A PMHNP is working at a community mental health clinic during the time of the COVID-19 shutdown. Many of her clients are of low socioeconomic status and do not have access to the necessary equipment for videoconferencing and are only available for appointments via telephone. How will the NP best ensure the clients receive high-quality care when she can only use the telephone?
Standards of care have been relaxed during the pandemic.
She must document every effort she has made to attempt a video conference.
She will insist the clients find a way to utilize a video system when necessary, for example when she is conducting the periodic abnormal involuntary movement scale (AIMS) testing.
She will conduct phone calls as needed because the clients need their medicine; these are unprecedented times.
The Correct Answer is B
Choice A reason: While some regulatory flexibilities were introduced during the pandemic, standards of care were not “relaxed.” Providers are still expected to deliver safe, ethical, and evidence-based care, regardless of modality.
Choice B reason: Documenting every effort to conduct video conferencing is essential for maintaining clinical accountability and regulatory compliance. It demonstrates that the PMHNP attempted to meet the highest standard of care and provides justification for using telephone-based services when video was not feasible.
Choice C reason: Insisting that clients find a way to use video may be unrealistic and inequitable, especially for those with limited resources. It may create barriers to care and violate principles of justice and accessibility.
Choice D reason: While conducting phone calls may be necessary, this approach lacks the documentation and accountability required in clinical practice. It does not ensure high-quality care unless accompanied by efforts to meet best practices and regulatory standards.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Pearson's r correlation measures the strength and direction of a linear relationship between two variables. It does not directly indicate the probability of a result occurring by chance, although it may be used alongside inferential statistics to assess significance.
Choice B reason: The p-value is a statistical measure that indicates the probability of obtaining the observed results, or more extreme ones, assuming the null hypothesis is true. It is the primary tool used to determine statistical significance and assess whether findings are likely due to chance. A low p-value suggests that the observed effect is unlikely to be due to random variation alone.
Choice C reason: Probability is a general concept in statistics that refers to the likelihood of an event occurring. While foundational, it is not a specific inferential statistic used to test hypotheses or determine significance in research findings.
Choice D reason: The t-test is a statistical test used to compare the means of two groups. It helps determine whether differences between groups are statistically significant. However, the t-test produces a p-value, which is the actual statistic that describes the probability of the result occurring by chance.
Correct Answer is B
Explanation
Choice A reason: This describes internal validity, which assesses whether the observed effect is due to the intervention and not confounding variables. It does not address generalizability.
Choice B reason: External validity refers to the extent to which study findings can be generalized beyond the specific sample used. If the sample accurately reflects the broader population, the results are more likely to apply in real-world settings, enhancing external validity.
Choice C reason: A p-value of 0.1 suggests that the results are not statistically significant at the conventional threshold of 0.05. It does not relate to external validity, which is about generalizability, not statistical significance.
Choice D reason: Peer-reviewed publication indicates that the research has undergone expert scrutiny, but it does not guarantee external validity. Generalizability depends on study design and sample characteristics, not publication status.
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