Review and Resource Manual
PSYCHIATRIC-
MENTAL HEALTH
NURSE
PRACTITIONER
4th Edition
Nursing Certification Review Manual
Continuing Education Resource
Clinical Practice Resource
Kathryn Johnson, MSN, PMHNP-BC, PMHCNS-BC
Dawn Vanderhoef, PhD, DNP, PMHNP-BC, PMHCNS-BC
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,Library of Congress Cataloging-in-Publication Data
Names: Johnson, Kathryn, 1947-, author. | Vanderhoef, Dawn, author. |
Nursing Knowledge Center, publisher.
Title: Psychiatric-mental health nurse practitioner review and resource
manual / Kathryn Johnson, Dawn Vanderhoe.
Other titles: Psychiatric-mental health nurse practitioner review manual
Description: 4th edition. | Silver Spring, MD : Nursing Knowledge Center,
American Nurses Association, 2016. | Preceded by Psychiatric-mental health
nurse practitioner review manual / by Kathryn Johnson and Dawn Vanderhoef.
3rd edition. 2013. | Includes bibliographical references and index.
Identifiers: LCCN 2016012871| ISBN 9781935213796 (pbk.) | ISBN 9781935213802
(ePub) | ISBN 9781935213819 (prc) | ISBN 9781935213826 (epdf)
Subjects: | MESH: Psychiatric Nursing--methods | Education, Nursing,
Continuing
Classification: LCC RC438 | NLM WY 18.5 | DDC 616.89/0231--dc23 LC record available at
http://lccn.loc.gov/2016012871
The American Nurses Association (ANA) is the only full-service professional organization
representing the interests of the nation’s 3.1 million registered nurses through its constituent/
state nurses associations and its organizational affiliates. The ANA advances the nursing
profession by fostering high standards of nursing practice, promoting the rights of nurses in the
workplace, projecting a positive and realistic view of nursing, and lobbying the Congress and
regulatory agencies on healthcare issues affecting nurses and the public.
© 2016 American Nurses Association
8515 Georgia Ave., Suite 400
Silver Spring, MD 20910
All rights reserved.
Third printing, August 2018
@examsphere
, III
CONTENTS
INSTRUCTIONS FOR OBTAINING CONTINUING EDUCATION
CREDIT ................................................................... XI
CHAPTER 1. Taking The Certification Examination ....................1
General Suggestions for Preparing for the Exam 1
About the Certification Exams 8
Internet Resources 9
CHAPTER 2. Psychiatric–Mental Health Nurse Practitioner Role,
Scope of Practice, and Regulatory Process ........... 11
Nurse Practitioner Advanced Practice Core Content 11
Nurse Practitioner Advanced Practice Specialized
Content 12
History of the NP Role 13
Professional Role Responsibilities 16
Roles of the PMHNP 22
Culturally Competent Care and Special Populations 23
Case Study 1 29
Case Study 2 29
Answers to Case Study Discussion Questions 31
References and Resources 32
CHAPTER 3. Theoretical Basis of Care ................................. 37
Biopsychosocial Framework of Care 37
Classification of Psychiatric Disorders: DSM-5 38
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, IV CONTENTS
Therapeutic Relationship 38
Developmental Theories 40
Foundational Theories Supporting PMHNP Role 41
Nursing Theories 47
Case Study 1 48
Case Study 2 48
Answers to Case Study Discussion Questions 49
References and Resources 49
CHAPTER 4. Psychiatric–Mental Health Nurse Practitioner
Professional Role and Health Policy: Leadership,
Quality Improvement and Safety, Practice Inquiry,
and Health Policy ........................................... 51
Leadership 51
Quality Improvement 55
Just Culture of Safety 55
Health Delivery Systems 56
Conflict of Interest 57
Rights of Clients 58
Health Policy Development 58
Case Study 59
Answers to Case Study Discussion Questions 60
References and Resources 60
CHAPTER 5. Neuroanatomy, Neurophysiology, and Behavior .... 63
The Nervous System 63
Neuroanatomy and the Brain 64
Neurophysiology and the Brain 68
Neuroimaging Assessment and Diagnostic
Procedures 71
Genomics 73
@examsphere
PSYCHIATRIC-
MENTAL HEALTH
NURSE
PRACTITIONER
4th Edition
Nursing Certification Review Manual
Continuing Education Resource
Clinical Practice Resource
Kathryn Johnson, MSN, PMHNP-BC, PMHCNS-BC
Dawn Vanderhoef, PhD, DNP, PMHNP-BC, PMHCNS-BC
@examsphere
,Library of Congress Cataloging-in-Publication Data
Names: Johnson, Kathryn, 1947-, author. | Vanderhoef, Dawn, author. |
Nursing Knowledge Center, publisher.
Title: Psychiatric-mental health nurse practitioner review and resource
manual / Kathryn Johnson, Dawn Vanderhoe.
Other titles: Psychiatric-mental health nurse practitioner review manual
Description: 4th edition. | Silver Spring, MD : Nursing Knowledge Center,
American Nurses Association, 2016. | Preceded by Psychiatric-mental health
nurse practitioner review manual / by Kathryn Johnson and Dawn Vanderhoef.
3rd edition. 2013. | Includes bibliographical references and index.
Identifiers: LCCN 2016012871| ISBN 9781935213796 (pbk.) | ISBN 9781935213802
(ePub) | ISBN 9781935213819 (prc) | ISBN 9781935213826 (epdf)
Subjects: | MESH: Psychiatric Nursing--methods | Education, Nursing,
Continuing
Classification: LCC RC438 | NLM WY 18.5 | DDC 616.89/0231--dc23 LC record available at
http://lccn.loc.gov/2016012871
The American Nurses Association (ANA) is the only full-service professional organization
representing the interests of the nation’s 3.1 million registered nurses through its constituent/
state nurses associations and its organizational affiliates. The ANA advances the nursing
profession by fostering high standards of nursing practice, promoting the rights of nurses in the
workplace, projecting a positive and realistic view of nursing, and lobbying the Congress and
regulatory agencies on healthcare issues affecting nurses and the public.
© 2016 American Nurses Association
8515 Georgia Ave., Suite 400
Silver Spring, MD 20910
All rights reserved.
Third printing, August 2018
@examsphere
, III
CONTENTS
INSTRUCTIONS FOR OBTAINING CONTINUING EDUCATION
CREDIT ................................................................... XI
CHAPTER 1. Taking The Certification Examination ....................1
General Suggestions for Preparing for the Exam 1
About the Certification Exams 8
Internet Resources 9
CHAPTER 2. Psychiatric–Mental Health Nurse Practitioner Role,
Scope of Practice, and Regulatory Process ........... 11
Nurse Practitioner Advanced Practice Core Content 11
Nurse Practitioner Advanced Practice Specialized
Content 12
History of the NP Role 13
Professional Role Responsibilities 16
Roles of the PMHNP 22
Culturally Competent Care and Special Populations 23
Case Study 1 29
Case Study 2 29
Answers to Case Study Discussion Questions 31
References and Resources 32
CHAPTER 3. Theoretical Basis of Care ................................. 37
Biopsychosocial Framework of Care 37
Classification of Psychiatric Disorders: DSM-5 38
@examsphere
, IV CONTENTS
Therapeutic Relationship 38
Developmental Theories 40
Foundational Theories Supporting PMHNP Role 41
Nursing Theories 47
Case Study 1 48
Case Study 2 48
Answers to Case Study Discussion Questions 49
References and Resources 49
CHAPTER 4. Psychiatric–Mental Health Nurse Practitioner
Professional Role and Health Policy: Leadership,
Quality Improvement and Safety, Practice Inquiry,
and Health Policy ........................................... 51
Leadership 51
Quality Improvement 55
Just Culture of Safety 55
Health Delivery Systems 56
Conflict of Interest 57
Rights of Clients 58
Health Policy Development 58
Case Study 59
Answers to Case Study Discussion Questions 60
References and Resources 60
CHAPTER 5. Neuroanatomy, Neurophysiology, and Behavior .... 63
The Nervous System 63
Neuroanatomy and the Brain 64
Neurophysiology and the Brain 68
Neuroimaging Assessment and Diagnostic
Procedures 71
Genomics 73
@examsphere
