Psychiatric Assessment for the Psychiatric-Mental
Health Nurse Practitioner Review |Weeks 3-4
Covered| Questions and Verified Answers| 100%
Correct Chamberlain
NR548 Psychiatric Assessment for Psychiatric-Mental Health
Nurse Practitioner
WEEK ONE
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
What do the Standards explain the art of nursing is based
on?
The art of nursing is based on caring and respect for human
dignity
What is the fundamental principle of and attitude that the
professional nurse must have as outlined in Provision 1?
ANA Code of Ethics: Provision 1 explains, "the nurse practices
with compassion and respect for the inherent dignity, worth, and
unique attributes of every person"
How should the nurse respond to the discovery of human
trafficking in his or her practice?
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"
,In the 1950s what university awarded its first graduate
degree in psychiatric-mental health nursing.
Rutgers University. The program was established by Hildegarde
Peplau.
What was the first master's prepared advanced practice
nursing role?
The psychiatric mental health clinical nurse specialist
When was role of the psychiatric and mental health nurse
practitioner (PMHNP) was introduced?
In the 1990s and has evolved over time to incorporate a person-
centered, biopsychosocial model of care.
In the late 19th century, reform movements led to changes in
beliefs about the role of mental asylums in the treatment of
mental illness. Focus shifted from restrictive custodial care
to treatment. Who created the first organized training school
within a hospital for the insane in 1882?
Dr. Edward Cowles
Early psychiatric nurses were trained by physicians;
however, in 1913, who developed the first nurse-organized
training course for psychiatric nursing at Johns Hopkins
Hospital?
Effie Jane Taylor
Which ACT allowed for the expansion of the PMHCNS role
into community and ambulatory settings as they helped
those who had been deinstitutionalized adapt
The Community Mental Health Centers Act of 1963
Who introduced the nurse practitioner role?
Loretta Ford, RN and Henry Silver MD
This is the client's initial contact with the healthcare system
about her concerns
Primary Care
The PMHNP is prescribing psychopharmacotherapy for the
client
Pharmacologic Intervention
, The PMHNP is utilizing a psychotherapeutic approach to help
the client gain insight
Psychotherapy
A psychiatric emergency requiring immediate intervention
Crisis Intervention
Occurs in an intensive hospital or psychiatric facility setting
Acute PMHNP Care
Occurs when a client receives intensive therapy on an
outpatient basis, often used when a client does not require
24-hour care but still require intense treatment
Partial Hospitalization/Intensive Outpatient Treatment
Case management involves oversight and/or coordination of
care. 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.
Case Management
Provided in a non-hospital community setting
Community-Based Care
Utilize telecommunication technology to deliver treatment to
clients.
Telehealth
The PMHNP owns the private practice that is providing
services to the client. The PMHNP is providing direct
services through private practice.
Self-Employment
Code of Ethics: Respect for the Individual
Approaches professional relationships with compassion, caring,
and respect, acknowledging the dignity and worth of each
individual.
Affirms the worth and dignity of those with PMH disorders by
advocating to overcome negative stigmas towards PMH
diagnoses to ensure access to care.
Code of Ethics: Commitment to the Healthcare Consumer