Core Competencies
Management of Health Status
Maintenance of Nurse-Patient Relationship
Teaching/Coaching
Professional Role
Managing and Negotiating Healthcare Delivery Systems
Monitoring Quality of Care
Providing Culturally Sensitive Care
When was NP role introduced and by whom
1965...
ANCC Review Manual PMHNP questions
and answers
Core Competencies - answer Management of Health Status
Maintenance of Nurse-Patient Relationship
Teaching/Coaching
Professional Role
Managing and Negotiating Healthcare Delivery Systems
Monitoring Quality of Care
Providing Culturally Sensitive Care
When was NP role introduced and by whom - answer 1965
Loretta Ford
University of Colorado
State Legislative Statutes - answer Grant legal authority for NP practice
Are the Nurse Practice Act of every state
Provide title protection
Define advanced practice
Are prevailing state laws that define scope of practice
Place restrictions on practice
Sets NP credentialing requirements
State grounds for disciplinary actions
May decide about collaborative agreements
Collaborative agreement - answer Protocol that describes what types of drugs might be
prescribed and defines some form of oversight board for NP practice
,Statutory Law - answer Rules and regulations differ for each state
May further define scope of practice and practice requirements
May provide restrictions in practice unique to specific state
Licensure - answer A process by which an agency of state government grants permission to
individuals accountable for the practice of a profession to engage in the practice of that
profession
Credentialing - answer Process used to protect the public by ensuring a minimum level of
professional competence
Certification - answer Credential that provides title protection
Determines scope of practice
Is the process by which a professional organization/association certifies that an individual
licensed to practice as a professional has met certain predetermined standards
Assures the public that an individual has mastery of a body of knowledge
Assures that the individual has acquired the skills necessary to function in a particular specialty
ANCC only one for psych
Scope of practice - answer Defines NP roles and actions
Identifies competencies assumed to be held by all NPs who function in a particular role
Has broad variations from state to state
Standards of Practice - answer Gives authoritative statements regarding the quality and type of
practice that should be provided
Provides a way to judge the nature of care provided
Reflects the expectation for the care that should be provided to patients with various illnesses
Reflects professional agreement focused on the minimum levels of acceptable performance
,Can be used to legally describe the standard of care that must be met by a provider
May be precise protocols that must be followed or more general guidelines that recommend
actions
Four Rights of HIPAA - answer 1. To be educated about HIPAA privacy protection
2. To have access to their own medical records
3. To request amendment of their health information to which they object
4. To require their permission for disclosure of their personal information
HITECH - answer Incentive payments for sharing specific EHR data
Meaningful use incentives
Improves outcomes
Exceptions to confidentiality - answer Intent to harm self or others
Attorneys involved in litigation
When records are released to insurance companies
Answering court orders, subpoenas, summons
Mandatory reporting of disease and conditions
Tarasoff principle: Duty to warn potential victims of imminent danger of homicidal patients
Child/elder abuse
Justice - answer Doing what is fair, fairness in all aspects of care
Beneficience - answer Promoting well being and doing good
Nonmalfeasance - answer Doing no harm
, Fidelity - answer Being true and loyal
Autonomy - answer Doing for self
Veracity - answer Telling the truth
Respect - answer Treating everyone with equal respect
Deontological Theory - answer An action is judged as good or bad based on the act itself
regardless of the consequences
Teleological Theory - answer An action is judged as good or bad based on the consequence or
outcome
Virtue Ethics - answer Actions are chosen based on the moral virtues (honesty, courage,
compassion, wisdom, gratitude, self respect) or the character of the person making the decision
Four elements of negligence to prove malpractice - answer Duty: NP had a duty to exercise
reasonable care when undertaking and providing treatment to the patient
Breach of duty: NP violated the applicable standard of care in treating the patient's condition
Proximate cause: causal relationship between the breach in the standard of care and the
patient's injuries
Damages:there are permanent and substantial damages to the patient as a result of the breach
in the standard of care
Commitment Criteria - answer Person has a diagnosed psychiatric disorder
Person is harmful to self or others as a consequence of the disorder
Person is unaware or unwilling to accept the nature and severity of the disorder
Treatment is likely to improve functioning
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