NR548 Exam Questions with 100% Correct Answers Latest Graded
A+
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 -"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 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) -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). The 21st Century Cures Act of
2016: - -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: - 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 - 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 • Disaster psychiatric-mental health nursing match the practice setting with
the correct scenario: The PMHNP is providing care to a 29-year- old client who presents with
persistent sadness and hopelessness for the last two months. She is having difficulty sleeping and
has a decreased appetite. This is the client's first contact with the healthcare system about her
concerns. - Primary Care Rationale: This is the client's initial contact with the healthcare system
about her concerns match the practice setting with the correct scenario: The client has experienced
depressive symptoms. The PMHNP prescribes a selective serotonin reuptake inhibitor (SSRI). -
Pharmacologic Intervention Rationale: The PMHNP is prescribing psychopharmacotherapy for the
client match the practice setting with the correct scenario: The PMHNP provides the client with
A+
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 -"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 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) -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). The 21st Century Cures Act of
2016: - -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: - 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 - 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 • Disaster psychiatric-mental health nursing match the practice setting with
the correct scenario: The PMHNP is providing care to a 29-year- old client who presents with
persistent sadness and hopelessness for the last two months. She is having difficulty sleeping and
has a decreased appetite. This is the client's first contact with the healthcare system about her
concerns. - Primary Care Rationale: This is the client's initial contact with the healthcare system
about her concerns match the practice setting with the correct scenario: The client has experienced
depressive symptoms. The PMHNP prescribes a selective serotonin reuptake inhibitor (SSRI). -
Pharmacologic Intervention Rationale: The PMHNP is prescribing psychopharmacotherapy for the
client match the practice setting with the correct scenario: The PMHNP provides the client with
