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Exam (elaborations)

Exam 1: NSG 548 — FNP Role with Children and Families, Wilkes University (2025–2026) — Exam Guide with Questions and Answers

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This document is a complete Exam 1 study guide for NSG 548, focusing on the Family Nurse Practitioner role with children and families. It includes exam-style questions with verified answers to support understanding of professional roles, family-centered care, and clinical responsibilities in pediatric and family practice settings.

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Exam 1: NSG548/ NSG 548 FNP Role with
Children and Families Guide| Questions &
Answers| Latest 2025/ 2026 Update| Grade A|
100% Correct (100 out of 100)- Wilkes
PMH-APRN
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

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?

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
ANA Code of Ethics: Provision 1

, Exam 1: NSG548/ NSG 548 FNP Role with
Children and Families Guide| Questions &
Answers| Latest 2025/ 2026 Update| Grade A|
100% Correct (100 out of 100)- Wilkes
-"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?
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

the first organized training school within a hospital for the insane




1913, Effie Jane Taylor developed

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:

"nursing in nervous and mental diseases" to curriculum guides

, Exam 1: NSG548/ NSG 548 FNP Role with
Children and Families Guide| Questions &
Answers| Latest 2025/ 2026 Update| Grade A|
100% Correct (100 out of 100)- Wilkes
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:
standards of training for psychiatric nurses, which led to improved education and standards of
care.




National Mental Health Act (NMHA) of 1946

-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
-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

(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)

, Exam 1: NSG548/ NSG 548 FNP Role with
Children and Families Guide| Questions &
Answers| Latest 2025/ 2026 Update| Grade A|
100% Correct (100 out of 100)- Wilkes
-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

Loretta Ford, RN and Henry Silver MD introduce the nurse practitioner role.




1973 ANA first published:

Standards of Psychiatric-Mental Health Nursing Practice




1980s states began to grant:

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:

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).

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