Chapter 16 PMH-APRN Scope and Standards of Practice
12 questions in this chapter
Chapter notesQ1A PMH-APRN opens an independent outpatient psychiatric practice. An administrator from a local medical group asserts that the nurse practitioner cannot conduct individual and family psychotherapy without direct oversight from a licensed clinical psychologist. What is the most appropriate response by the PMH-APRN?
Q2A PMHNP serving as the quality improvement director at an outpatient psychiatric clinic leads an initiative to reduce metabolic complications from second-generation antipsychotics. The PMHNP audits patient charts to verify whether baseline lipid panels and hemoglobin A1C tests were ordered prior to initiating olanzapine. According to the Donabedian Model, which type of quality measure is the PMHNP evaluating?
Q3An inpatient psychiatric unit reports a 25 percent reduction in 30-day hospital readmissions for patients diagnosed with schizophrenia following the implementation of a structured discharge follow-up protocol. Under the Donabedian Model of Quality Improvement, this reduction in readmission rates represents which component?
Q4Which of the following interventions represents a structural quality measure in a community mental health clinic seeking to improve patient safety?
Q5A PMH-APRN serving as clinical director of an outpatient mental health center learns that a staff nurse practitioner inadvertently administered an incorrect dose of oral risperidone due to poor lighting and look-alike drug packaging. The patient experienced mild sedation but suffered no lasting harm. According to the principles of Just Culture, what is the most appropriate initial action by the PMH-APRN?
Q6Following a sentinel event in an inpatient psychiatric facility where a patient attempted suicide using an unmonitored call bell cord, the PMH-APRN leads an interprofessional quality team. Which framework should the team utilize to retrospectively analyze the systemic vulnerabilities that allowed this event to occur?
Q7A 42-year-old man with major depressive disorder declines a recommended second-generation antipsychotic augmentation strategy due to concerns about metabolic side effects. He is alert, oriented, demonstrates clear clinical reasoning, and understands the risks of refusing treatment. What is the most appropriate initial action by the PMHNP?
Q8A PMHNP working in an outpatient clinic experiences severe fatigue, emotional exhaustion, and moral distress due to heavy caseloads. According to the ANA Code of Ethics, which provision addresses the provider's ethical obligation to practice self-care and preserve personal health?