Exam 1,Exam 2, Exam 3 & Exam 4 Final Exams: NR548/ NR 548
(Latest Updates 2025 STUDY BUNDLE PACKAGE) Questions and
Verified Answers| 100% Correct
Exam 1
Following WWI, the National League for Nursing Education added: - ANSWER-
"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: - ANSWER-
standards of training for psychiatric nurses, which led to improved education and
standards of care.
National Mental Health Act (NMHA) of 1946 - ANSWER--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 - ANSWER--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 - ANSWER-(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 - ANSWER-Loretta Ford, RN and Henry Silver MD introduce the nurse
practitioner role.
1973 ANA first published: - ANSWER-Standards of Psychiatric-Mental Health
Nursing Practice
1980s states began to grant: - ANSWER-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: - ANSWER-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: - ANSWER--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: - ANSWER-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.
, PMH-APRN - ANSWER-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 - ANSWER-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? - ANSWER-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 - ANSWER-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).
(Latest Updates 2025 STUDY BUNDLE PACKAGE) Questions and
Verified Answers| 100% Correct
Exam 1
Following WWI, the National League for Nursing Education added: - ANSWER-
"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: - ANSWER-
standards of training for psychiatric nurses, which led to improved education and
standards of care.
National Mental Health Act (NMHA) of 1946 - ANSWER--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 - ANSWER--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 - ANSWER-(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 - ANSWER-Loretta Ford, RN and Henry Silver MD introduce the nurse
practitioner role.
1973 ANA first published: - ANSWER-Standards of Psychiatric-Mental Health
Nursing Practice
1980s states began to grant: - ANSWER-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: - ANSWER-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: - ANSWER--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: - ANSWER-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.
, PMH-APRN - ANSWER-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 - ANSWER-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? - ANSWER-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 - ANSWER-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).
