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Questions and Answers
What is the primary role of the American Nurses Association (ANA) according to the text?
What is the primary role of the American Nurses Association (ANA) according to the text?
- Accrediting nursing education programs and institutions.
- Providing direct patient care to the nation’s population.
- Managing healthcare facilities and hospitals nationwide.
- Representing the interests of registered nurses and advancing the nursing profession. (correct)
Which activity is NOT a function of the American Nurses Association (ANA)?
Which activity is NOT a function of the American Nurses Association (ANA)?
- Promoting the rights of nurses in the workplace.
- Lobbying Congress and regulatory agencies on healthcare issues.
- Establishing and enforcing specific workplace regulations for nurses. (correct)
- Fostering high standards of nursing practice.
If a nursing student wanted to find information on current continuing education credit opportunities, based on this text, where should they look?
If a nursing student wanted to find information on current continuing education credit opportunities, based on this text, where should they look?
- The appendices
- Page XI (correct)
- Chapter 2
- Page iii
A nurse is preparing for the psychiatric-mental health nurse practitioner certification exam. Based on the text, what initial steps should the nurse take?
A nurse is preparing for the psychiatric-mental health nurse practitioner certification exam. Based on the text, what initial steps should the nurse take?
A PMHNP is looking for resources to help them prepare for their certification exam. Which chapter would provide suggestions for studying and test-taking strategies?
A PMHNP is looking for resources to help them prepare for their certification exam. Which chapter would provide suggestions for studying and test-taking strategies?
How can nurses utilize the ANA to address workplace issues they are facing?
How can nurses utilize the ANA to address workplace issues they are facing?
Why would a psychiatric-mental health nurse practitioner refer to internet resources, according to this text?
Why would a psychiatric-mental health nurse practitioner refer to internet resources, according to this text?
What is the primary purpose of the Psychiatric-Mental Health Nurse Practitioner Review and Resource Manual?
What is the primary purpose of the Psychiatric-Mental Health Nurse Practitioner Review and Resource Manual?
For whom is the Psychiatric-Mental Health Nurse Practitioner Review and Resource Manual primarily intended?
For whom is the Psychiatric-Mental Health Nurse Practitioner Review and Resource Manual primarily intended?
Given the information provided, what is the best use of the ISBN numbers listed in the cataloging information?
Given the information provided, what is the best use of the ISBN numbers listed in the cataloging information?
Which organization offers the certification exam that the Psychiatric-Mental Health Nurse Practitioner Review and Resource Manual is designed to help nurses prepare for?
Which organization offers the certification exam that the Psychiatric-Mental Health Nurse Practitioner Review and Resource Manual is designed to help nurses prepare for?
A nurse is using the Psychiatric-Mental Health Nurse Practitioner Review and Resource Manual. At what point in their career development is she most likely to be?
A nurse is using the Psychiatric-Mental Health Nurse Practitioner Review and Resource Manual. At what point in their career development is she most likely to be?
A registered nurse wants to enhance their knowledge and skills in psychiatric-mental health nursing. Besides the manual, what else might they consider to ensure comprehensive preparation for the certification exam?
A registered nurse wants to enhance their knowledge and skills in psychiatric-mental health nursing. Besides the manual, what else might they consider to ensure comprehensive preparation for the certification exam?
Which of the following best describes a key benefit of using the Psychiatric-Mental Health Nurse Practitioner Review and Resource Manual?
Which of the following best describes a key benefit of using the Psychiatric-Mental Health Nurse Practitioner Review and Resource Manual?
How does the Psychiatric-Mental Health Nurse Practitioner Review and Resource Manual contribute to the nursing profession?
How does the Psychiatric-Mental Health Nurse Practitioner Review and Resource Manual contribute to the nursing profession?
A psychiatric-mental health nurse practitioner is looking for a resource to guide their ongoing professional development after obtaining certification. Is the 'Psychiatric-Mental Health Nurse Practitioner Review and Resource Manual' suitable for this purpose?
A psychiatric-mental health nurse practitioner is looking for a resource to guide their ongoing professional development after obtaining certification. Is the 'Psychiatric-Mental Health Nurse Practitioner Review and Resource Manual' suitable for this purpose?
Which of the following is the MOST important initial step a psychiatric-mental health nurse practitioner should take when assessing a patient for potential violence?
Which of the following is the MOST important initial step a psychiatric-mental health nurse practitioner should take when assessing a patient for potential violence?
A patient reports experiencing persistent difficulty falling asleep, staying asleep, and feeling unrested despite adequate opportunity for sleep. Based on this information, which of the following conditions is MOST likely?
A patient reports experiencing persistent difficulty falling asleep, staying asleep, and feeling unrested despite adequate opportunity for sleep. Based on this information, which of the following conditions is MOST likely?
Which of the following is the MOST appropriate immediate action for a psychiatric-mental health nurse practitioner to take when a patient expresses a direct threat of violence towards a specific individual?
Which of the following is the MOST appropriate immediate action for a psychiatric-mental health nurse practitioner to take when a patient expresses a direct threat of violence towards a specific individual?
A school nurse is concerned about potential violence at school. Which of the following actions should the nurse prioritize as the MOST effective early intervention strategy?
A school nurse is concerned about potential violence at school. Which of the following actions should the nurse prioritize as the MOST effective early intervention strategy?
A nurse practitioner is assessing a patient who reports frequent nightmares, flashbacks, and severe anxiety following a traumatic event. Which of the following is the MOST appropriate initial nursing intervention?
A nurse practitioner is assessing a patient who reports frequent nightmares, flashbacks, and severe anxiety following a traumatic event. Which of the following is the MOST appropriate initial nursing intervention?
Which of the following BEST describes the primary focus of a lethality assessment in the context of intimate partner violence?
Which of the following BEST describes the primary focus of a lethality assessment in the context of intimate partner violence?
A patient presents with symptoms of insomnia and reports a recent increase in stress due to work-related issues. Which of the following interventions should the nurse practitioner prioritize FIRST?
A patient presents with symptoms of insomnia and reports a recent increase in stress due to work-related issues. Which of the following interventions should the nurse practitioner prioritize FIRST?
During a suicide risk assessment, a patient reports having thoughts of self-harm but denies having a specific plan or intent to act on those thoughts. Which of the following actions is MOST appropriate for the nurse practitioner to take?
During a suicide risk assessment, a patient reports having thoughts of self-harm but denies having a specific plan or intent to act on those thoughts. Which of the following actions is MOST appropriate for the nurse practitioner to take?
Which of the following best describes the role of state regulations in defining the scope of practice for Psychiatric-Mental Health Nurse Practitioners (PMHNPs)?
Which of the following best describes the role of state regulations in defining the scope of practice for Psychiatric-Mental Health Nurse Practitioners (PMHNPs)?
The American Nurses Association (ANA) standards of practice for Psychiatric-Mental Health Nursing serve what primary purpose?
The American Nurses Association (ANA) standards of practice for Psychiatric-Mental Health Nursing serve what primary purpose?
A client requests to review their medical records. According to HIPAA regulations, what is the healthcare provider's responsibility?
A client requests to review their medical records. According to HIPAA regulations, what is the healthcare provider's responsibility?
What is the primary focus of the Medical Record Confidentiality Act of 1995 (S. 1360) concerning client information?
What is the primary focus of the Medical Record Confidentiality Act of 1995 (S. 1360) concerning client information?
Which action demonstrates a Psychiatric-Mental Health Nurse Practitioner's (PMHNP) commitment to maintaining client confidentiality?
Which action demonstrates a Psychiatric-Mental Health Nurse Practitioner's (PMHNP) commitment to maintaining client confidentiality?
Under HIPAA regulations, what recourse does a client have if they believe there is an inaccuracy in their health record?
Under HIPAA regulations, what recourse does a client have if they believe there is an inaccuracy in their health record?
What is the relationship between standards of practice and scope of practice for Psychiatric-Mental Health Nurse Practitioners (PMHNPs)?
What is the relationship between standards of practice and scope of practice for Psychiatric-Mental Health Nurse Practitioners (PMHNPs)?
A client is being referred to a new mental health provider. Which of the following actions by the Psychiatric-Mental Health Nurse Practitioner (PMHNP) best demonstrates adherence to confidentiality requirements?
A client is being referred to a new mental health provider. Which of the following actions by the Psychiatric-Mental Health Nurse Practitioner (PMHNP) best demonstrates adherence to confidentiality requirements?
Which ethical framework primarily evaluates the morality of an action based on its outcome?
Which ethical framework primarily evaluates the morality of an action based on its outcome?
A nurse practitioner consistently demonstrates compassion and honesty in their practice. Which ethical framework aligns with these character traits?
A nurse practitioner consistently demonstrates compassion and honesty in their practice. Which ethical framework aligns with these character traits?
Why is it ethically important for healthcare providers to disclose medical errors to patients?
Why is it ethically important for healthcare providers to disclose medical errors to patients?
According to the content, what potential legal recourse might a client have following the disclosure of a medical error?
According to the content, what potential legal recourse might a client have following the disclosure of a medical error?
The Americans with Disabilities Act (ADA) primarily aims to:
The Americans with Disabilities Act (ADA) primarily aims to:
Under the ADA, what is a 'reasonable accommodation' that employers are required to provide?
Under the ADA, what is a 'reasonable accommodation' that employers are required to provide?
What is a potential risk associated with disclosing a psychiatric disability to an employer?
What is a potential risk associated with disclosing a psychiatric disability to an employer?
What is a potential benefit of disclosing a disability to an employer?
What is a potential benefit of disclosing a disability to an employer?
A psychiatric-mental health nurse encounters a situation where a client's autonomy conflicts with their safety. Which ethical principle should guide the nurse's decision-making process in this scenario?
A psychiatric-mental health nurse encounters a situation where a client's autonomy conflicts with their safety. Which ethical principle should guide the nurse's decision-making process in this scenario?
A client with a history of suicide attempts is refusing medication. The treatment team believes the medication is essential for their stability. What is the most ethical course of action the nurse should take FIRST?
A client with a history of suicide attempts is refusing medication. The treatment team believes the medication is essential for their stability. What is the most ethical course of action the nurse should take FIRST?
In an ethical dilemma, a harm reduction approach is often used. What best describes the core principle of this approach?
In an ethical dilemma, a harm reduction approach is often used. What best describes the core principle of this approach?
According to the principles outlined for psychiatric-mental health nurses, what is the primary responsibility of the nursing profession through its organizations?
According to the principles outlined for psychiatric-mental health nurses, what is the primary responsibility of the nursing profession through its organizations?
A nurse discovers that a colleague is consistently documenting patient care that was not provided. What is the nurse's most appropriate ethical responsibility?
A nurse discovers that a colleague is consistently documenting patient care that was not provided. What is the nurse's most appropriate ethical responsibility?
What does the deontological theory state about ethical decision-making?
What does the deontological theory state about ethical decision-making?
A nurse is asked to administer a treatment that they believe is not in the client's best interest based on current evidence-based practice. What ethical principle is most directly challenged in this situation?
A nurse is asked to administer a treatment that they believe is not in the client's best interest based on current evidence-based practice. What ethical principle is most directly challenged in this situation?
A PMHNP is developing a new group therapy program. Which of the following is the MOST important ethical consideration when selecting potential group members?
A PMHNP is developing a new group therapy program. Which of the following is the MOST important ethical consideration when selecting potential group members?
Flashcards
Psychiatric-Mental Health NP Review Manual
Psychiatric-Mental Health NP Review Manual
A guide for nurses to prepare for the ANCC's Psychiatric-Mental Health Nurse Practitioner certification exam.
ANCC
ANCC
An organization that offers the Psychiatric-Mental Health Nurse Practitioner certification.
Psychiatric-Mental Health Nurse Practitioner
Psychiatric-Mental Health Nurse Practitioner
A professional who specializes in psychiatric-mental health care, often requiring certification.
Professional Development through Certification
Professional Development through Certification
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Credible Reference Resource
Credible Reference Resource
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Must-Have Resource Tool
Must-Have Resource Tool
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Nursing Knowledge Center’s Review and Resource Manual
Nursing Knowledge Center’s Review and Resource Manual
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Psychiatric-Mental Health Nurse Practitioner Certification Exam
Psychiatric-Mental Health Nurse Practitioner Certification Exam
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ANA's Role
ANA's Role
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American Nurses Association (ANA)
American Nurses Association (ANA)
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ANA's Focus
ANA's Focus
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ANA's Public Image Role
ANA's Public Image Role
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ANA's Lobbying Efforts
ANA's Lobbying Efforts
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Chapter 1 Focus
Chapter 1 Focus
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Purpose of the Manual
Purpose of the Manual
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ANA's Mission
ANA's Mission
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Insomnia
Insomnia
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Intimate Partner Violence (IPV)
Intimate Partner Violence (IPV)
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Lethality Assessment
Lethality Assessment
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Suicide Assessment
Suicide Assessment
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Homicide: Early Warning Signs
Homicide: Early Warning Signs
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Threats of Violence
Threats of Violence
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Sexual Assault
Sexual Assault
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Suicide Assessment
Suicide Assessment
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Teleological Theory
Teleological Theory
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Virtue Ethics
Virtue Ethics
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Clients' Right to Know
Clients' Right to Know
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Ethical Disclosure
Ethical Disclosure
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Americans with Disabilities Act (ADA)
Americans with Disabilities Act (ADA)
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Reasonable Accommodations
Reasonable Accommodations
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Benefits of Disclosure (Disability)
Benefits of Disclosure (Disability)
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Risks of Disclosure (Disability)
Risks of Disclosure (Disability)
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Nurse's Role: Advocacy
Nurse's Role: Advocacy
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Nurse's Autonomy
Nurse's Autonomy
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Nurse's Self-Care
Nurse's Self-Care
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Nurses' Collective Ethics
Nurses' Collective Ethics
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Advancing Through Research
Advancing Through Research
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Protecting and Promoting
Protecting and Promoting
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Mutual Decision-Making
Mutual Decision-Making
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Deontological Theory
Deontological Theory
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PMHNP-Lifespan Certification
PMHNP-Lifespan Certification
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Scope of Practice (for NPs)
Scope of Practice (for NPs)
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Standards of Practice
Standards of Practice
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Confidentiality
Confidentiality
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Confidentiality Protections
Confidentiality Protections
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HIPAA
HIPAA
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HIPAA Rights
HIPAA Rights
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Four Fundamental HIPAA Rights
Four Fundamental HIPAA Rights
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Study Notes
- This manual supports nurses preparing for the American Nurses Credentialing Center’s (ANCC’s) Psychiatric-Mental Health Nurse Practitioner certification exam.
- The American Nurses Association (ANA) represents the interests of 3.1 million registered nurses.
- The ANA advances the nursing profession through high standards, promotion of nurses' rights, positive views of nursing, and lobbying on healthcare issues.
Continuing Education Credit
- Continuing nursing education contact hours (CE) are available upon review of the manual and successful completion of an online module.
- Requirements include purchasing and reviewing the manual, paying fees for the online module, and completing all module components by the CE expiration date.
Psychiatric–Mental Health Nurse Practitioner Scope of Practice
- Defines NP roles and actions.
- Identifies competencies for NPs in a particular role.
- Varies by state.
- Advanced practice PMHNP standards are in Psychiatric-Mental Health Nursing: Scope and Standards of Practice (ANA, 2014).
Standards of Practice
- Authoritative statements on the quality and type of practice.
- Used to judge the nature of care provided.
- Reflect the expectation for the care that should be provided to clients with various illnesses.
- Reflect professional agreement on minimum acceptable performance levels.
- Can legally describe the standard of care.
- Can be precise protocols or general guidelines.
Professional Role Responsibilities: Confidentiality
- Clients have a right to privacy regarding healthcare information.
- Protected under the Medical Record Confidentiality Act of 1995.
- Applies to verbal and written client information.
- Providers must discuss confidentiality with clients, establish consent, and clarify disclosure questions.
- Requires a signed medical authorization to release records.
HIPAA (Health Insurance Portability and Accountability Act)
- The first national comprehensive privacy protection act.
- Guarantees clients four fundamental rights:
- To be educated about HIPAA privacy protection.
- To have access to their own medical records.
- To request amendment of their health information.
- To require their permission for disclosure of their personal information.
Key Nursing Responsibilities
- Promote, advocate for, and protect the rights, health, and safety of the client.
- Maintain authority, accountability, and responsibility for nursing practice.
- Make decisions and take action to promote health and provide optimal care.
- Promote health and safety, preserve integrity, maintain competence, and continue personal and professional growth.
- Improve the ethical environment of the work setting and conditions of employment.
- Advance the profession through research, standards development, and health policy.
- Collaborate with health professionals and the public to protect human rights, promote health diplomacy, and reduce health disparities.
- Articulate nursing values, maintain integrity, and integrate social justice into nursing and health policy.
Important Ethical Principles in Psychiatry
- Clients must be involved in decision-making to their full capacity.
- Clients have a right to treatment in the least restrictive setting.
- Clients have a right to refuse treatment unless mandated by a court order.
Ethical Dilemma
- Occurs when there are two or more justifiable alternatives.
- Arises when the choice is made to promote good.
- Involves selecting the option that sacrifices the fewest high-priority values (harm reduction approach).
Theoretical Approaches to Ethical Decision-Making
- Deontological Theory: An action is good or bad based on the act itself.
- Teleological Theory: An action is good or bad based on the outcome.
- Virtue Ethics: Actions are chosen based on moral virtues.
Ethics of Disclosure by Providers
- Clients have a right to know what is happening during their treatment.
- Providers must disclose medical errors, accidents, injuries, and negative results.
- Clients may have legal rights to compensation for harm due to medical misadventures.
Risk vs. Benefits of Disclosure of Disability Regarding Employment
- The Americans with Disabilities Act (ADA) prevents discrimination by employers with 15+ employees.
- The ADA grants Americans with disabilities the opportunity for employment.
- Employers must make reasonable accommodations.
Risk of Disclosure
- Employers may avoid hiring persons known to have a disability.
- Coworkers may discriminate against persons with psychiatric illnesses.
- May limit an employee’s chance for advancement in career
- Feedback for improvement may not be given to employee because of their disability.
Benefits of Disclosure
- Able to request reasonable accommodations.
- Opportunity to have a job coach at the worksite.
- Employee can involve a third party in the development of accommodations.
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