R607 Final Exam – Advanced Practice
N
Nursing Comprehensive Questions &
Answers
he PMHNP (Psychiatric Mental Health Nurse Practitioner) is providing care to a 29-year-old
T
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 patient's first contact with the
healthcare system about her concerns.
PMHNP role:
cute PMHNP Care
A
Telehealth
Case Management
Primary Care
Pharmacologic Intervention
Crisis Intervention
Partial Hospitalization/Intensive Outpatient Tx
Community-Based Care
Self-Employment
Psychotherapy - answer....Primary Care
Rationale: This is the client's initial contact with the healthcare system about her concerns
he client has experienced depressive symptoms. The PMHNP prescribes a selective serotonin
T
reuptake inhibitor (SSRI).
PMHNP role:
cute PMHNP Care
A
Telehealth
Case Management
Primary Care
Pharmacologic Intervention
Crisis Intervention
Partial Hospitalization/Intensive Outpatient Tx
Community-Based Care
Self-Employment
Psychotherapy - answer....Pharmacologic Intervention
Rationale: The PMHNP is prescribing psychopharmacotherapy for the client
, he PMHNP provides the client with some mindfulness techniques to try at home.
T
PMHNP role:
cute PMHNP Care
A
Telehealth
Case Management
Primary Care
Pharmacologic Intervention
Crisis Intervention
Partial Hospitalization/Intensive Outpatient Tx
Community-Based Care
Self-Employment
Psychotherapy - answer....Psychotherapy
Rationale: The PMHNP is utilizing a psychotherapeutic approach to help the client gain insight
wo weeks after starting on the SSRI, the client begins to experience suicidal ideations and
T
develops a plan to kill herself. A friend brings the client to the emergency room. The PMHNP
meets the client at the emergency room and collaborates with the physician to coordinate care.
PMHNP role:
cute PMHNP Care
A
Telehealth
Case Management
Primary Care
Pharmacologic Intervention
Crisis Intervention
Partial Hospitalization/Intensive Outpatient Tx
Community-Based Care
Self-Employment
Psychotherapy - answer....Crisis Intervention
ationale: Suicidal ideation with a plan is a psychiatric emergency requiring immediate
R
intervention.
he client is admitted to the psychiatric and behavioral health unit at the local hospital for a
T
72-hour observation where the PMHNP works with her team providing treatment. The client
remains hospitalized for a week while her medications are managed. The client attends
individual and group therapy sessions.
PMHNP role:
cute PMHNP Care
A
Telehealth
, ase Management
C
Primary Care
Pharmacologic Intervention
Crisis Intervention
Partial Hospitalization/Intensive Outpatient Tx
Community-Based Care
Self-Employment
Psychotherapy - answer....Acute PMHNP Care
Rationale: Acute inpatient care occurs in an intensive hospital or psychiatric facility setting.
ollowing hospitalization, the client returns home but commutes to a treatment center for 4
F
hours a day 5 days per week for ongoing therapy, medication management, and
psychoeducation.
PMHNP role:
cute PMHNP Care
A
Telehealth
Case Management
Primary Care
Pharmacologic Intervention
Crisis Intervention
Partial Hospitalization/Intensive Outpatient Tx
Community-Based Care
Self-Employment
Psychotherapy - answer....Partial Hospitalization/Intensive Outpatient Treatment
ationale: Partial Hospitalization/Intensive Outpatient Treatment occurs when a client receives
R
intensive therapy on an outpatient basis, often used when a client does not require 24-hour care
but still requires intense treatment.
he PMHNP serves as the point of contact, coordinating the treatment team, which consists of
T
the PMHNP, a social worker, and possibly a psychologist and psychiatrist.
PMHNP role:
cute PMHNP Care
A
Telehealth
Case Management
Primary Care
Pharmacologic Intervention
Crisis Intervention
Partial Hospitalization/Intensive Outpatient Tx
Community-Based Care
Self-Employment
, Psychotherapy - answer....Case Management
Rationale: Case management involves oversight and/or coordination of care.
ver the course of 2 months, the client's condition improves. She is discharged from intensive
O
outpatient treatment and begins weekly appointments with the PMHNP at the PMHNP's clinic.
PMHNP role:
cute PMHNP Care
A
Telehealth
Case Management
Primary Care
Pharmacologic Intervention
Crisis Intervention
Partial Hospitalization/Intensive Outpatient Tx
Community-Based Care
Self-Employment
Psychotherapy - answer....Community-Based Care
Rationale: Community-based care is provided in a non-hospital community setting.
global pandemic limits face-to-face mental health visits, the PMHNP determines that the
A
patient requires ongoing mental health treatment. The PMHNP arranges to meet with the client
via weekly interactive video sessions.
PMHNP role:
cute PMHNP Care
A
Telehealth
Case Management
Primary Care
Pharmacologic Intervention
Crisis Intervention
Partial Hospitalization/Intensive Outpatient Tx
Community-Based Care
Self-Employment
Psychotherapy - answer....Telehealth
ationale: Telehealth services utilize telecommunication technology to deliver treatment to
R
clients.
he PMHNP owns the private practice that is providing services to the client.
T
PMHNP role:
Acute PMHNP Care
N
Nursing Comprehensive Questions &
Answers
he PMHNP (Psychiatric Mental Health Nurse Practitioner) is providing care to a 29-year-old
T
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 patient's first contact with the
healthcare system about her concerns.
PMHNP role:
cute PMHNP Care
A
Telehealth
Case Management
Primary Care
Pharmacologic Intervention
Crisis Intervention
Partial Hospitalization/Intensive Outpatient Tx
Community-Based Care
Self-Employment
Psychotherapy - answer....Primary Care
Rationale: This is the client's initial contact with the healthcare system about her concerns
he client has experienced depressive symptoms. The PMHNP prescribes a selective serotonin
T
reuptake inhibitor (SSRI).
PMHNP role:
cute PMHNP Care
A
Telehealth
Case Management
Primary Care
Pharmacologic Intervention
Crisis Intervention
Partial Hospitalization/Intensive Outpatient Tx
Community-Based Care
Self-Employment
Psychotherapy - answer....Pharmacologic Intervention
Rationale: The PMHNP is prescribing psychopharmacotherapy for the client
, he PMHNP provides the client with some mindfulness techniques to try at home.
T
PMHNP role:
cute PMHNP Care
A
Telehealth
Case Management
Primary Care
Pharmacologic Intervention
Crisis Intervention
Partial Hospitalization/Intensive Outpatient Tx
Community-Based Care
Self-Employment
Psychotherapy - answer....Psychotherapy
Rationale: The PMHNP is utilizing a psychotherapeutic approach to help the client gain insight
wo weeks after starting on the SSRI, the client begins to experience suicidal ideations and
T
develops a plan to kill herself. A friend brings the client to the emergency room. The PMHNP
meets the client at the emergency room and collaborates with the physician to coordinate care.
PMHNP role:
cute PMHNP Care
A
Telehealth
Case Management
Primary Care
Pharmacologic Intervention
Crisis Intervention
Partial Hospitalization/Intensive Outpatient Tx
Community-Based Care
Self-Employment
Psychotherapy - answer....Crisis Intervention
ationale: Suicidal ideation with a plan is a psychiatric emergency requiring immediate
R
intervention.
he client is admitted to the psychiatric and behavioral health unit at the local hospital for a
T
72-hour observation where the PMHNP works with her team providing treatment. The client
remains hospitalized for a week while her medications are managed. The client attends
individual and group therapy sessions.
PMHNP role:
cute PMHNP Care
A
Telehealth
, ase Management
C
Primary Care
Pharmacologic Intervention
Crisis Intervention
Partial Hospitalization/Intensive Outpatient Tx
Community-Based Care
Self-Employment
Psychotherapy - answer....Acute PMHNP Care
Rationale: Acute inpatient care occurs in an intensive hospital or psychiatric facility setting.
ollowing hospitalization, the client returns home but commutes to a treatment center for 4
F
hours a day 5 days per week for ongoing therapy, medication management, and
psychoeducation.
PMHNP role:
cute PMHNP Care
A
Telehealth
Case Management
Primary Care
Pharmacologic Intervention
Crisis Intervention
Partial Hospitalization/Intensive Outpatient Tx
Community-Based Care
Self-Employment
Psychotherapy - answer....Partial Hospitalization/Intensive Outpatient Treatment
ationale: Partial Hospitalization/Intensive Outpatient Treatment occurs when a client receives
R
intensive therapy on an outpatient basis, often used when a client does not require 24-hour care
but still requires intense treatment.
he PMHNP serves as the point of contact, coordinating the treatment team, which consists of
T
the PMHNP, a social worker, and possibly a psychologist and psychiatrist.
PMHNP role:
cute PMHNP Care
A
Telehealth
Case Management
Primary Care
Pharmacologic Intervention
Crisis Intervention
Partial Hospitalization/Intensive Outpatient Tx
Community-Based Care
Self-Employment
, Psychotherapy - answer....Case Management
Rationale: Case management involves oversight and/or coordination of care.
ver the course of 2 months, the client's condition improves. She is discharged from intensive
O
outpatient treatment and begins weekly appointments with the PMHNP at the PMHNP's clinic.
PMHNP role:
cute PMHNP Care
A
Telehealth
Case Management
Primary Care
Pharmacologic Intervention
Crisis Intervention
Partial Hospitalization/Intensive Outpatient Tx
Community-Based Care
Self-Employment
Psychotherapy - answer....Community-Based Care
Rationale: Community-based care is provided in a non-hospital community setting.
global pandemic limits face-to-face mental health visits, the PMHNP determines that the
A
patient requires ongoing mental health treatment. The PMHNP arranges to meet with the client
via weekly interactive video sessions.
PMHNP role:
cute PMHNP Care
A
Telehealth
Case Management
Primary Care
Pharmacologic Intervention
Crisis Intervention
Partial Hospitalization/Intensive Outpatient Tx
Community-Based Care
Self-Employment
Psychotherapy - answer....Telehealth
ationale: Telehealth services utilize telecommunication technology to deliver treatment to
R
clients.
he PMHNP owns the private practice that is providing services to the client.
T
PMHNP role:
Acute PMHNP Care
