NR548 EXAM 1 COMPLETE QUESTIONS AND CORRECT ANSWERS

NR548 EXAM 1 COMPLETE
QUESTIONS AND CORRECT
ANSWERS

PMH-APRN |- |correct |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



|ANA |Code |of |Ethics: |anticipatory |guidance |competency |- |correct |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? |- |correct |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 |- |correct |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? |- |correct |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 |- |correct |answer |the |first |organized |training |school |
|


within |a |hospital |for |the |insane



|1913, |Effie |Jane |Taylor |developed |- |correct |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: |- |correct |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: |- |correct |answer |standards |of |training |for |psychiatric |
nurses, |which |led |to |improved |education |and |standards |of |care.



|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, |