1. 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
2. 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.
3. ANA Code of Ethics: the art of nursing is based on?: caring and respect for human
dignity
4. ANA Code of Ethics: the fundamental principle of and attitude that the
pro- fessional nurse must have as outlined in Provision 1: 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).
,5. 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).
6. Dr. Edward Cowles created in 1882: the first organized training school within a
hospital for the insane
7. 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)
8. Following WWI, the National League for Nursing Education added::
"nursing in nervous and mental diseases" to curriculum guides
9. In WWII, many potential military recruits deemed unfit for service
due to psychiatric concerns, while many veterans experienced combat-
related neu- ropsychiatric conditions. Laura Fitzsimmons recommended::
standards of training for psychiatric nurses, which led to improved education and standards of
care.
10. 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.
11. 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.
12. 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)
-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
13. 1965: Loretta Ford, RN and Henry Silver MD introduce the nurse practitioner role.
14. 1973 ANA first published:: Standards of Psychiatric-Mental Health Nursing Practice
15. 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.