The PMHNP (Psychiatric Mental Health Nurse Practitioner) is providing care to a 29-year-old client who
presents with persistent sadness and hopelessness for the last two months. She is having difficulty
sleeping and has a decreased appetite. This is the patient's first contact with with the healthcare system
about her concerns.
PMHNP role:
Acute PMHNP Care
Telehealth
Case Management
Primary Care
Pharmacologic Intervention
Crisis Intervention
Partial Hospitalization/Intensive Outpatient Tx
Community-Based Care
Self-Employment
Psychotherapy - answer ✔✔-Primary Care
Rationale: This is the client's initial contact with the healthcare system about her concerns
The client has experienced depressive symptoms. The PMHNP prescribes a selective serotonin reuptake
inhibitor (SSRI).
PMHNP role:
Acute PMHNP Care
Telehealth
Case Management
Primary Care
Pharmacologic Intervention
Crisis Intervention
Partial Hospitalization/Intensive Outpatient Tx
,Community-Based Care
Self-Employment
Psychotherapy - answer ✔✔-Pharmacologic Intervention
Rationale: The PMHNP is prescribing psychopharmacotherapy for the client
The PMHNP provides the client with some mindfulness techniques to try at home.
PMHNP role:
Acute PMHNP Care
Telehealth
Case Management
Primary Care
Pharmacologic Intervention
Crisis Intervention
Partial Hospitalization/Intensive Outpatient Tx
Community-Based Care
Self-Employment
Psychotherapy - answer ✔✔-Psychotherapy
Rationale: The PMHNP is utilizing a psychotherapeutic approach to help the client gain insight
Two weeks after starting on the SSRI, the client begins to experience suicidal ideations and develops a
plan to kill herself. A friend brings the client to the emergency room. The PMHNP meets the client at the
emergency room and collaborates with the physician to coordinate care.
PMHNP role:
Acute PMHNP Care
Telehealth
,Case Management
Primary Care
Pharmacologic Intervention
Crisis Intervention
Partial Hospitalization/Intensive Outpatient Tx
Community-Based Care
Self-Employment
Psychotherapy - answer ✔✔-Crisis Intervention
Rationale: Suicidal ideation with a plan is a psychiatric emergency requiring immediate intervention.
The client is admitted to the psychiatric and behavioral health unit at the local hospital for a 72-hour
observation where the PMHNP works with her team providing treatment. The client remains
hospitalized for a week while her medications are managed. The client attends individual and group
therapy sessions.
PMHNP role:
Acute PMHNP Care
Telehealth
Case Management
Primary Care
Pharmacologic Intervention
Crisis Intervention
Partial Hospitalization/Intensive Outpatient Tx
Community-Based Care
Self-Employment
Psychotherapy - answer ✔✔-Acute PMHNP Care
Rationale: Acute inpatient care occurs in an intensive hospital or psychiatric facility setting.
, Following hospitalization, the client returns home but commutes to a treatment center for 4 hours a day
5 days per week for ongoing therapy, medication management, and psychoeducation.
PMHNP role:
Acute PMHNP Care
Telehealth
Case Management
Primary Care
Pharmacologic Intervention
Crisis Intervention
Partial Hospitalization/Intensive Outpatient Tx
Community-Based Care
Self-Employment
Psychotherapy - answer ✔✔-Partial Hospitalization/Intensive Outpatient Treatment
Rationale: Partial Hospitalization/Intensive Outpatient Treatment occurs when a client receives intensive
therapy on an outpatient basis, often used when a client do not require 24-hour care but still require
intense treatment.
The PMHNP serves as the point of contact person, coordinating the treatment team, which consists of
the PMHNP, a social worker, and possibly a psychologist and psychiatrist.
PMHNP role:
Acute PMHNP Care
Telehealth
Case Management
Primary Care
Pharmacologic Intervention
Crisis Intervention
Partial Hospitalization/Intensive Outpatient Tx
presents with persistent sadness and hopelessness for the last two months. She is having difficulty
sleeping and has a decreased appetite. This is the patient's first contact with with the healthcare system
about her concerns.
PMHNP role:
Acute PMHNP Care
Telehealth
Case Management
Primary Care
Pharmacologic Intervention
Crisis Intervention
Partial Hospitalization/Intensive Outpatient Tx
Community-Based Care
Self-Employment
Psychotherapy - answer ✔✔-Primary Care
Rationale: This is the client's initial contact with the healthcare system about her concerns
The client has experienced depressive symptoms. The PMHNP prescribes a selective serotonin reuptake
inhibitor (SSRI).
PMHNP role:
Acute PMHNP Care
Telehealth
Case Management
Primary Care
Pharmacologic Intervention
Crisis Intervention
Partial Hospitalization/Intensive Outpatient Tx
,Community-Based Care
Self-Employment
Psychotherapy - answer ✔✔-Pharmacologic Intervention
Rationale: The PMHNP is prescribing psychopharmacotherapy for the client
The PMHNP provides the client with some mindfulness techniques to try at home.
PMHNP role:
Acute PMHNP Care
Telehealth
Case Management
Primary Care
Pharmacologic Intervention
Crisis Intervention
Partial Hospitalization/Intensive Outpatient Tx
Community-Based Care
Self-Employment
Psychotherapy - answer ✔✔-Psychotherapy
Rationale: The PMHNP is utilizing a psychotherapeutic approach to help the client gain insight
Two weeks after starting on the SSRI, the client begins to experience suicidal ideations and develops a
plan to kill herself. A friend brings the client to the emergency room. The PMHNP meets the client at the
emergency room and collaborates with the physician to coordinate care.
PMHNP role:
Acute PMHNP Care
Telehealth
,Case Management
Primary Care
Pharmacologic Intervention
Crisis Intervention
Partial Hospitalization/Intensive Outpatient Tx
Community-Based Care
Self-Employment
Psychotherapy - answer ✔✔-Crisis Intervention
Rationale: Suicidal ideation with a plan is a psychiatric emergency requiring immediate intervention.
The client is admitted to the psychiatric and behavioral health unit at the local hospital for a 72-hour
observation where the PMHNP works with her team providing treatment. The client remains
hospitalized for a week while her medications are managed. The client attends individual and group
therapy sessions.
PMHNP role:
Acute PMHNP Care
Telehealth
Case Management
Primary Care
Pharmacologic Intervention
Crisis Intervention
Partial Hospitalization/Intensive Outpatient Tx
Community-Based Care
Self-Employment
Psychotherapy - answer ✔✔-Acute PMHNP Care
Rationale: Acute inpatient care occurs in an intensive hospital or psychiatric facility setting.
, Following hospitalization, the client returns home but commutes to a treatment center for 4 hours a day
5 days per week for ongoing therapy, medication management, and psychoeducation.
PMHNP role:
Acute PMHNP Care
Telehealth
Case Management
Primary Care
Pharmacologic Intervention
Crisis Intervention
Partial Hospitalization/Intensive Outpatient Tx
Community-Based Care
Self-Employment
Psychotherapy - answer ✔✔-Partial Hospitalization/Intensive Outpatient Treatment
Rationale: Partial Hospitalization/Intensive Outpatient Treatment occurs when a client receives intensive
therapy on an outpatient basis, often used when a client do not require 24-hour care but still require
intense treatment.
The PMHNP serves as the point of contact person, coordinating the treatment team, which consists of
the PMHNP, a social worker, and possibly a psychologist and psychiatrist.
PMHNP role:
Acute PMHNP Care
Telehealth
Case Management
Primary Care
Pharmacologic Intervention
Crisis Intervention
Partial Hospitalization/Intensive Outpatient Tx
