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The PMHNP (Psychiatric Mental Health Nurse Practitioner) is providing care to a 29-year-old 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 with the
healthcare system about her concerns.
PMHNP role:
Acute PMHNP Care
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
The client has experienced depressive symptoms. The PMHNP prescribes a selective serotonin
reuptake inhibitor (SSRI).
PMHNP role:
Acute PMHNP Care
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
The PMHNP provides the client with some mindfulness techniques to try at home.
PMHNP role:
Acute PMHNP Care
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
Two weeks after starting on the SSRI, the client begins to experience suicidal ideations and 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:
Acute PMHNP Care
Telehealth
Case Management
Primary Care
Pharmacologic Intervention
Crisis Intervention
Partial Hospitalization/Intensive Outpatient Tx
Community-Based Care
Self-Employment
Psychotherapy - Answer ✔✔ - Crisis Intervention
Rationale: Suicidal ideation with a plan is a psychiatric emergency requiring immediate intervention.
The client is admitted to the psychiatric and behavioral health unit at the local hospital for a 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
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therapy sessions.
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, PMHNP role: t
Acute PMHNP Care
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Telehealth
Case Management
t
Primary Care t
Pharmacologic Intervention t
Crisis Intervention
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Partial Hospitalization/Intensive Outpatient Tx
t t t
Community-Based Care t
Self-Employment
Psychotherapy - Answer ✔✔ - Acute PMHNP Care
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Rationale: Acute inpatient care occurs in an intensive hospital or psychiatric facility setting.
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Following hospitalization, the client returns home but commutes to a treatment center for 4 hours a day 5
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days per week for ongoing therapy, medication management, and psychoeducation.
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PMHNP role: t
Acute PMHNP Care
t t
Telehealth
Case Management
t
Primary Care t
Pharmacologic Intervention t
Crisis Intervention
t
Partial Hospitalization/Intensive Outpatient Tx
t t t
Community-Based Care t