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PMHNP Purple Book Board Review Exam Questions and Answers
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PMHNP Purple Book Board Review ExamQuestions and Answers
What is the LACE consensus model? - -The license, accreditation,
certification, and education consensus model. Identified 4 APRN roles: CRNA,
CNM (midwife), CNS, and CNP (nurse practitioner). Formed in 2008, as part of
the model PMHNPs were educated across the life span. Since 2015, there is
only 1 exam for across the life span all others were retired.
-what do the state legislative statutes do? - -grand legal authority for NP
practice
includes the nurse practice act of every state
states grounds for disciplinary action
defines a collaborative agreement (if applicable)
-what are grounds for disciplinary action? - -practicing without a license
falsification of records
medicare fraud
failure to use good judgement
failure to follow nursing standards
failure to complete accurate documentation
-whats in the nurses practice act of each state? - -- give title protection
(who's called an NP)
- defines advanced practice (what we can do)
- sets NP credentialing requirements (education and certification)
-what is licensure? - -process by which state government grants permission
to practice and prohibits others from legally doing protected practice.
-what is credentialing? - -process used to protect public by ensuring a
minimum level of competency.
-what is certification? - -- credential that gives title protection to provider
- determines scope of practice (whom NPs can see)
- process professional organizations use to certify a person is licensed to
practice and met predetermined standards specified by the profession
- assures the public a person has mastery of a body of knowledge
- assures the person has the skills for their specialty
-what are the 4 fundamental rights of HIPAA? - -1. to be educated about
HIPAA
2. to have access to own medical records
3. to request an amendment of health information if they object
,4. to require their permission for disclosure of info
-what is HITECH? - -The health information technology for economic and
clinical health act. Did the following:
- gave incentive payments for sharing EHR data
- gave meaningful use incentives for having an EHR
- posited EHRs can improve outcomes, quality, safety, efficiency, and
effectiveness with e-prescribing, computerized order sets, and tracking care
to avoid duplication of services.
-what is the Tarasoff principle? - -the duty to warn potential victim of
imminent danger of homicidal clients.
-who are emancipated minors? - -those under 18 who are married, parents,
or self-sufficiently living away from family.
-explain justice vs beneficence vs non-maleficence vs fidelity vs autonomy
vs veracity vs respect - -justice: doing whats fair
beneficence: doing good
nonmaleficence: doing no harm
fidelity: being loyal and true
autonomy: doing for self
veracity: telling the truth
respect: treating everyone equal
-what is mutual decision making? - -in psychiatry clients are involved in
decision making to the full extent of their capacity
-what are the following theories: deonotological, teleological, virtue ethics -
-All are theoretical approaches to ethical decision making
- deonotological theory: action is good or bad based on the act itself not due
to consequences.
- teleological theory: action is good or bad based on consequences or
outcomes.
- virtue ethics: acts are chosen based on moral values (honesty, compassion
etc.) or character of the person making the decisions.
-what is the ADA? - -americans with disabilities act. If employers have 15 or
more employees they can discriminate a qualified person in hiring or
advancement. This includes those with mental illness/disabilities. Employers
also have to make accommodations to qualified applicants with disabilities.
-what 4 things have to be proven for negligence? - -1. duty: NP had duty to
provide care
2. breach of duty: NP violated standards of care
3. proximate cause: NP caused the injury due to breach in standard of care
, 4. damages: person received permanent and substantial damages as a result
-what is usually required for an involuntary commitment? - -- has diagnosed
psych disorder
- is harmful to self or others due to disorder
- person is unaware of severity of their disorder
- treatment can improve functioning
note: involuntary admission only means they cannot come and go as they
please, they can still refuse meds. Amount of time they can be kept varies by
state.
-what is the difference between the durable power of attorney for healthcare
and a living will? - -a DPOA for healthcare is binding in all 50 states. A living
will is not legally binding in all 50 states. Also with a DPOA they are also in
charge of making financial decisions during illness.
-what percentage of homeless people have co-occurring SUD or other SMI? -
-50%
-what percentage of homeless people have schizophrenia? - -15-45%
-what is colocation? - -providing mental health and primary care services at
a single site.
-what is a migrant? - -someone who leaves their permanent residence to
take an agricultural job in different locations. There are more than 3 million
migrants and seasonal workers in the US. They have a high rate of
depression, anxiety and substance abuse due to working conditions. Their
wives also endure a lot of abuse due to this.
-difference between sexual identity and gender identity - -sexual: how they
psychological identify between female and male and to whom they're
sexually attracted.
gender: identity on continuum from masculine to feminine. Hormone levels
play a role in this. Social factors also play a role (family messages etc).
note: gender dysphoria is incongruence to their expressed gender and the
gender assigned at birth.
-what is transgender vs transsexual? - -transgender: term that describes a
gender identity that doesn't match the gender they were given at birth.
Doesn't imply sexual orientation.
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