NR548 / NR 548 LATEST EXAM WITH
DETAILED QUESTIONS AND
ANSWERS
question-What year brought a transition towards deinstitutionalization in care for those with
mental illnesses, which led to an increase in the number of psychiatric patients receiving care in
the community rather than hospitals? - answer-1950s
question-What Act allowed for the expansion of the PMHCNS role into community and
ambulatory settings as they helped those who had been deinstitutionalized adapt (ANA, 2014). -
answer-The Community Mental Health Centers Act of 1963
question-occur in a hospital, psychiatric facility or community setting. These services focus on
psychiatric and substance-related emergencies. - answer-Crisis intervention and psychiatric
emergency services
Who the first organized training school within a hospital for the insane in 1882? - answer-Dr.
Edward Cowles
question-Who developed the first nurse-organized training course for psychiatric nursing at
Johns Hopkins Hospital. - answer-Effie Jane Taylor
question-Who recommended standards of training for psychiatric nurses, which led to improved
education and standards of care? - answer-Laura Fitzsimmons
,question-is a short-term treatment. It occurs in the inpatient setting providing care for acutely ill
patients at risk for harming self or others or unable to meet basic needs due to impairment. The
focus is crisis stabilization. - answer-Acute inpatient care
question-may admit clients directly or accept transfers from acute inpatient care. They provide
intermediate or long-term care for patients at chronic risk to self or others or unable to function
without supervision and support due to mental disorders. They include treatment, habilitation and
rehabilitation and may be public, private, or state hospitals operated through the criminal justice
system. - answer-Intermediate and long-term care
question-provide acute symptom management, intensive treatment, and safe housing for patients
who do not require 24-hour medical management or nursing care. These programs can be free
standing or step-down facilities. - answer-Partial hospitalization and intensive outpatient
treatment (IOP)
question-provide 24-hour care and housing for an extended period. Services include
psychoeducation, vocational rehabilitation, and training for activities of daily living. - answer-
Residential Services
question-is provided in non-hospital community settings such as mental health clinics, homes,
worksites, shelters, crisis centers, senior centers, group homes, or schools. It can also provide
care in an integrative primary health care setting. - answer-Community based Care
question-is a team treatment approach to provide comprehensive, community-based psychiatric
treatment, rehabilitation, and support to persons with severe mental illness (SMI). It provides
individualized service 24 hours a day, 7 days a week. - answer-Assertive Community Treatment
(ACT)
,question-provide healthcare at a basic level rather than a specialized level. These providers
address a majority of personal healthcare needs. Healthcare consumers often seek care for mental
health concerns at this level for accessibility or to avoid the stigma associated with mental health
services. - answer-Primary care
question-Has provided recommendations for licensure, accreditation, certification, and education
(LACE) pertaining to all APRN practice. PMHNP certification exam criteria is set by the
American Nurses Credentialing Center (ANCC). - answer-The consensus model
question-focuses on the application of competencies, knowledge, and experience to individuals,
families, or groups with complex psychiatric-mental health problems - answer-Role of the
PMHNP-APRN
question-involves a formally structured relationship between the therapist (PMHNP) and the
healthcare consumer that applies evidence-based methods to effect negotiated outcomes. -
answer-Psychotherapy
question-The PMHNP prescribes or recommends pharmacologic agents and may order and
interpret diagnostic and lab tests to assess treatment response or monitor for adverse effects. -
answer-Psychopharmacological management
question-The PMHNP is responsible for the coordination of care and related decision-making
about mental health care for a client, family, group, or population. - answer-Case management
, question-The PMHNP engages in the design, implementation, management, and evaluation of
programs, systems, or policies to address the mental health needs of a population at risk for
developing mental health problems through prevention, health promotion, identification and
reduction of risk factors, screening, and early intervention. - answer-Program, system, and policy
development management
question-The role involves "the assessment, diagnosis, and treatment of behavioral, cognitive,
developmental, emotional, and spiritual responses of individuals, families, and significant others
with co-occurring [actual or potential] physical illness(es) and/or dysfunction" (ANA, 2014,
p.33). The PCLN often works as a member of an interdisciplinary consultation-liaison team. -
answer-Psychiatric Consultation-Liaison Nursing (PCLN)
question-The PMHNP assists other mental health clinicians to evaluate their practice, expand
their skills, and meet standards for ongoing peer supervision. Clinical supervision focuses on
growth and development rather than performance evaluation. Administration, Education, and
Research Practice: PMHNP may serve as administrators, educators, and researchers. - answer-
Clinical Supervision:
question-PMHNPs provide direct comprehensive mental health services in solo or group private
practice settings or through contracts with other entities. - answer-Self employment
question-The PMHNP functions as part of an interdisciplinary team, providing care and
treatment for clients with mental disorders, including substance use disorders and co-occurring
medical disorders. Integrative care helps improve care coordination between primary care
providers and behavioral health. - answer-Integrative programs(Specialty Areas)
DETAILED QUESTIONS AND
ANSWERS
question-What year brought a transition towards deinstitutionalization in care for those with
mental illnesses, which led to an increase in the number of psychiatric patients receiving care in
the community rather than hospitals? - answer-1950s
question-What Act allowed for the expansion of the PMHCNS role into community and
ambulatory settings as they helped those who had been deinstitutionalized adapt (ANA, 2014). -
answer-The Community Mental Health Centers Act of 1963
question-occur in a hospital, psychiatric facility or community setting. These services focus on
psychiatric and substance-related emergencies. - answer-Crisis intervention and psychiatric
emergency services
Who the first organized training school within a hospital for the insane in 1882? - answer-Dr.
Edward Cowles
question-Who developed the first nurse-organized training course for psychiatric nursing at
Johns Hopkins Hospital. - answer-Effie Jane Taylor
question-Who recommended standards of training for psychiatric nurses, which led to improved
education and standards of care? - answer-Laura Fitzsimmons
,question-is a short-term treatment. It occurs in the inpatient setting providing care for acutely ill
patients at risk for harming self or others or unable to meet basic needs due to impairment. The
focus is crisis stabilization. - answer-Acute inpatient care
question-may admit clients directly or accept transfers from acute inpatient care. They provide
intermediate or long-term care for patients at chronic risk to self or others or unable to function
without supervision and support due to mental disorders. They include treatment, habilitation and
rehabilitation and may be public, private, or state hospitals operated through the criminal justice
system. - answer-Intermediate and long-term care
question-provide acute symptom management, intensive treatment, and safe housing for patients
who do not require 24-hour medical management or nursing care. These programs can be free
standing or step-down facilities. - answer-Partial hospitalization and intensive outpatient
treatment (IOP)
question-provide 24-hour care and housing for an extended period. Services include
psychoeducation, vocational rehabilitation, and training for activities of daily living. - answer-
Residential Services
question-is provided in non-hospital community settings such as mental health clinics, homes,
worksites, shelters, crisis centers, senior centers, group homes, or schools. It can also provide
care in an integrative primary health care setting. - answer-Community based Care
question-is a team treatment approach to provide comprehensive, community-based psychiatric
treatment, rehabilitation, and support to persons with severe mental illness (SMI). It provides
individualized service 24 hours a day, 7 days a week. - answer-Assertive Community Treatment
(ACT)
,question-provide healthcare at a basic level rather than a specialized level. These providers
address a majority of personal healthcare needs. Healthcare consumers often seek care for mental
health concerns at this level for accessibility or to avoid the stigma associated with mental health
services. - answer-Primary care
question-Has provided recommendations for licensure, accreditation, certification, and education
(LACE) pertaining to all APRN practice. PMHNP certification exam criteria is set by the
American Nurses Credentialing Center (ANCC). - answer-The consensus model
question-focuses on the application of competencies, knowledge, and experience to individuals,
families, or groups with complex psychiatric-mental health problems - answer-Role of the
PMHNP-APRN
question-involves a formally structured relationship between the therapist (PMHNP) and the
healthcare consumer that applies evidence-based methods to effect negotiated outcomes. -
answer-Psychotherapy
question-The PMHNP prescribes or recommends pharmacologic agents and may order and
interpret diagnostic and lab tests to assess treatment response or monitor for adverse effects. -
answer-Psychopharmacological management
question-The PMHNP is responsible for the coordination of care and related decision-making
about mental health care for a client, family, group, or population. - answer-Case management
, question-The PMHNP engages in the design, implementation, management, and evaluation of
programs, systems, or policies to address the mental health needs of a population at risk for
developing mental health problems through prevention, health promotion, identification and
reduction of risk factors, screening, and early intervention. - answer-Program, system, and policy
development management
question-The role involves "the assessment, diagnosis, and treatment of behavioral, cognitive,
developmental, emotional, and spiritual responses of individuals, families, and significant others
with co-occurring [actual or potential] physical illness(es) and/or dysfunction" (ANA, 2014,
p.33). The PCLN often works as a member of an interdisciplinary consultation-liaison team. -
answer-Psychiatric Consultation-Liaison Nursing (PCLN)
question-The PMHNP assists other mental health clinicians to evaluate their practice, expand
their skills, and meet standards for ongoing peer supervision. Clinical supervision focuses on
growth and development rather than performance evaluation. Administration, Education, and
Research Practice: PMHNP may serve as administrators, educators, and researchers. - answer-
Clinical Supervision:
question-PMHNPs provide direct comprehensive mental health services in solo or group private
practice settings or through contracts with other entities. - answer-Self employment
question-The PMHNP functions as part of an interdisciplinary team, providing care and
treatment for clients with mental disorders, including substance use disorders and co-occurring
medical disorders. Integrative care helps improve care coordination between primary care
providers and behavioral health. - answer-Integrative programs(Specialty Areas)
