Module 5 Part 2 Flashcards
What determines the scope of practice for nurse practitioners?
State legislative statute (State Board of Nursing)
The scope of practice defines the nurse practitioner’s roles and actions and identifies competencies assumed to be held by all nurse practitioners.
What is the primary role of the State Board of Nursing?
To define the scope of practice for nurse practitioners
The State Board of Nursing also sets the minimum requirements for nurse practitioners.
What does the acronym D.S.L.A.I.M. represent?
Determined, Scope, Legislation, Advocates, Interprofessional, Minimum
It summarizes key aspects of the scope of practice.
Who determines the standard of practice?
American Nurse Association (ANA)
The standard of practice provides a way to judge the nature of care provided.
What is the legal definition of the standard of care?
The quality of care that a provider must meet
It can be described through protocols or guidelines.
Where does the nurse practitioner code of ethics come from?
ANA or American Psychiatric Nurses Association (A.P.N.A.)
This varies depending on the specific role of the nurse practitioner.
What is the primary source for the most up-to-date information on state-specific scope of practice for N.P.s?
State Board of Nursing website
Professional associations and certification organizations do not supersede state regulations.
What is the patient’s right regarding confidentiality?
To assume that information given to the provider will not be disclosed
This requires signed medical authorization and consent forms for releasing medical records.
What does HIPAA prohibit regarding psychotherapy notes?
Disclosure without patient authorization
Two separate releases are required for psychiatric and chemical conditions.
What must be signed before any healthcare in the state?
Notice of Privacy Practices Statement
This informs individuals about how their protected health information may be used and disclosed.
What is the purpose of HIPAA?
To establish national standards for electronic healthcare transactions
It also provides a national ID for providers, health plans, and employers.
What does the acronym E.T.H.I.C.S. represent in terms of confidentiality exceptions?
Emergency, Threat, Hearing, Insurance, Conditions, Safety
It outlines situations where confidentiality may be breached.
What is the Tarasoff Principle?
Duty to warn potential victims of imminent danger from homicidal clients
Not every state enforces this principle.
What does the American Disability Act of 1990 aim to prevent?
Unfair treatment of people with disabilities
It covers employment, public accommodations, transportation, and government services.
What is the significance of the O’Connor vs. Donaldson case?
Mental illness alone cannot justify involuntary hospitalization
Patients cannot be confined against their will if they can survive outside.
What is required before a P.M.H.N.P. shares patient information with a family member?
Patient’s signed consent
This is necessary to comply with confidentiality laws.
What is informed consent?
The communication process between the provider and the patient
It results in the patient’s acceptance or rejection of treatment.
What does the acronym C.A.R.E. represent in informed consent?
Communication, Acceptance, Rights, Emancipated
It highlights the key elements of informed consent.
What is the right of every adult or emancipated minor regarding informed consent?
The right to consent and withdraw consent at any time
An emancipated minor is someone younger than 18 who is married, a parent, or self-sufficient.
What must a P.M.H.N.P. do if a patient expresses suicidal thoughts?
Report the thoughts to appropriate authorities
Duty to protect life supersedes confidentiality in such cases.
What does the least restrictive environment refer to?
Patient rights to receive care in the least restrictive setting possible
This principle is upheld in mental health law.
What is the significance of the Stark Law?
Prohibits self-referral for monetary gain
It addresses conflicts of interest in healthcare practices.
What is the definition of an emancipated minor?
An emancipated minor is a person below the age of majority who is legally granted the rights of an adult.
What is one key element of informed consent?
Patient’s right to confidentiality.
