& Answers Complete Study Guide – Psychiatric Assessment for
PMHNP | Chamberlain University | Latest 2026/2027 | 100%
Verified
This comprehensive document contains Actual questions and verified answers for NR
548 Exam 1, covering Weeks 1–2 of the Psychiatric Assessment for the Psychiatric-Mental
Health Nurse Practitioner (PMHNP) course at Chamberlain University. Topics include the
PMHNP role, ANA Code of Ethics, practice settings, scope of practice, psychiatric-mental
health history, historical milestones, social determinants of health, health disparities, the
psychiatric interview process, and the Mental Status Examination (MSE) .
SECTION 1: PMHNP ROLE AND SCOPE OF PRACTICE (Questions 1–30)
1. What is a PMH-APRN?
A) A registered nurse with a bachelor's degree in psychiatric nursing
B) A nurse with graduate-level training who provides psychiatric-mental health care
and promotes mental health across the lifespan
C) A physician assistant specializing in mental health
D) A social worker with additional certification in psychiatry
Answer: B
A PMH-APRN (Psychiatric-Mental Health Advanced Practice Registered Nurse) is a nurse
with graduate-level education who provides comprehensive psychiatric-mental health care,
including assessment, diagnosis, and treatment across the lifespan .
,2. Following WWI, the National League for Nursing Education added what to
curriculum guides?
A) "Nursing in nervous and mental diseases"
B) Psychiatric nursing as a specialty
C) Advanced practice nursing courses
D) Community mental health content
Answer: A
Following WWI, the National League for Nursing Education added "nursing in nervous and
mental diseases" to curriculum guides, recognizing the need for specialized psychiatric
nursing education .
3. Who developed the first organized training school within a hospital for the insane
in 1882?
A) Effie Jones
B) Edward Cowles
C) Dorothea Dix
D) Loretta Ford
Answer: B
Dr. Edward Cowles created the first organized training school within a hospital for the
insane in 1882, marking a significant milestone in psychiatric nursing education .
4. In WWII, Laura Fitzsimmons recommended:
,A) Closing all psychiatric hospitals
B) Standards of training for psychiatric nurses
C) Deinstitutionalization of mental health care
D) Prescriptive authority for nurses
Answer: B
During WWII, Laura Fitzsimmons recommended standards of training for psychiatric nurses,
which led to improved education and standards of care for psychiatric nursing .
5. The National Mental Health Act (NMHA) of 1946:
A) Established Medicare and Medicaid
B) Recognized psychiatric nursing as one of the four core disciplines in psychiatric
care and increased funding for psychiatric nursing education
C) Created the PMHNP role
D) Mandated prescriptive authority for nurses
Answer: B
The NMHA of 1946 recognized psychiatric nursing as one of the four core disciplines in
psychiatric care and treatment. The act increased funding for psychiatric nursing education
programs and contributed to a growth in university-based nursing education .
6. In 1954, which university established the first graduate program in psychiatric
nursing?
A) Yale University
B) University of California
, C) Rutgers University
D) Johns Hopkins University
Answer: C
In 1954, the first graduate program in psychiatric nursing was established at Rutgers
University by Hildegarde Peplau to prepare nurse therapists. The first advanced practice
nursing role was the psychiatric-mental health clinical nurse specialist (PMHCNS) role .
7. The Community Mental Health Centers Act of 1963:
A) Allowed for the expansion of the PMHCNS role into community and ambulatory
settings
B) Ended all inpatient psychiatric care
C) Mandated medication management by nurses
D) Created the PMHNP certification exam
Answer: A
The Community Mental Health Centers Act of 1963 allowed for the expansion of the
PMHCNS role into community and ambulatory settings as they helped those who had been
deinstitutionalized adapt .
8. In 1965, who introduced the nurse practitioner role?
A) Hildegarde Peplau and Dorothea Dix
B) Loretta Ford and Henry Silver
C) Edward Cowles and Effie Jones
D) Florence Nightingale and Clara Barton