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Questions and Answers

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)?

  • 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?

  • 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?

<p>Consult internet resources and develop general suggestions for exam preparation. (C)</p> Signup and view all the answers

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?

<p>Chapter 1 (C)</p> Signup and view all the answers

How can nurses utilize the ANA to address workplace issues they are facing?

<p>By leveraging ANA's resources to advocate for their rights and influence policy. (C)</p> Signup and view all the answers

Why would a psychiatric-mental health nurse practitioner refer to internet resources, according to this text?

<p>To find the most recent updates to diagnostic criteria and treatment guidelines. (C)</p> Signup and view all the answers

What is the primary purpose of the Psychiatric-Mental Health Nurse Practitioner Review and Resource Manual?

<p>To assist nurses in preparing for the ANCC's Psychiatric-Mental Health Nurse Practitioner certification exam. (C)</p> Signup and view all the answers

For whom is the Psychiatric-Mental Health Nurse Practitioner Review and Resource Manual primarily intended?

<p>Registered nurses pursuing certification as Psychiatric-Mental Health Nurse Practitioners. (D)</p> Signup and view all the answers

Given the information provided, what is the best use of the ISBN numbers listed in the cataloging information?

<p>To quickly locate and order specific formats of the manual. (D)</p> Signup and view all the answers

Which organization offers the certification exam that the Psychiatric-Mental Health Nurse Practitioner Review and Resource Manual is designed to help nurses prepare for?

<p>American Nurses Credentialing Center (ANCC). (D)</p> Signup and view all the answers

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?

<p>Preparing for a certification exam to advance their expertise. (C)</p> Signup and view all the answers

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?

<p>Consulting with experienced Psychiatric-Mental Health Nurse Practitioners. (B)</p> Signup and view all the answers

Which of the following best describes a key benefit of using the Psychiatric-Mental Health Nurse Practitioner Review and Resource Manual?

<p>It is a tool for professional development and exam preparation. (D)</p> Signup and view all the answers

How does the Psychiatric-Mental Health Nurse Practitioner Review and Resource Manual contribute to the nursing profession?

<p>By supporting nurses' preparation for certification, thus advancing their professional expertise. (C)</p> Signup and view all the answers

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?

<p>Yes, it continues to serve as a tool for professional development and staying current in the field. (A)</p> Signup and view all the answers

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?

<p>Establishing a therapeutic rapport with the patient to encourage open communication. (D)</p> Signup and view all the answers

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?

<p>Insomnia (D)</p> Signup and view all the answers

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?

<p>Contact law enforcement and the individual threatened to provide a warning. (C)</p> Signup and view all the answers

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?

<p>Establishing a confidential reporting system for students to report potential threats. (A)</p> Signup and view all the answers

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?

<p>Providing education about trauma-informed care and grounding techniques. (C)</p> Signup and view all the answers

Which of the following BEST describes the primary focus of a lethality assessment in the context of intimate partner violence?

<p>Identifying risk factors that indicate an increased likelihood of serious harm or death. (A)</p> Signup and view all the answers

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?

<p>Assessing and addressing the patient's stress levels and coping mechanisms. (C)</p> Signup and view all the answers

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?

<p>Explore the nature, frequency, and intensity of the thoughts, and assess for protective factors. (D)</p> Signup and view all the answers

Which of the following best describes the role of state regulations in defining the scope of practice for Psychiatric-Mental Health Nurse Practitioners (PMHNPs)?

<p>State regulations significantly influence the scope of practice, leading to considerable variation in allowed roles and actions for PMHNPs from state to state. (B)</p> Signup and view all the answers

The American Nurses Association (ANA) standards of practice for Psychiatric-Mental Health Nursing serve what primary purpose?

<p>They provide authoritative statements about the expected quality and type of practice, guiding the evaluation of care provided. (B)</p> Signup and view all the answers

A client requests to review their medical records. According to HIPAA regulations, what is the healthcare provider's responsibility?

<p>The provider must provide the client access to their medical records and educate them about HIPAA privacy protections. (D)</p> Signup and view all the answers

What is the primary focus of the Medical Record Confidentiality Act of 1995 (S. 1360) concerning client information?

<p>To protect the client’s right to assume that information given to the healthcare provider will not be disclosed without consent. (D)</p> Signup and view all the answers

Which action demonstrates a Psychiatric-Mental Health Nurse Practitioner's (PMHNP) commitment to maintaining client confidentiality?

<p>Discussing a client's case with colleagues during a team meeting without disclosing identifying information. (C)</p> Signup and view all the answers

Under HIPAA regulations, what recourse does a client have if they believe there is an inaccuracy in their health record?

<p>They have the right to request an amendment to their health information to which they object. (A)</p> Signup and view all the answers

What is the relationship between standards of practice and scope of practice for Psychiatric-Mental Health Nurse Practitioners (PMHNPs)?

<p>Scope of practice identifies the roles and actions NPs can perform, while standards of practice define the quality of care that should be provided. (B)</p> Signup and view all the answers

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?

<p>Providing the client with information about the referral and obtaining a signed medical authorization to release records to the new provider. (B)</p> Signup and view all the answers

Which ethical framework primarily evaluates the morality of an action based on its outcome?

<p>Teleological Theory (B)</p> Signup and view all the answers

A nurse practitioner consistently demonstrates compassion and honesty in their practice. Which ethical framework aligns with these character traits?

<p>Virtue Ethics (C)</p> Signup and view all the answers

Why is it ethically important for healthcare providers to disclose medical errors to patients?

<p>To maintain transparency and trust, allowing patients to make informed decisions about their care (C)</p> Signup and view all the answers

According to the content, what potential legal recourse might a client have following the disclosure of a medical error?

<p>The right to compensation for harm suffered due to medical misadventures (A)</p> Signup and view all the answers

The Americans with Disabilities Act (ADA) primarily aims to:

<p>Prevent discrimination against qualified individuals with disabilities in employment (C)</p> Signup and view all the answers

Under the ADA, what is a 'reasonable accommodation' that employers are required to provide?

<p>Providing adjustments to the work environment or job duties to enable an employee with a disability to perform the job (C)</p> Signup and view all the answers

What is a potential risk associated with disclosing a psychiatric disability to an employer?

<p>Potential for workplace harassment or discrimination (A)</p> Signup and view all the answers

What is a potential benefit of disclosing a disability to an employer?

<p>The ability to request reasonable accommodations (A)</p> Signup and view all the answers

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?

<p>Balancing the client's autonomy with the responsibility to ensure their safety and well-being. (A)</p> Signup and view all the answers

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?

<p>Educate the client about the benefits and risks of the medication, and explore their reasons for refusal. (D)</p> Signup and view all the answers

In an ethical dilemma, a harm reduction approach is often used. What best describes the core principle of this approach?

<p>Choosing the option that sacrifices the fewest high-priority values. (C)</p> Signup and view all the answers

According to the principles outlined for psychiatric-mental health nurses, what is the primary responsibility of the nursing profession through its organizations?

<p>Articulating nursing values, maintaining professional integrity, and integrating social justice into nursing and health policy. (B)</p> Signup and view all the answers

A nurse discovers that a colleague is consistently documenting patient care that was not provided. What is the nurse's most appropriate ethical responsibility?

<p>Reporting the behavior to the appropriate authorities within the healthcare organization. (D)</p> Signup and view all the answers

What does the deontological theory state about ethical decision-making?

<p>The inherent nature of an action determines its ethical value, regardless of the consequences. (A)</p> Signup and view all the answers

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?

<p>The nurse's responsibility to advocate for the client's health and safety. (B)</p> Signup and view all the answers

A PMHNP is developing a new group therapy program. Which of the following is the MOST important ethical consideration when selecting potential group members?

<p>Protecting the confidentiality and privacy of all group members. (A)</p> Signup and view all the answers

Flashcards

Psychiatric-Mental Health NP Review Manual

A guide for nurses to prepare for the ANCC's Psychiatric-Mental Health Nurse Practitioner certification exam.

ANCC

An organization that offers the Psychiatric-Mental Health Nurse Practitioner certification.

Psychiatric-Mental Health Nurse Practitioner

A professional who specializes in psychiatric-mental health care, often requiring certification.

Professional Development through Certification

The process of becoming certified or validated in a specialized area of nursing practice.

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Credible Reference Resource

A resource providing reliable and trustworthy details.

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Must-Have Resource Tool

An essential tool for nurses planning to take a certification exam.

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Nursing Knowledge Center’s Review and Resource Manual

A guide for preparing for the Psychiatric-Mental Health Nurse Practitioner certification exam.

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Psychiatric-Mental Health Nurse Practitioner Certification Exam

A test to assess the knowledge and competency of nurses in the psychiatric-mental health field.

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ANA's Role

ANA advocates for nurses by setting high practice standards, promoting nurses' rights, presenting a positive image of nursing, and lobbying on healthcare issues.

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American Nurses Association (ANA)

Professional organization representing the interests of 3.1 million registered nurses.

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ANA's Focus

Fostering high standards of nursing practice, promoting the rights of nurses in the workplace.

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ANA's Public Image Role

Projecting a positive and realistic view of nursing.

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ANA's Lobbying Efforts

Lobbying the Congress and regulatory agencies on healthcare issues.

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Chapter 1 Focus

A resource to get suggestions for preparing for the certification exam.

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Purpose of the Manual

The manual offers guidance, resources, and preparation tips for nurses taking their certification examination.

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ANA's Mission

The American Nurses Association advances the nursing profession.

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Insomnia

Difficulty falling or staying asleep.

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Intimate Partner Violence (IPV)

Abuse or aggression between people in a close relationship.

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Lethality Assessment

Evaluating the potential for someone to cause serious harm or death to themselves or others.

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Suicide Assessment

Self destruction intentions or actions.

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Homicide: Early Warning Signs

Factors indicating potential for someone to commit murder.

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Threats of Violence

Expressions of intent to cause harm.

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Sexual Assault

The inappropriate sexual contact with another person through force, intimidation, or coercion.

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Suicide Assessment

Checking if a person intends to cause deadly harm to themselves.

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Teleological Theory

Judges actions as good or bad based on the outcome or consequence.

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Virtue Ethics

Actions are based on moral virtues and character.

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Clients' Right to Know

Clients have a right to know what is happening during their treatment.

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Ethical Disclosure

Providers must disclose mistakes, injuries, and negative results.

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Americans with Disabilities Act (ADA)

Prohibits discrimination against qualified individuals with disabilities by employers with 15+ employees.

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Reasonable Accommodations

Modify job duties or work environment to enable a disabled employee to perform job functions.

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Benefits of Disclosure (Disability)

Request accommodations, job coaching, and third-party support.

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Risks of Disclosure (Disability)

Avoidance of hiring, harassment, limited advancement, and self-image effects.

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Nurse's Role: Advocacy

Promoting patient rights, health, and safety.

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Nurse's Autonomy

Having authority, accountability, and responsibility in nursing practice.

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Nurse's Self-Care

Promoting own health/safety, integrity, competence, and growth.

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Nurses' Collective Ethics

Improving ethical environment, promoting safe, quality care collectively.

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Advancing Through Research

Focuses on research, standards, and policy.

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Protecting and Promoting

Collaborating to protect rights, promote health, and reduce disparities.

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Mutual Decision-Making

Clients participate in care decisions.

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Deontological Theory

Judging actions based on the act itself, not consequences.

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PMHNP-Lifespan Certification

Certification for NPs specializing in psychiatric and mental health across the lifespan.

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Scope of Practice (for NPs)

Defines NP roles, actions, and assumed competencies, varying by state.

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Standards of Practice

Statements on practice quality, judging care, setting expectations, and defining minimum acceptable performance.

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Confidentiality

The client's right to non-disclosure of information given to a healthcare provider.

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Confidentiality Protections

Federal law protecting verbal and written client information. Requires discussing confidentiality, consent, and signed authorization for release of records.

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HIPAA

The first national comprehensive privacy protection act.

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HIPAA Rights

Right to see/amend records and permission needed before information shared

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Four Fundamental HIPAA Rights

Right to learn about HIPAA, access records, request amendments, and require permission for disclosure.

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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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