ADVANCED PRACTICE PSYCHIATRIC NURSING
CHAPTER 24 EXAM SCRIPT 2026 TEST PAPER
QUESTIONS AND SOLUTIONS GRADED A+
◉ Who started the first advanced practice psychiatric mental health
clinical nurse specialist program?
Answer: Hildegard Peplau
◉ What model did Hildegard Peplau's program focus on?
Answer: A relationship-based interpersonal model
◉ What role did APRNs historically conduct in psychotherapy?
Answer: They acted as primary therapists for individual clients and
group therapists.
◉ What significant shift occurred in psychiatric nursing in the
1990s?
Answer: The emergence of the nurse practitioner role with name
recognition and federal funding.
◉ What are the four Ps in psychiatric mental health advanced
practice?
, Answer: Psychotherapy, pathophysiology, physical and psychiatric
assessment, and psychopharmacology.
◉ What is the significance of the certification exam history in
psychiatric nursing?
Answer: It marks the evolution of advanced practice roles over time.
◉ What is the aim of the neuroscience relationship-based
framework for psychiatric nursing?
Answer: To heal rather than cure, focusing on a holistic model.
◉ What is the resilient zone in the context of psychotherapy?
Answer: A state of well-being where one can handle life's stressors
without losing control.
◉ What is the therapeutic relationship's role in psychotherapy?
Answer: To enhance stabilization, build reflective skills, and create
resources.
◉ What type of therapy is considered to have a larger effect size for
depression compared to SSRIs?
Answer: Psychotherapy
CHAPTER 24 EXAM SCRIPT 2026 TEST PAPER
QUESTIONS AND SOLUTIONS GRADED A+
◉ Who started the first advanced practice psychiatric mental health
clinical nurse specialist program?
Answer: Hildegard Peplau
◉ What model did Hildegard Peplau's program focus on?
Answer: A relationship-based interpersonal model
◉ What role did APRNs historically conduct in psychotherapy?
Answer: They acted as primary therapists for individual clients and
group therapists.
◉ What significant shift occurred in psychiatric nursing in the
1990s?
Answer: The emergence of the nurse practitioner role with name
recognition and federal funding.
◉ What are the four Ps in psychiatric mental health advanced
practice?
, Answer: Psychotherapy, pathophysiology, physical and psychiatric
assessment, and psychopharmacology.
◉ What is the significance of the certification exam history in
psychiatric nursing?
Answer: It marks the evolution of advanced practice roles over time.
◉ What is the aim of the neuroscience relationship-based
framework for psychiatric nursing?
Answer: To heal rather than cure, focusing on a holistic model.
◉ What is the resilient zone in the context of psychotherapy?
Answer: A state of well-being where one can handle life's stressors
without losing control.
◉ What is the therapeutic relationship's role in psychotherapy?
Answer: To enhance stabilization, build reflective skills, and create
resources.
◉ What type of therapy is considered to have a larger effect size for
depression compared to SSRIs?
Answer: Psychotherapy
