NR548/ NR 548 (Latest Update 2025/ 2026) Psychiatric
Assessment for the Psychiatric-Mental Health Nurse
Practitioner Review |Weeks 3-4 Covered| Questions and
Verified Answers| 100% Correct Chamberlain.
PMH-APRN - __100% correct answer as 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 - __100% correct answer as
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? - __100% correct answer as 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 - __100% correct answer as 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? - __100% correct answer as 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 - __100% correct answer as the first organized
training school within a hospital for the insane
1913, Effie Jane Taylor developed - __100% correct answer as 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: - __100% correct
answer as "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: - __100% correct answer as standards of
training for psychiatric nurses, which led to improved education and standards of care.
National Mental Health Act (NMHA) of 1946 - __100% correct answer as -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 - __100% correct answer as -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 - __100% correct answer as (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 - __100% correct answer as Loretta Ford, RN and Henry Silver MD introduce the
nurse practitioner role.
1973 ANA first published: - __100% correct answer as Standards of Psychiatric-Mental
Health Nursing Practice
1980s states began to grant: - __100% correct answer as 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: - __100% correct answer as 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: - __100% correct answer as -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: - __100% correct answer as 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 - __100% correct answer as 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
Assessment for the Psychiatric-Mental Health Nurse
Practitioner Review |Weeks 3-4 Covered| Questions and
Verified Answers| 100% Correct Chamberlain.
PMH-APRN - __100% correct answer as 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 - __100% correct answer as
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? - __100% correct answer as 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 - __100% correct answer as 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? - __100% correct answer as 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 - __100% correct answer as the first organized
training school within a hospital for the insane
1913, Effie Jane Taylor developed - __100% correct answer as 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: - __100% correct
answer as "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: - __100% correct answer as standards of
training for psychiatric nurses, which led to improved education and standards of care.
National Mental Health Act (NMHA) of 1946 - __100% correct answer as -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 - __100% correct answer as -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 - __100% correct answer as (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 - __100% correct answer as Loretta Ford, RN and Henry Silver MD introduce the
nurse practitioner role.
1973 ANA first published: - __100% correct answer as Standards of Psychiatric-Mental
Health Nursing Practice
1980s states began to grant: - __100% correct answer as 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: - __100% correct answer as 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: - __100% correct answer as -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: - __100% correct answer as 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 - __100% correct answer as 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
