Role and Scope of PMHNP Questions and Answers 2023

Role and Scope of PMHNP Questions and Answers 2023 PMH advanced role began in this training Clinical nurse specialist (began in 1974) Hildegard Peplau Mother of psychiatric nursing Theory of Interpersonal Relations Established first graduate psychiatric nursing program at Rutgers What are the knowledge and competencies that PMHNP is based on? Acquire knowledge with deliberate inquiry Professional lifelong learning (CEUs) National Organization of Nurse Practitioner Faculty (NONPF) PMHNP Competencies Standardized content for all master's level psych programs What is the evidence based aspect by which PMHNP is characterized by? Make clinical decisions based on best practice Professional knowledge continuously updated Use of clinical guidelines and evidence based practice --1) Follow clinical guidelines on label --2) Follow clinical guidelines off label --3) If above don't work, THEN do what you want/think, but these are the rare exceptions Scope of practice legal description of what a specific health professional may and may not do Defines NP roles and actions Identifies competencies held by all NPs in a particular role Varies a lot by state Standards of practice descriptions of the responsibilities for which nurses are accountable Describe the type and quality of care that should be provided Reflect the expectation of care Reflect professional agreement about minimal acceptable level of care Way to judge quality of care, can be used legally to describe the STANDARD of care that should be met May be precise protocols or more general guidelines T/F: Only one exam is used between both psych NPs and CNS's. True Oct 2010 - roles are so similar that only one exam is necessary The standards of practice for the APRN still include the steps of the nursing process. What is included in the implementation of this process for the APRN? Coordination of care Health teaching/promotion Consultation Prescriptive authority and treatment Pharm, bio, and integrative therapies Milieu therapy Therapeutic relationship and counseling Psychotherapy Nurses can do all but psychotherapy, pharm/bio integrative therapies, and prescription. These are for APRN. What are included in the professional performance standards? Ethics Lifelong education (CEUs) Evidence-based practice and research Quality of practice (design, implementation, eval.) Communication Leadership Collaboration (w/consumer, family, interprofessional etc) Professional practice evaluation Resource utilization Environmental health Professional practice evaluation Evaluate own practice Supervision Peer evaluation Provides a system of checks and balances to ensure good professional practice Nurse Practice Act law established to regulate nursing practice Delineates the LEGAL SCOPE of practice Legislature to protect the public Sets NP credentialing, disciplinary action, articulates restrictions, outlines collaborative practice guidelines What does advanced practice licensure provide? Prescriptive authority Titling Certification --all differ state to state To become an APRN... -Completed graduate level education (Masters or Doctorate) -Passed national certification exam -Acquired advanced clinical knowledge and practice (500 clinical hours) -Practice builds on competencies (practice is related to education) -Obtained license APRN is a legally protected title in MA --> now is CNP in Massachusetts APRN Regulatory Model A model has been developed that includes four essential elements—licensure, accreditation, certification, and education (LACE)—as a means to protect the public and decrease barriers for APRNs who practice in multiple states 1) Licensure 2) Accreditation 3) Certification 4) Education What are the educational requirements for education according to LACE? Advanced pathophysiology Health assessment Pharmacology Clinical experiences ANCC Certification Conducts PMHNP Family exam Tests: Scientific foundation Advanced practice skills Diagnosis and treatment Psychotherapy and related theories Ethical and legal principles