PMHNP Test - Domain 5 - Ethical & Legal
Principles Questions and Answers
Who determines NP scope of practice? - ANSWER State legislative statutes -
aka State Board of Nursing (BON)
Nurse Practice Act - Varies widely from state to state
Who is the certifying body for PMHNPs? - ANSWER American Nurses
Credentialing Center (ANCC), which is a subsidiary of the American Nurses
Association (ANA)
What is scope of practice? - ANSWER Defines NP roles & actions
Identifies competencies assumed to be held by all NPs who function in a particular
role
Varies widely from state to state based on that states nurse practice act
Who determines standards of practice? - ANSWER ANA
What is standards of practice? - ANSWER Authoritative statements regarding
the quality & type of practice that should be provided
A way to judge the nature of care provided
, Determined by the ANA
What would a reasonable NP do? Required by law to carry out in accordance with
what other reasonably prudent nurses would do in same/similar circumstances
Confidentiality - ANSWER Client's right to assume that info given to a provider
will not be disclosed (includes written & verbal)
Requires that provider obtain a signed medical authorization & consent form to
release medical records
HIPPA - ANSWER National comprehensive privacy protection act
Does not allow PMHNP to make most disclosures about psychotherapy notes for a
patient's condition without their authorization
Exceptions to confidentiality - ANSWER -When appropriate persons or
organizations determine the need for info outweighs the principle of
confidentiality (Ex: being unconscious)
-If a client reveals an intent to harm self or others
-Info given to attorneys involved in litigation. Court orders, subpoenas
-Releasing records to insurance companies
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