P R O F E S S I O N A L P R A C T I C E M AT E R I A L S
NR 548 Exam 1 Questions &
Answers 2026-2027 |
Chamberlain University
(Rationales)
Verified Answers Exam Ready With Rationales
72 QUESTIONS
DOCUMENT OVERVIEW
This document provides 72 comprehensive questions with their correct answers and detailed rationales,
covering advanced psychiatric-mental health nursing. It is an invaluable resource for students seeking to
deeply understand and master the subject matter. This resource is suitable for thorough exam preparation
and advanced review of key concepts and ethical considerations.
CONTENTS
01 PMHNP Scope and Practice Settings Q1–Q13
02 History of PMH Nursing Q14–Q30
03 Ethical Principles and Code of Ethics Q31–Q41
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, 04 Health Disparities and SDOH Q42–Q49
05 Recovery Models and Public Health Q50–Q50
06 PMHNP Standards of Practice Q51–Q72
E XA M Q U EST I O N S
Q1 QUESTION 1 OF 72
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
RATIONALE
A PMH-APRN possesses advanced education and licensure to diagnose and manage psychiatric and substance use
disorders across the lifespan, functioning autonomously and eligible for diverse reimbursement streams. This scope
defines their role in comprehensive mental health care delivery.
Q2 QUESTION 2 OF 72
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,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
• Psychiatric Consultation-Liaison Nursing (PCLN)
• Clinical Supervision
• Self-Employment
-PMH APRN Specialty Areas
• Integrative programs
• Telehealth
• Forensic mental health
• Disaster psychiatric-mental health nursing
RATIONALE
The psychiatric-mental health nurse practitioner's scope encompasses diverse roles such as psychotherapy and
psychopharmacological management, alongside varied practice settings from crisis intervention to community-
based care, reflecting extensive educational and clinical responsibilities. This broad scope allows for comprehensive
patient care across the mental health continuum.
Q3 QUESTION 3 OF 72
match the practice setting with the correct scenario: The PMHNP 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
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, sleeping and has a decreased appetite. This is the client's first contact with the healthcare system about her
concerns.
CORRECT ANSWER
Primary Care
Rationale: This is the client's initial contact with the healthcare system about her concerns
Q4 QUESTION 4 OF 72
match the practice setting with the correct scenario: The client has experienced depressive symptoms. The
PMHNP prescribes a selective serotonin reuptake inhibitor (SSRI).
CORRECT ANSWER
Pharmacologic Intervention
Rationale: The PMHNP is prescribing psychopharmacotherapy for the client
Q5 QUESTION 5 OF 72
match the practice setting with the correct scenario: The PMHNP provides the client with some mindfulness
techniques to try at home.
CORRECT ANSWER
Psychotherapy
Rationale: The PMHNP is utilizing a psychotherapeutic approach to help the client gain insight
Q6 QUESTION 6 OF 72
match the practice setting with the correct scenario: 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.
CORRECT ANSWER
Crisis Intervention
Rationale: Suicidal ideation with a plan is a psychiatric emergency requiring immediate intervention
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