuing education

40
Q

Client advocacy includes several obvious things. The less obvious part of advocacy is:

A

Promoting mental health by joining organizations like the ANA and other organizations

41
Q

Overall goal of Case Management

A

Promote quality and cost-effectiveness

42
Q

Risk management is self explanatory. One part of it that is not obvious is

A

reducing claims against healthcare providers

43
Q

Advanced directives include 2 things:

A

Durable power of attorney (aka healthcare proxy)

Living will

44
Q

Durable power of attorney (aka healthcare proxy)

A

Legally binding in 50 states

Not limited to terminal illness

You might want to use it as part of planning for relapses

45
Q

Living Will

A

It’s prepared while the client is competent, and says what he wants to happen if he becomes incompetent (as opposed to someone else making the decision)

46
Q

Culture bound syndromes

A

Specific behaviors related to a person’s culture and not linked to a psych disorder

47
Q

Ethnicity

A

Self identified race, tribe, or nation. It influences your beliefs and behavior

48
Q

Community

A

A group of families, often sharing similar traits, who have beliefs/behaviors that are not shared by others

49
Q

The majority of homeless families are headed by

A

a single mother

50
Q

How common is mental illness in the homeless

A

50% (Schizophrenia is the most common)

51
Q

Strategies for reducing homelessness: Outreach

A

Offering services in a variety of settings and forming therapeutic relationships to provide treatment

52
Q

Strategies for reducing homelessness: Integrated care/Colocation

A

Providing mental health and other services in the same site

53
Q

Strategies for reducing homelessness: What are the 4 strategies

A

Outreach
Integrated Care (colocation)
Supportive services for persons in housing
Prevention (it starts with discharge planning)

54
Q

Migrants verse seasonal workers

A

Migrants might keep moving to different locations, whereas seasonal workers have a pattern that is seasonal

55
Q

Facts about migrants and seasonal workers

A

there are about 3 million in the U.S.

They are at greater risk for mental illness

It’s important to have an empathic rapport

56
Q

What kind of attitude should the provider have when dealing forensic/corrections patients

A

Be neutral and objective, be self-reflective

57
Q

Definitions of Forensics, Forensic sciences, Forensic nursing

A

Forensic- applying science to legal problems

Forensic science- Using technology (like microscopes) to research evidence

Forensic nursing- Nursing patient in the legal system

58
Q

Forensic vs Correctional nursing

A

Forensic- the nurse-client relationship is based on the crime committed and investigating that crime

Correctional- the nurse-client relationship is based on his current mental health, not the crime that was committed

59
Q

Forensic risk assessment vs Risk assessment

A

Forensic risk assessment is protecting the public from a violent patient

Risk assessment is an evaluation done after the person is arrested but before they are sent to jail

Board Certification 2 (Purple book) (22 decks)

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