,NR 548 Exam 1 | Weeks 1–8 | Chamberlain University |
1. What is a Psychiatric-Mental Health Advanced Practice Registered Nurse (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
Correct Answer: A nurse with graduate-level training who provides psychiatric-mental health care and
promotes mental health across the lifespan.
Rationale: A PMH-APRN is a nurse with graduate-level education who assesses, diagnoses, and treats
individuals and families with psychiatric and/or substance use disorders. This distinguishes the role from
a registered nurse, physician assistant, or social worker.
2. According to the ANA Code of Ethics, which provision emphasizes the nurse's primary commitment to
the patient?
A) Provision 1
B) Provision 2
C) Provision 3
D) Provision 4
Correct Answer: Provision 2.
Rationale: Provision 2 of the ANA Code of Ethics states that the nurse's primary commitment is to the
patient, whether an individual, family, group, community, or population. This is a foundational principle
for all nursing practice.
3. Which of the following best describes the scope of practice for a PMHNP?
A) It is defined solely by the state Nurse Practice Act.
B) It is defined by the state Nurse Practice Act, national certification, and institutional policies.
,C) It is defined by the American Nurses Association only.
D) It is defined by the employer's job description.
Correct Answer: It is defined by the state Nurse Practice Act, national certification, and institutional
policies.
Rationale: The PMHNP's scope of practice is determined by a combination of factors: the state's Nurse
Practice Act, national certification requirements, and the policies of the employing institution.
4. A PMHNP is serving as a peer reviewer of articles for the Journal of the American Psychiatric Nurses
Association. Which PMHNP standard of practice does this activity best represent?
A) Standard 5: Implementation
B) Standard 9: Professional Practice Evaluation
C) Standard 13: Evidence-Based Practice and Research
D) Standard 14: Quality of Practice
Correct Answer: Standard 13: Evidence-Based Practice and Research.
Rationale: Under the Evidence-Based Practice and Research standard, the PMHNP contributes to nursing
knowledge by conducting, critically appraising, or synthesizing research. Peer review of journal articles
falls under this standard.
5. A PMHNP is treating a client who presents with trouble sleeping, low energy, difficulty concentrating,
and a persistent sad mood for the last four weeks. The PMHNP correctly determines that the client's
symptoms fit the criteria for Major Depressive Disorder. This action aligns with which PMHNP standard
of practice?
A) Standard 1: Assessment
B) Standard 2: Diagnosis
C) Standard 3: Outcomes Identification
D) Standard 4: Planning
Correct Answer: Standard 2: Diagnosis.
, Rationale: Under the Diagnosis standard, the PMHNP develops psychiatric and substance use diagnoses
consistent with clinical findings and DSM-5 criteria. This scenario describes the diagnostic process.
6. A PMHNP is providing care to a 29-year-old client who presents with persistent sadness and
hopelessness for the last two months. This is the client's first contact with the healthcare system about
these concerns. In which practice setting is this client most likely being seen?
A) Inpatient psychiatric unit
B) Primary care
C) Psychiatric emergency services
D) Residential treatment facility
Correct Answer: Primary care.
Rationale: This scenario describes a client's initial contact with the healthcare system, which is most
consistent with a primary care setting. Primary care is often the entry point for mental health concerns.
7. Which of the following best describes a residential service setting for PMHNP practice?
A) It provides short-term treatment for acutely ill clients at risk for harming self or others.
B) It provides 24-hour care and housing for an extended period.
C) It focuses on psychiatric and substance-related emergencies.
D) It provides acute symptom management for clients who do not require 24-hour medical
management.
Correct Answer: It provides 24-hour care and housing for an extended period.
Rationale: Residential services provide 24-hour care and housing for an extended period. This is distinct
from inpatient care (short-term, acute) and partial hospitalization (day treatment).
8. Which of the following best describes a partial hospitalization program (PHP)?
A) It provides short-term treatment for acutely ill clients at risk for harming self or others.
1. What is a Psychiatric-Mental Health Advanced Practice Registered Nurse (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
Correct Answer: A nurse with graduate-level training who provides psychiatric-mental health care and
promotes mental health across the lifespan.
Rationale: A PMH-APRN is a nurse with graduate-level education who assesses, diagnoses, and treats
individuals and families with psychiatric and/or substance use disorders. This distinguishes the role from
a registered nurse, physician assistant, or social worker.
2. According to the ANA Code of Ethics, which provision emphasizes the nurse's primary commitment to
the patient?
A) Provision 1
B) Provision 2
C) Provision 3
D) Provision 4
Correct Answer: Provision 2.
Rationale: Provision 2 of the ANA Code of Ethics states that the nurse's primary commitment is to the
patient, whether an individual, family, group, community, or population. This is a foundational principle
for all nursing practice.
3. Which of the following best describes the scope of practice for a PMHNP?
A) It is defined solely by the state Nurse Practice Act.
B) It is defined by the state Nurse Practice Act, national certification, and institutional policies.
,C) It is defined by the American Nurses Association only.
D) It is defined by the employer's job description.
Correct Answer: It is defined by the state Nurse Practice Act, national certification, and institutional
policies.
Rationale: The PMHNP's scope of practice is determined by a combination of factors: the state's Nurse
Practice Act, national certification requirements, and the policies of the employing institution.
4. A PMHNP is serving as a peer reviewer of articles for the Journal of the American Psychiatric Nurses
Association. Which PMHNP standard of practice does this activity best represent?
A) Standard 5: Implementation
B) Standard 9: Professional Practice Evaluation
C) Standard 13: Evidence-Based Practice and Research
D) Standard 14: Quality of Practice
Correct Answer: Standard 13: Evidence-Based Practice and Research.
Rationale: Under the Evidence-Based Practice and Research standard, the PMHNP contributes to nursing
knowledge by conducting, critically appraising, or synthesizing research. Peer review of journal articles
falls under this standard.
5. A PMHNP is treating a client who presents with trouble sleeping, low energy, difficulty concentrating,
and a persistent sad mood for the last four weeks. The PMHNP correctly determines that the client's
symptoms fit the criteria for Major Depressive Disorder. This action aligns with which PMHNP standard
of practice?
A) Standard 1: Assessment
B) Standard 2: Diagnosis
C) Standard 3: Outcomes Identification
D) Standard 4: Planning
Correct Answer: Standard 2: Diagnosis.
, Rationale: Under the Diagnosis standard, the PMHNP develops psychiatric and substance use diagnoses
consistent with clinical findings and DSM-5 criteria. This scenario describes the diagnostic process.
6. A PMHNP is providing care to a 29-year-old client who presents with persistent sadness and
hopelessness for the last two months. This is the client's first contact with the healthcare system about
these concerns. In which practice setting is this client most likely being seen?
A) Inpatient psychiatric unit
B) Primary care
C) Psychiatric emergency services
D) Residential treatment facility
Correct Answer: Primary care.
Rationale: This scenario describes a client's initial contact with the healthcare system, which is most
consistent with a primary care setting. Primary care is often the entry point for mental health concerns.
7. Which of the following best describes a residential service setting for PMHNP practice?
A) It provides short-term treatment for acutely ill clients at risk for harming self or others.
B) It provides 24-hour care and housing for an extended period.
C) It focuses on psychiatric and substance-related emergencies.
D) It provides acute symptom management for clients who do not require 24-hour medical
management.
Correct Answer: It provides 24-hour care and housing for an extended period.
Rationale: Residential services provide 24-hour care and housing for an extended period. This is distinct
from inpatient care (short-term, acute) and partial hospitalization (day treatment).
8. Which of the following best describes a partial hospitalization program (PHP)?
A) It provides short-term treatment for acutely ill clients at risk for harming self or others.
