NR548 EXAM / NEWEST NR548 EXAM 1, EXAM 2 , EXAM
3 AND FINAL EXAM 2026/2027 WEEKS 1-8 PSYCHIATRIC
ASSESSMENT FOR THE PMHP AND STUDY GUIDE
ACCURATE EXAM COMPLETE ACTUAL QUESTIONS
AND CORRECT DETAILED SOLUTIONS WITH
RATIONALES (VERIFIED SOLUTIONS)
Question 1
What is a PMH-APRN?
A) A registered nurse with a bachelor's degree in psychiatric nursing
B) A nurse with graduate-level training who provides psychiatric-mental
health care and promotes mental health across the lifespan
C) A physician assistant specializing in mental health
D) A social worker with additional certification in psychiatry
Correct Answer: B
Rationale: A PMH-APRN (Psychiatric-Mental Health Advanced
Practice Registered Nurse) is a nurse with graduate-level training who
provides psychiatric-mental health care and promotes mental health
across the lifespan. They assess, diagnose, and treat individuals and
families with psychiatric and/or substance use disorders and may
practice independently in many jurisdictions, depending on state law.
Question 2
,Who developed the first organized training school within a hospital
for the insane in 1882?
A) Effie Jones
B) Edward Cowles
C) Dorothea Dix
D) Loretta Ford
Correct Answer: B
Rationale: Dr. Edward Cowles established the first organized training
school for nurses within a hospital for the insane in 1882 at McLean
Hospital. This helped advance psychiatric nursing education and
promoted a shift from primarily custodial care toward more treatment-
focused mental health care.
Question 3
Who developed the first nurse-organized training course for
psychiatric nursing at Johns Hopkins Hospital in 1913?
A) Effie Jane Taylor
B) Edward Cowles
C) Dorothea Dix
D) Loretta Ford
Correct Answer: A
Rationale: Effie Jane Taylor developed the first nurse-organized
training course for psychiatric nursing at Johns Hopkins Hospital in
,1913. Prior to this, psychiatric nurses were primarily trained by
physicians. Taylor's work established nurse-led education in psychiatric
nursing and advanced the specialty.
Question 4
What event expanded awareness of mental health disorders and led
to the National League for Nursing Education adding "nursing in
nervous and mental diseases" to curriculum guides?
A) The Great Depression
B) World War I
C) World War II
D) The Civil War
Correct Answer: B
Rationale: World War I increased awareness of mental health disorders,
particularly war-related psychological trauma, and highlighted the need
for specialized psychiatric nursing. In response, the National League for
Nursing Education incorporated "nursing in nervous and mental
diseases" into its curriculum guidelines, recognizing the importance of
psychiatric nursing education.
Question 5
What did Laura Fitzsimmons recommend during World War II?
A) Increased funding for mental hospitals
B) Standards of training for psychiatric nurses
, C) Creation of the nurse practitioner role
D) Deinstitutionalization of psychiatric patients
Correct Answer: B
Rationale: Laura Fitzsimmons recommended establishing standards of
training for psychiatric nurses during World War II. Her
recommendations improved psychiatric nursing education and promoted
higher standards of care as military personnel and veterans experienced
increasing psychiatric and neuropsychiatric conditions.
Question 6
What was the significance of the National Mental Health Act of
1946?
A) It established Medicare and Medicaid
B) It recognized psychiatric nursing as one of the four core disciplines in
psychiatric care
C) It created the first graduate program in psychiatric nursing
D) It mandated prescriptive authority for PMHNPs
Correct Answer: B
Rationale: The National Mental Health Act of 1946 recognized
psychiatric nursing as one of the four core disciplines in psychiatric care,
alongside psychiatry, psychology, and social work. It also increased
support for psychiatric nursing education and contributed to the
expansion of university-based psychiatric nursing programs.
3 AND FINAL EXAM 2026/2027 WEEKS 1-8 PSYCHIATRIC
ASSESSMENT FOR THE PMHP AND STUDY GUIDE
ACCURATE EXAM COMPLETE ACTUAL QUESTIONS
AND CORRECT DETAILED SOLUTIONS WITH
RATIONALES (VERIFIED SOLUTIONS)
Question 1
What is a PMH-APRN?
A) A registered nurse with a bachelor's degree in psychiatric nursing
B) A nurse with graduate-level training who provides psychiatric-mental
health care and promotes mental health across the lifespan
C) A physician assistant specializing in mental health
D) A social worker with additional certification in psychiatry
Correct Answer: B
Rationale: A PMH-APRN (Psychiatric-Mental Health Advanced
Practice Registered Nurse) is a nurse with graduate-level training who
provides psychiatric-mental health care and promotes mental health
across the lifespan. They assess, diagnose, and treat individuals and
families with psychiatric and/or substance use disorders and may
practice independently in many jurisdictions, depending on state law.
Question 2
,Who developed the first organized training school within a hospital
for the insane in 1882?
A) Effie Jones
B) Edward Cowles
C) Dorothea Dix
D) Loretta Ford
Correct Answer: B
Rationale: Dr. Edward Cowles established the first organized training
school for nurses within a hospital for the insane in 1882 at McLean
Hospital. This helped advance psychiatric nursing education and
promoted a shift from primarily custodial care toward more treatment-
focused mental health care.
Question 3
Who developed the first nurse-organized training course for
psychiatric nursing at Johns Hopkins Hospital in 1913?
A) Effie Jane Taylor
B) Edward Cowles
C) Dorothea Dix
D) Loretta Ford
Correct Answer: A
Rationale: Effie Jane Taylor developed the first nurse-organized
training course for psychiatric nursing at Johns Hopkins Hospital in
,1913. Prior to this, psychiatric nurses were primarily trained by
physicians. Taylor's work established nurse-led education in psychiatric
nursing and advanced the specialty.
Question 4
What event expanded awareness of mental health disorders and led
to the National League for Nursing Education adding "nursing in
nervous and mental diseases" to curriculum guides?
A) The Great Depression
B) World War I
C) World War II
D) The Civil War
Correct Answer: B
Rationale: World War I increased awareness of mental health disorders,
particularly war-related psychological trauma, and highlighted the need
for specialized psychiatric nursing. In response, the National League for
Nursing Education incorporated "nursing in nervous and mental
diseases" into its curriculum guidelines, recognizing the importance of
psychiatric nursing education.
Question 5
What did Laura Fitzsimmons recommend during World War II?
A) Increased funding for mental hospitals
B) Standards of training for psychiatric nurses
, C) Creation of the nurse practitioner role
D) Deinstitutionalization of psychiatric patients
Correct Answer: B
Rationale: Laura Fitzsimmons recommended establishing standards of
training for psychiatric nurses during World War II. Her
recommendations improved psychiatric nursing education and promoted
higher standards of care as military personnel and veterans experienced
increasing psychiatric and neuropsychiatric conditions.
Question 6
What was the significance of the National Mental Health Act of
1946?
A) It established Medicare and Medicaid
B) It recognized psychiatric nursing as one of the four core disciplines in
psychiatric care
C) It created the first graduate program in psychiatric nursing
D) It mandated prescriptive authority for PMHNPs
Correct Answer: B
Rationale: The National Mental Health Act of 1946 recognized
psychiatric nursing as one of the four core disciplines in psychiatric care,
alongside psychiatry, psychology, and social work. It also increased
support for psychiatric nursing education and contributed to the
expansion of university-based psychiatric nursing programs.
