Download PMHNP Practice Questions: Policy, Culture, and Ethics and more Exams Medical ethics in PDF only on Docsity!
CEA practice questions- Policy culture
and ethics
All of the following circumstances would allow the release of medical information without the patient's consent except: If the client reveals intent to harm self or others Records to the insurance company Responding to court orders, subpoenas, or summons Next of kin wanting to help the patient make decisions - โ ๏ธ โ Correct Answer Next of kin wanting to help the patient make decisions What method of analysis describes the basic features of the data and summarizes and organizes observations? Regression analysis Inferential statistics
Analysis of variance (ANOVA) Descriptive statitistics - โ๏ธ โ Correct Answer Descriptive statitistics What concept is defined by an independent variable causing a change in the dependent variable? External validity Pervalence Incidence Internal validity - โ๏ธ โ Correct Answer Internal validity
Being loyal and keeping promises is an example of what? Veracity Beneficence Fidelity
The hospital bylaws The PMHNP can treat any patient because there is a collaborating physician The state Nurse Practice Act - โ ๏ธ โ Correct Answer The state Nurse Practice Act Question 5 0 / 1 pts In regards to the Consensus Model, which of the following best describes the APRN role? Vulnerable population with a focus on the biopsychosocial paradigm Psychopharmacology guidelines according to CMS and state guidelines. Policy, procedure and role development within NP role expansion
APRNs will be trained and licensed according to their role and population focus - โ๏ธ โ Correct Answer APRNs will be trained and licensed according to their role and population focus. Which of the following may govern the profession of the PMHNP?
Statutory law The U.S. Constitution Certification City ordinances - โ๏ธ โ Correct Answer Statutory law
The PMHNP is working with an insurance organization to provide oversight and authorization of series and benefits to patients. Which role of the PMHNP best describes this activity? Case management Policy making
Medicare fraud Physical assault charges against a patient - โ๏ธ โ Correct Answer The OIG is responsible for investigating situations which involve fraud, waste and abuse of federal and other HHS programs. All the following statements are true regarding standards of practice except: Standards of practice can be used legally to describe a standard of care that must be met by a provider Standards of practice reflect professional agreement focusing on the minimum levels of acceptable performance Standards of practice provide a way to judge the nature of care provided Standards of practice identify competencies assumed to be held by all nurse practitioners (NPs) who function in a similar role - โ๏ธ โ Correct Answer Standards of practice identify competencies
assumed to be held by all nurse practitioners (NPs) who function in a similar role All of the following are considered personal health identifiers except: Phone number Patient's name Patient's diagnosis
Address - โ ๏ธ โ Correct Answer Dx Actions judged based on their inherent value regardless of their consequence is based on which ethical decision-making approach? Teleological theory Deontological theory Virtue ethics Justice principle - โ๏ธ โ Correct Answer Deontological theory- regardless of their consequences
Underemployment Education Inadequate benefits Inaccessible housing options - โ๏ธ โ Correct Answer Education
A specific behavior related to a person's culture and not leading to a psychiatric disorder is classified as:
Temporary delusion Brief psychotic episode Culture-bound syndrome Adjustment disorder - โ๏ธ โ Correct Answer Culture bound syndrome All of the following are attributes of cultural care that may influence the therapeutic alliance except?
Urban setting Beliefs Gender roles Religion - โ๏ธ โ Correct Answer Urban setting
The level of significance describing the probability of a particular result occurring by chance alone is represented by which of the following? p-value Odds ratio z-score Confidence interval - โ๏ธ โ Correct Answer p-value
What method of analysis describes the basic features of the data and summarizes and organizes observations?
Review the literature Identify the patient, population, and problem Obtain institutional review board approval - โ ๏ธ โ Correct Answer Identify the patient, population, and problem What concept is defined by an independent variable causing a change in the dependent variable? Pervalence External validity Incidence Internal validity - โ๏ธ โ Correct Answer Internal validity The learned beliefs and behaviors common among all members of a group defines: Complex delusions Folie a deux
Culture Folie a famille - โ๏ธ โ Correct Answer Culture
During a psychiatric evaluation, the client reveals to the PMHNP a transgender identity. The client indicates a preference for personal pronouns like he and him. What is the biological sex of the client? Lesbian Male Asexual Female - โ ๏ธ โ Correct Answer Female
A new client born and raised in Zimbabwe presents to your office. He mentions ruminating on worries or upsetting thoughts in his mental health history. Which of the following diagnoses is consistent with this? Keratoacanthoma
All of the following are characteristic of the independent practice competency except: Conducting individual and group psychotherapy Taking opportunities to influence health policy to reduce the stigma of mental health services Considering differential diagnoses Implementing plans to minimize complications and to promote function - โ๏ธ โ Correct Answer Taking opportunities to influence health policy to reduce the stigma of mental health services An elderly woman with dementia engages in a romantic relationship with an elderly man in her assisted living facility. She reports that their sex is consensual but she is sometimes sore afterward. Her daughter has discovered this relationship and insists something be done because she believes her mother is being sexually assaulted. What should the PMHNP do?
Screen the patient for sexually transmitted infections Evaluate the patient for capacity to consent to sex Report the incident to adult protective services Refer the patient to the emergency department for a sexual assault forensic exam - โ๏ธ โ Correct Answer Evaluate the patient for capacity to consent to sex Which of the following is characteristic of the leadership competency for APRNs?
Evaluating the appropriate use of seclusion and restraints in caring for a mentally ill patient Developing an age-appropriate treatment plan
be related to semen loss is otherwise known as dhat in this region of the world. Where is a client most likely from given the specific complaint of dhat?
India and Pakistan China and Southeast Asia Australia and Fiji Russia and Ukraine - โ๏ธ โ Correct Answer Dhat syndrome is a syndrome of distress thought related to a loss of semen. Related symptoms thought caused from dhat include depressed mood, fatigue, weight loss, anxiety, somatic complaints and impotence. Morgan is an RN on a busy cerebrovascular accident unit at the local hospital. She forgot to turn her patient every 2 hours in bed and now he has a stage I decubitus ulcer. What could this be best described as? Violations order
Lack of consent Battery Negligence - โ๏ธ โ Correct Answer Morgan's negligence or lack of action resulted in the Decubitus ulcer. A PMHNP employed within a small telehealth practice routinely "curb side consults" a collaborative psychiatrist within the same state through email. The email includes the client's name in the subject line and the email body includes a general question about Risperdal management. Is this considered a HIPAA violation?
Yes, the email mentions Clozaril and medications cannot be discussed via email. No, the collaborative psychiatrist is located in the same practicing state as the PMHNP.
