PSYCHIATRIC ASSESSMENT MENTAL HEALTH
NURSE PRACTITIONER FINAL 2026 PRACTICE
SOLUTION SET
◉ ANA Code of Ethics: anticipatory guidance competency. Answer:
ANA Standards and Scope: Standard 5B: Health Teaching &
Promotion
-An educated professional nurse is aware of normal developmental
and situational threats to wellness and can educate healthcare
consumers to avoid them.
• Example: Moving a toddler from a crib to a bed can prevent injury
associated with climbing out of the crib at that developmental age.
◉ ANA Code of Ethics: the art of nursing is based on?. Answer:
caring and respect for human dignity
◉ ANA Code of Ethics: the fundamental principle of and attitude that
the professional nurse must have as outlined in Provision 1. Answer:
ANA Code of Ethics: Provision 1
-"the nurse practices with compassion and respect for the inherent
dignity, worth, and unique attributes of every person" (ANA, 2015b,
p. 1).
,◉ ANA Code of Ethics: How should the nurse respond to the
discovery of human trafficking in his or her practice?. Answer: ANA
Code of Ethics: Provision 8
-Nurses must "bring attention to human rights violations in all
settings and contexts. . . . The nursing profession must respond when
these violations are encountered" (ANA, 2015b, p. 33).
◉ Dr. Edward Cowles created in 1882. Answer: the first organized
training school within a hospital for the insane
◉ 1913, Effie Jane Taylor developed. Answer: the first nurse-
organized training course for psychiatric nursing at Johns Hopkins
Hospital
(before early psychiatric nurses were trained by physicians)
◉ Following WWI, the National League for Nursing Education
added:. Answer: "nursing in nervous and mental diseases" to
curriculum guides
◉ In WWII, many potential military recruits deemed unfit for
service due to psychiatric concerns, while many veterans
experienced combat-related neuropsychiatric conditions. Laura
Fitzsimmons recommended:. Answer: standards of training for
psychiatric nurses, which led to improved education and standards
of care.
, ◉ National Mental Health Act (NMHA) of 1946. Answer: -psychiatric
nursing was recognized 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.
◉ 1954. Answer: -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.
◉ The Community Mental Health Centers Act of 1963. Answer:
(1950s brought a transition towards deinstitutionalization in care
for those with mental illnesses, which led to an increase in the
number of psychiatric clients receiving care in the community rather
than hospitals)
-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
NURSE PRACTITIONER FINAL 2026 PRACTICE
SOLUTION SET
◉ ANA Code of Ethics: anticipatory guidance competency. Answer:
ANA Standards and Scope: Standard 5B: Health Teaching &
Promotion
-An educated professional nurse is aware of normal developmental
and situational threats to wellness and can educate healthcare
consumers to avoid them.
• Example: Moving a toddler from a crib to a bed can prevent injury
associated with climbing out of the crib at that developmental age.
◉ ANA Code of Ethics: the art of nursing is based on?. Answer:
caring and respect for human dignity
◉ ANA Code of Ethics: the fundamental principle of and attitude that
the professional nurse must have as outlined in Provision 1. Answer:
ANA Code of Ethics: Provision 1
-"the nurse practices with compassion and respect for the inherent
dignity, worth, and unique attributes of every person" (ANA, 2015b,
p. 1).
,◉ ANA Code of Ethics: How should the nurse respond to the
discovery of human trafficking in his or her practice?. Answer: ANA
Code of Ethics: Provision 8
-Nurses must "bring attention to human rights violations in all
settings and contexts. . . . The nursing profession must respond when
these violations are encountered" (ANA, 2015b, p. 33).
◉ Dr. Edward Cowles created in 1882. Answer: the first organized
training school within a hospital for the insane
◉ 1913, Effie Jane Taylor developed. Answer: the first nurse-
organized training course for psychiatric nursing at Johns Hopkins
Hospital
(before early psychiatric nurses were trained by physicians)
◉ Following WWI, the National League for Nursing Education
added:. Answer: "nursing in nervous and mental diseases" to
curriculum guides
◉ In WWII, many potential military recruits deemed unfit for
service due to psychiatric concerns, while many veterans
experienced combat-related neuropsychiatric conditions. Laura
Fitzsimmons recommended:. Answer: standards of training for
psychiatric nurses, which led to improved education and standards
of care.
, ◉ National Mental Health Act (NMHA) of 1946. Answer: -psychiatric
nursing was recognized 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.
◉ 1954. Answer: -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.
◉ The Community Mental Health Centers Act of 1963. Answer:
(1950s brought a transition towards deinstitutionalization in care
for those with mental illnesses, which led to an increase in the
number of psychiatric clients receiving care in the community rather
than hospitals)
-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
