NR548/ NR 548 EXAM 1: WEEK 1 NEWEST LATEST UPDATE 2024/
2025 PSYCHIATRIC ASSESSMENT FOR THE PSYCHIATRIC-MENTAL
HEALTH NURSE PRACTITIONER REVIEW WEEK 1 CORRECT VERIED
ANSWERS GRADED A+
What does the competency about "anticipatory guidance" mean? - ANSWER--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.
Ex: Moving a toddler from a crib to a bed can prevent injury associated with climbing out of the crib
at that developmental age
What do the standards explain the art of nursing is based on? - ANSWER--Scope of Nursing
Practice
-Based on caring and respect for human dignity
What is the Comprehensive Addiction and Recovery Act (CARA) of 2016 known for? - ANSWER-
Allows NPs to receive federal waiver to prescribe buprenorphine
What is the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for
Patients and Communities Act (SUPPORT Act) of 2018 known for? - ANSWER-Permanently allows
NPs to prescribe buprenorphine
What barriers do minority populations face in accessing healthcare for mental health treatment? -
ANSWER-Reduced utilization of necessary mental healthcare, decreased quality of care, and lack
of adherence in treatment services
Which specific minority populations, especially those with severe mental illnesses like schizophrenia
or bipolar disorder, face disparities in mental health treatment? - ANSWER-Minority populations,
especially minority patients with severe mental illnesses like schizophrenia or bipolar disorder
What factors contribute to disparities in healthcare outcomes? - ANSWER-- Minorities and ethnic
groups have shown poorer outcomes due to delay or avoidance of care stemming from a mistrust of
providers.
,Name some of the key factors influencing disparities in healthcare outcomes. - ANSWER--
Race/ethnicity, socioeconomic status, age, gender, citizenship, disability status,
geographic/environmental location, sexual orientation.
What are some of the systemic and social factors that contribute to healthcare disparities? -
ANSWER-- Policies, level of service utilization, social exclusion, exposure to racism and
discrimination-related stressors, quality of health care practice, challenges to accessing care,
providers' behaviors and biases, stigma, linguistic and cultural barriers.
Strategies to eliminate - ANSWER--Increase number of minority providers
-Improve access to services via telehealth
-Understand social determinants of health in underserved communities
-Use cultural humility to enhance communication
-Increase use of primary care behavioral health integrative clinics (medical and behavioral health in
one location)
Social Determinants of Health - ANSWER--The conditions in which people are born, grow, live,
work, and age. These conditions are influenced by economics, political influence, and resources at
the global, national, and local levels
-Understanding these is foundational to overcoming the disparities in mental healthcare
Provision 1: Respect for Others - ANSWER-The nurse practices with compassion and respect for
the inherent dignity, worth, and unique attributes of every person.
-PMHNP instills hope, empowers, and affirms worth and dignity of pts with MI
-Approaches professional relationships with compassion, caring, and respect
-Advocate to overcome negative stigmas towards PMH dxs to ensure access to care
Provision 2: Commitment to the patient - ANSWER-The nurse's primary commitment is to the
patient, whether an individual, family, group, community, or population.
, -PMHNP's commitment is to individual, family, group, or community
-Recognizes and addresses personal attitudes and bxs that could interfere with meeting ethical
guidelines for care
-Maintains proper boundaries
-Participates in self, peer, and supervisory oversight of clinical skills and practice
-Recognizes those with brain-based MH disorders may have maladaptive coping bxs which impact
individual, family, and society (bx may continue in spite of negative consequences and may involve
setbacks)
-Aware of need to balance human rights with safety, including coercive measures or forced tx when
individuals are unable to maintain their safety.
Provision 3: Advocacy for the patient - ANSWER-The nurse promotes, advocates for, and protects
the rights, health, and safety of the patient.
-PMHNP recognizes vulnerability, complexity, and legal considerations associated with providing care
to those with MI
Provision 4
Accountability and Responsibility for Practice - ANSWER-The nurse has authority, accountability,
and responsibility for nursing practice; makes decisions; and takes action consistent with the
obligation to promote health and to provide optimal care.
-PMHNP is responsible for own practice
-Must articulate competencies and be aware of scope of practice and professional standards guiding
their practice
-Must understand scope
2025 PSYCHIATRIC ASSESSMENT FOR THE PSYCHIATRIC-MENTAL
HEALTH NURSE PRACTITIONER REVIEW WEEK 1 CORRECT VERIED
ANSWERS GRADED A+
What does the competency about "anticipatory guidance" mean? - ANSWER--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.
Ex: Moving a toddler from a crib to a bed can prevent injury associated with climbing out of the crib
at that developmental age
What do the standards explain the art of nursing is based on? - ANSWER--Scope of Nursing
Practice
-Based on caring and respect for human dignity
What is the Comprehensive Addiction and Recovery Act (CARA) of 2016 known for? - ANSWER-
Allows NPs to receive federal waiver to prescribe buprenorphine
What is the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for
Patients and Communities Act (SUPPORT Act) of 2018 known for? - ANSWER-Permanently allows
NPs to prescribe buprenorphine
What barriers do minority populations face in accessing healthcare for mental health treatment? -
ANSWER-Reduced utilization of necessary mental healthcare, decreased quality of care, and lack
of adherence in treatment services
Which specific minority populations, especially those with severe mental illnesses like schizophrenia
or bipolar disorder, face disparities in mental health treatment? - ANSWER-Minority populations,
especially minority patients with severe mental illnesses like schizophrenia or bipolar disorder
What factors contribute to disparities in healthcare outcomes? - ANSWER-- Minorities and ethnic
groups have shown poorer outcomes due to delay or avoidance of care stemming from a mistrust of
providers.
,Name some of the key factors influencing disparities in healthcare outcomes. - ANSWER--
Race/ethnicity, socioeconomic status, age, gender, citizenship, disability status,
geographic/environmental location, sexual orientation.
What are some of the systemic and social factors that contribute to healthcare disparities? -
ANSWER-- Policies, level of service utilization, social exclusion, exposure to racism and
discrimination-related stressors, quality of health care practice, challenges to accessing care,
providers' behaviors and biases, stigma, linguistic and cultural barriers.
Strategies to eliminate - ANSWER--Increase number of minority providers
-Improve access to services via telehealth
-Understand social determinants of health in underserved communities
-Use cultural humility to enhance communication
-Increase use of primary care behavioral health integrative clinics (medical and behavioral health in
one location)
Social Determinants of Health - ANSWER--The conditions in which people are born, grow, live,
work, and age. These conditions are influenced by economics, political influence, and resources at
the global, national, and local levels
-Understanding these is foundational to overcoming the disparities in mental healthcare
Provision 1: Respect for Others - ANSWER-The nurse practices with compassion and respect for
the inherent dignity, worth, and unique attributes of every person.
-PMHNP instills hope, empowers, and affirms worth and dignity of pts with MI
-Approaches professional relationships with compassion, caring, and respect
-Advocate to overcome negative stigmas towards PMH dxs to ensure access to care
Provision 2: Commitment to the patient - ANSWER-The nurse's primary commitment is to the
patient, whether an individual, family, group, community, or population.
, -PMHNP's commitment is to individual, family, group, or community
-Recognizes and addresses personal attitudes and bxs that could interfere with meeting ethical
guidelines for care
-Maintains proper boundaries
-Participates in self, peer, and supervisory oversight of clinical skills and practice
-Recognizes those with brain-based MH disorders may have maladaptive coping bxs which impact
individual, family, and society (bx may continue in spite of negative consequences and may involve
setbacks)
-Aware of need to balance human rights with safety, including coercive measures or forced tx when
individuals are unable to maintain their safety.
Provision 3: Advocacy for the patient - ANSWER-The nurse promotes, advocates for, and protects
the rights, health, and safety of the patient.
-PMHNP recognizes vulnerability, complexity, and legal considerations associated with providing care
to those with MI
Provision 4
Accountability and Responsibility for Practice - ANSWER-The nurse has authority, accountability,
and responsibility for nursing practice; makes decisions; and takes action consistent with the
obligation to promote health and to provide optimal care.
-PMHNP is responsible for own practice
-Must articulate competencies and be aware of scope of practice and professional standards guiding
their practice
-Must understand scope
