NR548/ NR 548 EXAM 1: NEWEST
LATEST UPDATE 2024/ 2025
PSYCHIATRIC ASSESSMENT FOR THE
PSYCHIATRIC-MENTAL HEALTH
NURSE PRACTITIONER REVIEW WEEK
1&2QUESTIONS WITH CORRECT
VERIED ANSWERS GRADED A+
National Mental Health Act (NMHA) of 1946 - CORRECT
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 - CORRECT 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 - CORRECT
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
1965 - CORRECT ANSWER✔✔Loretta Ford, RN and Henry
Silver MD introduce the nurse practitioner role.
1973 ANA first published: - CORRECT ANSWER✔✔Standards
of Psychiatric-Mental Health Nursing Practice
1980s states began to grant: - CORRECT ANSWER✔✔
prescriptive authority to advanced practice registered nurse
(APRN), adding medication prescribing and management to the
traditional therapy role of the psychiatric mental health (PMH)
APRN.
2000s these exams were developed: - CORRECT ANSWER✔✔
Certification exams for adult and family psychiatric mental health
nurse practitioner (PMHNP) developed.
-These exams were retired in 2015 when psychiatric certification
exams were combined to a single Psychiatric-Mental Health
Nurse Practitioner (Across the Lifespan) Certification (PMHNP-
BC).
The 21st Century Cures Act of 2016: - CORRECT ANSWER✔✔-
resulted in the creation of the U.S. Department of Health and
Human Services (HHS) Interdepartmental Serious Mental Illness
Coordinating Committee (ISMICC)
-group is charged with compiling a summary of advances in
serious mental illness (SMI) and serious emotional disturbance
(SED) research, evaluating federal programs and treatment
services related to SMI and SED, and making specific
recommendations to better coordinate the administration of
mental health services
, present: - CORRECT ANSWER✔✔Current trends in care focus
on integrated treatment of those with co-occurring medical and
psychiatric diagnoses and co-occurring psychiatric and substance
use disorders, leading to a need to add content in advanced
health assessment, pharmacology, pathophysiology, and the
diagnosis of psychiatric illness to graduate psychiatric nursing
curricula.
-Primary care has become the point of entry to psychiatric care for
many clients.
-PMHNPs are helping to address the growing need for primary
mental health services and mental illness prevention.
-Though the number of advanced practice psychiatric nurses has
increased, there are still limitations in access for many clients,
which has led to disparities in mental health treatment.
PMHNP scope of practice - CORRECT ANSWER✔✔broad and
includes practice in a variety of possible roles and clinical settings
-Education
• A master's degree, post master's certificate, or doctoral degree
is required for PMH APRN practice.
-Clinical Practice Settings
• Crisis intervention and psychiatric emergency services
• Acute inpatient care
• Intermediate and long-term care
• Partial hospitalization and intensive outpatient treatment (IOP)
• Residential services
• Community-based care
• Assertive Community Treatment (ACT)
-PMHNP APRN Roles
• Primary care
• Psychotherapy
• Psychopharmacological management
• Case management
• Program, system, and policy development management
LATEST UPDATE 2024/ 2025
PSYCHIATRIC ASSESSMENT FOR THE
PSYCHIATRIC-MENTAL HEALTH
NURSE PRACTITIONER REVIEW WEEK
1&2QUESTIONS WITH CORRECT
VERIED ANSWERS GRADED A+
National Mental Health Act (NMHA) of 1946 - CORRECT
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 - CORRECT 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 - CORRECT
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
1965 - CORRECT ANSWER✔✔Loretta Ford, RN and Henry
Silver MD introduce the nurse practitioner role.
1973 ANA first published: - CORRECT ANSWER✔✔Standards
of Psychiatric-Mental Health Nursing Practice
1980s states began to grant: - CORRECT ANSWER✔✔
prescriptive authority to advanced practice registered nurse
(APRN), adding medication prescribing and management to the
traditional therapy role of the psychiatric mental health (PMH)
APRN.
2000s these exams were developed: - CORRECT ANSWER✔✔
Certification exams for adult and family psychiatric mental health
nurse practitioner (PMHNP) developed.
-These exams were retired in 2015 when psychiatric certification
exams were combined to a single Psychiatric-Mental Health
Nurse Practitioner (Across the Lifespan) Certification (PMHNP-
BC).
The 21st Century Cures Act of 2016: - CORRECT ANSWER✔✔-
resulted in the creation of the U.S. Department of Health and
Human Services (HHS) Interdepartmental Serious Mental Illness
Coordinating Committee (ISMICC)
-group is charged with compiling a summary of advances in
serious mental illness (SMI) and serious emotional disturbance
(SED) research, evaluating federal programs and treatment
services related to SMI and SED, and making specific
recommendations to better coordinate the administration of
mental health services
, present: - CORRECT ANSWER✔✔Current trends in care focus
on integrated treatment of those with co-occurring medical and
psychiatric diagnoses and co-occurring psychiatric and substance
use disorders, leading to a need to add content in advanced
health assessment, pharmacology, pathophysiology, and the
diagnosis of psychiatric illness to graduate psychiatric nursing
curricula.
-Primary care has become the point of entry to psychiatric care for
many clients.
-PMHNPs are helping to address the growing need for primary
mental health services and mental illness prevention.
-Though the number of advanced practice psychiatric nurses has
increased, there are still limitations in access for many clients,
which has led to disparities in mental health treatment.
PMHNP scope of practice - CORRECT ANSWER✔✔broad and
includes practice in a variety of possible roles and clinical settings
-Education
• A master's degree, post master's certificate, or doctoral degree
is required for PMH APRN practice.
-Clinical Practice Settings
• Crisis intervention and psychiatric emergency services
• Acute inpatient care
• Intermediate and long-term care
• Partial hospitalization and intensive outpatient treatment (IOP)
• Residential services
• Community-based care
• Assertive Community Treatment (ACT)
-PMHNP APRN Roles
• Primary care
• Psychotherapy
• Psychopharmacological management
• Case management
• Program, system, and policy development management
