NR548 EXAM 1 EXPECTED QUESTIONS WITH VERIFIED
ANSWERS
Question 1.
PMH-APRN
ANSWER
a nurse with graduate-level training who provides psychiatric-mental health care and
promotes mental health across the lifespan -assess, diagnose and treat individuals and
families who have psychiatric and/or substance disorders -work in a variety of health care
settings and practices and are eligible for reimbursement through private insurers, HMOs,
PPOs, Medicare and Medicaid
Question 2.
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.
Question 3.
ANA Code of Ethics: the art of nursing is based on?
ANSWER
caring and respect for human dignity
Question 4.
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).
,Question 5.
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).
Question 6.
Dr. Edward Cowles created in 1882
ANSWER
the first organized training school within a hospital for the insane
Question 7.
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)
Question 8.
Following WWI, the National League for Nursing Education added:
ANSWER
"nursing in nervous and mental diseases" to curriculum guides
Question 9.
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.
Question 10.
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.
Question 11.
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.
Question 12.
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
Question 13.
1965
ANSWER
Loretta Ford, RN and Henry Silver MD introduce the nurse practitioner role.
Question 14.
ANSWERS
Question 1.
PMH-APRN
ANSWER
a nurse with graduate-level training who provides psychiatric-mental health care and
promotes mental health across the lifespan -assess, diagnose and treat individuals and
families who have psychiatric and/or substance disorders -work in a variety of health care
settings and practices and are eligible for reimbursement through private insurers, HMOs,
PPOs, Medicare and Medicaid
Question 2.
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.
Question 3.
ANA Code of Ethics: the art of nursing is based on?
ANSWER
caring and respect for human dignity
Question 4.
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).
,Question 5.
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).
Question 6.
Dr. Edward Cowles created in 1882
ANSWER
the first organized training school within a hospital for the insane
Question 7.
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)
Question 8.
Following WWI, the National League for Nursing Education added:
ANSWER
"nursing in nervous and mental diseases" to curriculum guides
Question 9.
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.
Question 10.
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.
Question 11.
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.
Question 12.
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
Question 13.
1965
ANSWER
Loretta Ford, RN and Henry Silver MD introduce the nurse practitioner role.
Question 14.
