ANCC PMHNP CHAPTER 2 PSYCHIATRIC-MENTAL HEALTH NURSE PRACTITIONER ROLE, SCOPE OF PRACTICE, AND REGULATORY PROCESS QUESTIONS AND ANSWERS

ANCC PMHNP CHAPTER 2
PSYCHIATRIC-MENTAL HEALTH
NURSE PRACTITIONER ROLE, SCOPE
OF PRACTICE, AND REGULATORY
PROCESS QUESTIONS AND ANSWERS
AllAnurseApractitionersAuponAgraduationAareAexpectedAtoAmeetA-ACORRECTAANSWERSA-
NURSEAPRACTITIONERAADVANCEDAPRACTICEACOREACONTENT
aAsetAofAcoreAcompetencies
SpecialtyAcompetencies,AsuchAasAtheAPsychiatric-
MentalAHealthANurseAPractitionerACompetencies,AareAthenAbuiltAuponAtheseAcoreAcompet
enciesA(NONPF,A2013).
NurseAPractitionerACoreACompetenciesAareAbasedAonA
"THEAQASLIPP"A-ACORRECTAANSWERSA-*TechnologyAandAInformationALiteracy
A*HealthADeliveryASystem

A*Ethics

A*Quality

*AScientificAFoundations
A*Leadership

A*PracticeAInquiry

A*IndependentAPractice

A*Policy

WhatAareAtheA3)AMHNPALeadershipACompetenciesA-ACORRECTAANSWERSA-
LeadershipACompetencies
A

1)ParticipatesAinAandAevaluateAcommunity/population-focusedAprogramsAthat:A
promoteAmentalAhealthA
preventAorAreduceAriskAofAmentalAhealthAproblems


2)AdvocatesAforAcomplexAclientAandAfamilyAmedicolegalArightsAandAissues

3)CollaboratesAwithAcolleaguesAaboutAadvocacy,ApolicyAtoAreduceAhealthAdisparitiesAandAi
mproveAoutcomesAforApopulations
QualityACompetenciesA-ACORRECTAANSWERSA-QualityACompetencies

EvaluatesAtheAappropriateAusesAofAseclusionAandArestraintsAinAtheAcareAprocess
PolicyACompetenciesA-ACORRECTAANSWERSA-PolicyACompetencies

EmploysAopportunitiesAtoAinfluenceAhealthApolicyAtoAreduceAtheAimpactAofAstigmaAonAservi
cesAforApreventionAandAtreatmentAofAmentalAhealthAproblemsAandApsychiatricAdisorders

,IndependentAPracticeACompetenciesA-ACORRECTAANSWERSA-
IndependentAPracticeACompetencies

DevelopsAage-appropriateAtreatmentAplans

IncludesAdifferentialAdiagnosis

AssessesAimpactAofAacuteAandAchronicAmedicalAproblemsAonApsychiatricAtreatment

ConductsAindividualAandAgroupApsychotherapy

AppliesAsupportiveApsychodynamic,Acognitive,Abehavioral,AandAotherAevidence-
basedApsychotherapiesAtoAbriefAandAlong-termApractice

AppliesArecovery-orientedAprinciples

DemonstratesAbestApracticesAofAfamilyAcareAapproaches

PlansAcareAtoAminimizeAtheAdevelopmentAofAcomplicationsAandApromoteAfunction

TreatsAacuteAandAchronicApsychiatricAdisordersAandAproblems

SafelyAprescribesApharmacologicAagents

EnsuresAclientAsafetyAthroughAtheAappropriateAprescriptionAofApharmacologicAandAnonpha
rmacologicAinterventions

ExplainsAtheArisksAandAbenefitsAofAtreatmentAtoAclientAandAfamily

IdentifiesAtheAroleAofAPMHNPAinAriskAmitigationAstrategiesAinAareasAofAopiateAuseAandAsubs
tanceAabuse

SeeksAconsultation

UsesAself-reflectionAtoAimproveAcare

ProvidesAconsultationAtoAhealthcareAprovidersAandAothersAtoAenhanceAqualityAandAcost

GuidesAtheAclientAinAevaluatingAtheAappropriateAuseAofAcomplementaryAandAalternativeAtre
atment

UsesAindividualizedAoutcomeAmeasureAtoAevaluateApsychiatricAcare

ManagesApsychiatricAemergencies

RefersAclientsAappropriately

, FacilitatesAtheAtransitionAofAclientsAacrossAlevelsAofAcare

UsesAoutcomesAtoAevaluateAcare

AttendsAtoAtheAclient-NPArelationshipAasAaAvehicleAforAchange

MaintainsAaAtherapeuticArelationshipAoverAtimeAwithAindividualsAandAgroups

TherapeuticallyAconcludesAtheAclient-NPArelationship

DemonstratesAabilityAtoAaddressAsexualAandAphysicalAabuse,AsubstanceAabuse,Asexuality,
AandAspiritualAconflicts




AppliesAtherapeuticArelationshipAstrategiesAbasedAonAtheoryAandAresearch

AppliesAprinciplesAofAself-efficacy,Aempowerment,AandAothersAtoAeffectAchange

Identifies
TheANPAroleAwasAintroducedAinAwhatAyearAbyAwhom?
discussAHXA-ACORRECTAANSWERSA-HISTORYAOFATHEANPAROLE

introducedAinA1965AbyALorettaAC.AFord,AEdD,AandAHenryAK.ASilver,AMD,AatAtheAUniversityAo
fAColoradoA(MirrAJansenA&AZwygart-Stauffacher,A2006).A

TheyAidentifiedAnewArolesAinAwhichAexperiencedAregisteredAnursesA(RNs)AwithAadvancedA
educationAandAskillsAwereAperformingAclinicalAdutiesAtraditionallyAreservedAforAphysicians.A
UniversitiesAwereAslowAtoAimplementANPAprogramsAatAtheAmaster'sAlevel.AHowever,ARNsA
embracedAtheAnewAroleAandArushedAintoAcontinuingAeducationAprogramsAofAvaryingAlength
,Aquality,AandAfocusAtoAaccomplishAtheAnecessaryAeducationalApreparationAforAthisAnewArol
e.

AsApartAofAtheALACEAmodel,APsychiatric-
MentalAHealthAwasAidentifiedAasAaApopulationAfocus.ATheAAmericanAPsychiatricANursesAA
ssociationA(APNA)AandAInternationalASocietyAofAPsychiatric
NursesA(ISPN)ArecommendationAwasAforApsychiatric-
mentalAhealthAnurseApractitionersA(PMHNPs)AtoAbeApreparedAacrossAtheAlifeAspanA(APNA,
A2011).AAsAofA2015AAPRNsAinApsychiatric-

mentalAhealthAnursingAhaveAoneAcertificationAexamination,APMHNP-
LifeASpan,AwithAtheAAmericanANursesACredentialingACenterA(ANCC,A2015).AAllApreviousAp
sychiatric-
mentalAhealthAadvancedApracticeAcertificationAexaminationsAhaveAbeenAretiredAasAofADec
emberA2015A(ANCC,A2015).

ProvenAcompetenceAbroughtAanAacceptanceAofAtheANPAroleAinAtheAhealthcareAsystem,Awit
hAacceptanceAandArecognitionAofAtheAtitleAandAroleAbyAconsumersAandAotherAhealthAprofes