1
,TABLE OF CONTENTS
PART I: THE DYNAMIC NATURE OF ADVANCED PRACTICE
PSYCHIATRIC-MENTAL HEALTH NURSING
Chapter 1: Introduction to the Development of Science, Education, and
Credentialing for Psychiatric-Mental Health Advanced Practice Nursing
Chapter 2: Shared Decision-Making: Concordance Between Psychiatric-Mental
Health Advanced Practice Registered Nurse and Client
PART II: FOUNDATIONS FOR INTEGRATIVE MENTAL HEALTH PRACTICE
Chapter 3: Synergy of Integrative Treatment
Chapter 4: Overview of Psychotherapy
Chapter 5: Overview of Psychopharmacology
Chapter 6: Overview of Complementary, Alternative, and Integrative Approaches
Chapter 7: Stages of Treatment
Chapter 8: Legal and Ethical Decision-Making
PART III: INTEGRATIVE MANAGEMENT OF SPECIFIC SYNDROMES
Chapter 9: Integrative Management of Disordered Mood
Chapter 10: Integrative Management of Anxiety-Related Conditions
Chapter 11: Integrative Management of Psychotic Symptoms
Chapter 12: Integrative Management of Sleep Disturbances
Chapter 13: Integrative Management of Disordered Eating
Chapter 14: Integrative Management of Disordered Cognition
Chapter 15: Integrative Management of Disordered Impulse Control
Chapter 16: Integrative Management of Disordered Attention
2
, Chapter 17: Integrative Management of Suicidal and Nonsuicidal Self-Injurious
Behavior
Chapter 18: Integrative Management of Other-Directed Violence
PART IV: SPECIAL CONSIDERATIONS
Chapter 19: Integrative Management of Substance Use Disorders and Co-Occurring
Mental Health Disorders
Chapter 20: Medical Problems and Psychiatric Syndromes
Chapter 21: Integrative Management of Pregnancy During Psychiatric Syndromes
Chapter 22: Forensic Issues and Psychiatric Syndromes
Chapter 23: Telehealth
Chapter 24: Care of LGBTQ+ Clients
PART V: MAINTAINING COMPETENCE AND QUALITY
Chapter 25: Increasing Resilience in Psychiatric-Mental Health Advanced
Practice Registered Nurses
Chapter 26: Documentation Standards for Psychiatric-Mental Health Advanced
Practice Registered Nurses
Chapter 27: Global Perspectives and the Future of Psychiatric-Mental Health
Advanced Practice Nursing
3
, PART I: THE DYNAMIC NATURE OF ADVANCED PRACTICE
PSYCHIATRIC-MENTAL HEALTH NURSING
CHAPTER 1: Introduction to the Development of Science, Education, and Credentialing for
Psychiatric-Mental Health Advanced Practice Nursing
Question 1
Which of the following best describes the primary role of the Psychiatric-Mental Health
Advanced Practice Registered Nurse (PMH-APRN)?
A) Administering medications and monitoring vital signs under physician supervision
B) Providing comprehensive psychiatric care including assessment, diagnosis, psychotherapy,
and psychopharmacology within an advanced scope of practice
C) Conducting only psychotherapy without involvement in prescribing medications
D) Functioning solely as a clinical supervisor for staff nurses in inpatient settings
Answer: B
Rationale: The PMH-APRN operates within an advanced scope of practice that encompasses
comprehensive psychiatric assessment, diagnosis, the delivery of psychotherapy, and
prescribing and managing psychopharmacological agents. This distinguishes the role from basic
RN practice and from non-prescribing psychotherapy-only providers. Options A, C, and D each
represent overly narrow or inaccurate descriptions of the full scope of PMH-APRN practice.
Question 2
The two nationally recognized certification credentials for psychiatric-mental health advanced
practice nurses are offered by which organization?
A) The American Nurses Association (ANA)
B) The American Association of Nurse Practitioners (AANP)
C) The American Nurses Credentialing Center (ANCC)
D) The National League for Nursing (NLN)
Answer: C
Rationale: The ANCC offers the Psychiatric-Mental Health Nurse Practitioner (PMHNP-BC) and
the Clinical Nurse Specialist (PMHCNS-BC) certifications, which are the two primary advanced
practice credentials in this specialty. The ANA sets standards but does not administer the
4
,TABLE OF CONTENTS
PART I: THE DYNAMIC NATURE OF ADVANCED PRACTICE
PSYCHIATRIC-MENTAL HEALTH NURSING
Chapter 1: Introduction to the Development of Science, Education, and
Credentialing for Psychiatric-Mental Health Advanced Practice Nursing
Chapter 2: Shared Decision-Making: Concordance Between Psychiatric-Mental
Health Advanced Practice Registered Nurse and Client
PART II: FOUNDATIONS FOR INTEGRATIVE MENTAL HEALTH PRACTICE
Chapter 3: Synergy of Integrative Treatment
Chapter 4: Overview of Psychotherapy
Chapter 5: Overview of Psychopharmacology
Chapter 6: Overview of Complementary, Alternative, and Integrative Approaches
Chapter 7: Stages of Treatment
Chapter 8: Legal and Ethical Decision-Making
PART III: INTEGRATIVE MANAGEMENT OF SPECIFIC SYNDROMES
Chapter 9: Integrative Management of Disordered Mood
Chapter 10: Integrative Management of Anxiety-Related Conditions
Chapter 11: Integrative Management of Psychotic Symptoms
Chapter 12: Integrative Management of Sleep Disturbances
Chapter 13: Integrative Management of Disordered Eating
Chapter 14: Integrative Management of Disordered Cognition
Chapter 15: Integrative Management of Disordered Impulse Control
Chapter 16: Integrative Management of Disordered Attention
2
, Chapter 17: Integrative Management of Suicidal and Nonsuicidal Self-Injurious
Behavior
Chapter 18: Integrative Management of Other-Directed Violence
PART IV: SPECIAL CONSIDERATIONS
Chapter 19: Integrative Management of Substance Use Disorders and Co-Occurring
Mental Health Disorders
Chapter 20: Medical Problems and Psychiatric Syndromes
Chapter 21: Integrative Management of Pregnancy During Psychiatric Syndromes
Chapter 22: Forensic Issues and Psychiatric Syndromes
Chapter 23: Telehealth
Chapter 24: Care of LGBTQ+ Clients
PART V: MAINTAINING COMPETENCE AND QUALITY
Chapter 25: Increasing Resilience in Psychiatric-Mental Health Advanced
Practice Registered Nurses
Chapter 26: Documentation Standards for Psychiatric-Mental Health Advanced
Practice Registered Nurses
Chapter 27: Global Perspectives and the Future of Psychiatric-Mental Health
Advanced Practice Nursing
3
, PART I: THE DYNAMIC NATURE OF ADVANCED PRACTICE
PSYCHIATRIC-MENTAL HEALTH NURSING
CHAPTER 1: Introduction to the Development of Science, Education, and Credentialing for
Psychiatric-Mental Health Advanced Practice Nursing
Question 1
Which of the following best describes the primary role of the Psychiatric-Mental Health
Advanced Practice Registered Nurse (PMH-APRN)?
A) Administering medications and monitoring vital signs under physician supervision
B) Providing comprehensive psychiatric care including assessment, diagnosis, psychotherapy,
and psychopharmacology within an advanced scope of practice
C) Conducting only psychotherapy without involvement in prescribing medications
D) Functioning solely as a clinical supervisor for staff nurses in inpatient settings
Answer: B
Rationale: The PMH-APRN operates within an advanced scope of practice that encompasses
comprehensive psychiatric assessment, diagnosis, the delivery of psychotherapy, and
prescribing and managing psychopharmacological agents. This distinguishes the role from basic
RN practice and from non-prescribing psychotherapy-only providers. Options A, C, and D each
represent overly narrow or inaccurate descriptions of the full scope of PMH-APRN practice.
Question 2
The two nationally recognized certification credentials for psychiatric-mental health advanced
practice nurses are offered by which organization?
A) The American Nurses Association (ANA)
B) The American Association of Nurse Practitioners (AANP)
C) The American Nurses Credentialing Center (ANCC)
D) The National League for Nursing (NLN)
Answer: C
Rationale: The ANCC offers the Psychiatric-Mental Health Nurse Practitioner (PMHNP-BC) and
the Clinical Nurse Specialist (PMHCNS-BC) certifications, which are the two primary advanced
practice credentials in this specialty. The ANA sets standards but does not administer the
4
