ANCC Domain 1-5 questions

ANCC Domain 1-5 questions A newly graduated nurse practitioner (NP) wants to open a private psychiatric practice in her hometown. She wants to find out about the laws that cover her responsibility and the legal liability that this practice will encounter for her as an independent psychiatric nurse

practitioner. Her best source of information is:

• The State Statues on Nursing or Advanced Nursing Practice
• Her city statutes
• Local Psychiatric Nurse Practitioners in practice
• The American Academy of Nurse practitioners
• The State Statues on Nursing or Advanced Nursing Practice

Which of the following best depicts the Psychiatric-Mental Health Nurse Practitioner in a grassroots mental health advocacy role?

• Attending a town hall meeting to seek timely police response to rising domestic violence

crisis calls.

• Working on the campaign of an individual running for the state senate.
• Assisting with depression screening at a health fair in a local shopping mall
• Meeting states legislators during RN lobbying day organized by the state nurses' association
• Attending a town hall meeting to seek timely police response to rising domestic violence

crisis calls.During a medication follow-up appointment at student mental health clinic, a 20 y/o college sophomore with depression and history of binge drinking disclosed that she has been struggling with recurrent intrusive thoughts of overdose. She recently broke up with her boyfriend when she learned that he was sleeping with her closest girlfriend. She admits taking a handful of her 1 / 4

sertraline prescribed by the Psychiatric-mental Health Nurse Practitioner last weekend and was frustrated that it only made her sleep for a day. She's angry and ambivalent about the future, unwilling to make any promise not to harm herself, and has made veiled threats to "pay back both of them for cheating" (referring to her ex-boyfriend and girlfriend). What is the most appropriate intervention at this juncture?

• Counsel the student that she would regret hurting herself and can move beyond this broken

relationship

• Ask the student to promise that she wont harm herself or anyone else and schedule next day

counseling

• Negotiate with the student to touch base daily by phone between counseling visits to avoid

hospitalization

• Ask the student if she will agree to voluntary admission and arrange involuntary admission is

necessary

• Ask the student if she will agree to voluntary admission and arrange involuntary admission is

necessary Per the Health Insurance Portability and Accountability Act (HIPAA), a nurse practitioner (NP) who is in an independent, single practitioner practice is considered a "Covered Entity" because:

• Writers information and generates protected health information
• The NP transmits protected health information in electronic forms
• May accidentally release protected health information
• Maintains charts with patient information that contains protected health information
• The NP transmits protected health information in electronic forms

The Nurse Practitioner (NP) attends a local meeting where allocation of resources for healthcare will be discussed. One of the stakeholders has a pamphlet that describes the types of healthcare providers available to help persons in need of health care. The NP notices that Nurse Practitioners are labeled as "Paraprofessionals". In the meeting, the NP askes the organization responsible for the pamphlet why they have identified the Nurse Practitioners as 2 / 4

paraprofessionals when a Nurse Practitioner is by law working as 85-90% of the same capacity as a Medical Doctor. The NP goes on to explain what a Nurse Practitioner does in various areas

of practice. This is an example of:

• Promoting nurse practitioners in the community
• Public education on the NP scope and standards of practice
• Correcting misinformation that deliberately misleads the public
• Advocating for the role and value of the Nurse Practitioner.
• Advocating for the role and value of the Nurse Practitioner.

Your patient wants to communicate with you through email. You have a secure email account that is encrypted and will protect health information as required by the Health Insurance Portability and Accountability Act (HIPAA). Your patient does not have an encrypted email

account. You reply is:

• I do not like to communicate through email I would prefer to talk to you in person or over

the telephone only

• I can encrypt our email communications to be sure that your protected health information

(PHI) is unavailable to others and protect you

• I have no problems with you communicating with me through my personal email
• In order to communicate back and forth, you will have to find a way to encrypt you're

protected health information (PHI)

• In order to communicate back and forth, you will have to find a way to encrypt you're

protected health information (PHI) As an individual advanced practitioner, you cannot afford to have a standalone Electronic Health Record (HER) system to keep all of your patient's health information on a computer based system. How could you problem-solve this dilemma?

• Process your notes and patient records in a secure electronic system with a template for 3 / 4

patient information and interactions, supporting quick access within your network

• Process your notes and patient records on a laptop that you are able to transport between

your office and home office. You always have the records available if needed

• Process your notes manually and keep them in a locked file. The records are available for

copy and distribution at any time.

• Process your patient records manually, in your current fashion. You are keeping a full record

according to HIPAA.

• Process your notes and patient records in a secure electronic system with a template for

patient information and interactions, supporting quick access within your network The nurse practitioner (NP) sees an opportunity to help her patient who duffers from anxiety and hypertension by utilizing a medication that can treat both issues. She talks to her patient about using Atenolol 25mg ½ tab po Q HS to manage his hypertension and his chronic anxiety.

To promote both the patient's continued health and collaboration, the NP:

• Faxes a copy of her care notes to the Primary Care Provider (PCP) to inform the PCP of her

plan of care

• Telephones the Primary Care Provider's office and leaves a message about the change in

medication

• Tells the patient to let his Primary Care Provider know about the change in medication
• Telephones the patient's Primary Care Provider to discuss the use of the Atenolol before

starting the medication

• Telephones the patient's Primary Care Provider to discuss the use of the Atenolol before

starting the medication A frail 76 y/o woman with Alzheimer's type dementia in a skilled nursing facility has been increasingly agitated, combative, and has struck out at other patients in the dining room and at staff attempting to care for her. What would be the most appropriate initial intervention by the

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