History of NP Role – CORRECT ANSWER Ford and SIlver in CO in 1965
state legislative statutes – CORRECT ANSWER grant legal authority, the nurse
practice act, may require collaborative agreement
collaborative agreement – CORRECT ANSWER what types of drugs may be
prescribed and of some oversight board
statutory law – CORRECT ANSWER rules differ for each state, further define
scope of practice
licensure – CORRECT ANSWER agency of state grants permission to individuals
accountable for the practice of a profession
credentialing – CORRECT ANSWER protect the pubic by ensuring minimum level
of competence
certification – CORRECT ANSWER determines scope of practice, certifies that an
individual has met certain standards
scope of practice – CORRECT ANSWER defines NP roles and action, varies from
state to state
standards of practice – CORRECT ANSWER regarding the quality and type of
practice, a way to judge the nature of care given
confidentiality – CORRECT ANSWER information is not disclosed, protected by
Medical Record Confidentiality Act of 1996
HIPAA – CORRECT ANSWER health care privacy act: educated about HIPAA,
have access to medical records, request amendments, require their permission for
disclosure
Tarasoff principle – CORRECT ANSWER 1976 – duty to warn victims of potential
harm from client
Justice – CORRECT ANSWER doing what is fair, fairness in care
Beneficence – CORRECT ANSWER promoting well being and doing good
nonmalfeasance – CORRECT ANSWER doing no harm
fidelity – CORRECT ANSWER being true and loyal
autonomy – CORRECT ANSWER doing for self
veracity – CORRECT ANSWER telling the truth
respect – CORRECT ANSWER treating everyone with equal respect
deontological theory – CORRECT ANSWER action is judged based on the act
itself
teleological theory – CORRECT ANSWER action is judged based on the
consequences
virtue ethics – CORRECT ANSWER actions are chosen based on moral virtues of
the person
Four elements of malpractice – CORRECT ANSWER duty, breach of duty,
proximate cause, damages
competency – CORRECT ANSWER legal, not medical concept – determination
that client can make reasonable judgments and decisions regarding treatment and
health concerns
primary prevention – CORRECT ANSWER decreasing the incidence of mental
disorders
ex. stress management classes, smoking prevention, DARE
secondary prevention – CORRECT ANSWER aimed at decreasing prevalence
ex. telephone hotlines, crisis intervention, disaster response
tertiary prevention – CORRECT ANSWER aimed at decreasing the disability and
severity of mental disorder
ex. day programs, housing, social skills training
biological risk factors – CORRECT ANSWER hx of mental illness, poor nutrition,
poor health
psychological risk factors – CORRECT ANSWER poor self concept, external locus
of control, poor ego defenses
social risk factors – CORRECT ANSWER stressful occupation, low socioeconomic
status, poor level of social integration
research utilization – CORRECT ANSWER synthesizing, disseminating, and using
research generated knowledge to make a change in practice
evidence based practice – CORRECT ANSWER integration of best research
evidence with clinical expertise and patient values and needs
evidence based practice model – CORRECT ANSWER P – patient, population,
problem
I – intervention
C- comparison treatment or placebo
O – outcome
internal validity – CORRECT ANSWER the treatment caused a change in the
outcome
external validity – CORRECT ANSWER the outcome is generalizable to the
population
IRB – CORRECT ANSWER protects rights of participants in studies – the belmont
report
Trust v Mistrust – CORRECT ANSWER 0-1 year
ability to form relationships, hope, trust in others
Autonomy v Shame and doubt – CORRECT ANSWER 1-3 years
self control, self esteem, will power
Initiative v guilt – CORRECT ANSWER 3-6 years
self directed behavior, goal formation, sense of purpose
Industry v inferiority – CORRECT ANSWER 6-12 years
ability to work, sense of competency and achievement
Identity v role confusion – CORRECT ANSWER 12-20 years
personal sense of identity
Intimacy v isolation – CORRECT ANSWER 20-35 years
committed relationships, capacity to love
generativity v self absorption or stagnation – CORRECT ANSWER 35-65 years
ability to give time and talent to others, ability to grow and change
integrity v despair – CORRECT ANSWER > 65 years