ANCC PMHNP CHAPTER 2 PSYCHIATRIC-MENTAL HEALTH NURSE PRACTITIONER
ROLE, SCOPE OF PRACTICE, AND REGULATORY PROCESS ANCC PMHNP CHAPTER
2 PSYCHIATRIC -MENTAL HEALTH PRACTITIONER ROLE ,SCOPE OF
PRACTICE,AND REGULATORY PROCESS \\\ANCC PMHNP CHAPTER 2
PSYCHIATRIC MENTAL HEALTH QUESTIONS AND WELL VERIFIED ANSWERS
[ALREADY GRADED A+} REAL EXAM !!!
The NP role was introduced in what year by whom?
discuss HX ----ANS---HISTORY OF THE NP ROLE
introduced in 1965 by Loretta C. Ford, EdD, and Henry K. Silver, MD, at the University of Colorado (Mirr
Jansen & Zwygart-Stauffacher, 2006).
They identified new roles in which experienced registered nurses (RNs) with advanced education and
skills were performing clinical duties traditionally reserved for physicians. Universities were slow to
implement NP programs at the master's level. However, RNs embraced the new role and rushed into
continuing education programs of varying length, quality, and focus to accomplish the necessary
educational preparation for this new role.
As part of the LACE model, Psychiatric-Mental Health was identified as a population focus. The American
Psychiatric Nurses Association (APNA) and International Society of Psychiatric
Nurses (ISPN) recommendation was for psychiatric-mental health nurse practitioners (PMHNPs) to be
prepared across the life span (APNA, 2011). As of 2015 APRNs in psychiatric-mental health nursing have
one certification examination, PMHNP-Life Span, with the American Nurses Credentialing Center (ANCC,
2015). All previous psychiatric-mental health advanced practice certification examinations have been
retired as of December 2015 (ANCC, 2015).
Proven competence brought an acceptance of the NP role in the healthcare system, with acceptance
and recognition of the title and role by consumers and other health professionals. NP programs are
accredited by one of two organizations to achieve standardization and control over quality: the
Commission on Collegiate Nursing Education (CCNE, 2016) and the Accreditation Commission for
Education in Nursing (ACEN, 2016). NPs are recognized providers under many third-party insurance
,coverage plans (e.g., Medicare, Medicaid, CHAMPUS, federal programs funding school-based clinics, U.S.
military, Veterans Administra
In ______ year the License, Accreditation, Certification, and Education (LACE) consensus model was
finalized and adopted by many nursing organizations. The consensus model identified what four
Advanced Practice Registered Nurse roles? ----ANS---2008
Certified Registered Nurse Anesthetist (CRNA), Certified Nurse Midwife (CNM), Clinical Nurse Specialist
(CNS), and Certified Nurse Practitioner
(CNP)
Growth of the NP Role ----ANS---Growth of the NP Role
Facilitating factors for growth
*Consumer demand for services
*Acceptance of the advanced practice nursing role
*Emergence of the PMHNP role
*Decreasing stigmatization
*Emphasis on integrated healthcare services
Constraining factors for growth
*Growing competition in job market in general for NPs
*Reimbursement struggles with Medicare and private insurance companies
*Overlapping scope of practice with other NPs
*Increased concerns over reimbursement fraud and abuse (e.g., issues of coding and billing for services)
*Scope of practice and need for formal supervisory or collaborative relationships with physicians
Regulatory and Statutory Dimensions of the NP Role
State legislative statutes & The Nurse Practice Act ----ANS---Regulatory and Statutory Dimensions of the
NP Role
, State legislative statutes
* Grant legal authority for NP practice
The Nurse Practice Act of every state
* Provides title protection (who may be called a nurse practitioner)
* Defines advanced practice
* Prevailing state laws that define scope of practice (what NPs may do)
* Places restrictions on practice
* Sets NP credentialing requirements (e.g., educational requirements, certification)
* States grounds for disciplinary action:
** Practicing without valid license
** Falsification of records
** Medicare fraud
** Failure to use appropriate nursing judgment
** Failure to follow accepted nursing standards
** Failure to complete accurate nursing documentation
* May specifically require that an NP develop a collaborative agreement with a physician
** Collaborative agreement: Also known as a protocol that describes what types of drugs might be
prescribed and defines some form of oversight for NP practice
Regulatory and Statutory Dimensions of the NP Role
Statutory law, Licensure, Credentialing, Certification ----ANS---Regulatory and Statutory Dimensions of
the NP Role
Statutory law
* Rules and regulations differ for each state
* May further define scope of practice and practice requirements
* May provide restrictions in practice unique to specific state
ROLE, SCOPE OF PRACTICE, AND REGULATORY PROCESS ANCC PMHNP CHAPTER
2 PSYCHIATRIC -MENTAL HEALTH PRACTITIONER ROLE ,SCOPE OF
PRACTICE,AND REGULATORY PROCESS \\\ANCC PMHNP CHAPTER 2
PSYCHIATRIC MENTAL HEALTH QUESTIONS AND WELL VERIFIED ANSWERS
[ALREADY GRADED A+} REAL EXAM !!!
The NP role was introduced in what year by whom?
discuss HX ----ANS---HISTORY OF THE NP ROLE
introduced in 1965 by Loretta C. Ford, EdD, and Henry K. Silver, MD, at the University of Colorado (Mirr
Jansen & Zwygart-Stauffacher, 2006).
They identified new roles in which experienced registered nurses (RNs) with advanced education and
skills were performing clinical duties traditionally reserved for physicians. Universities were slow to
implement NP programs at the master's level. However, RNs embraced the new role and rushed into
continuing education programs of varying length, quality, and focus to accomplish the necessary
educational preparation for this new role.
As part of the LACE model, Psychiatric-Mental Health was identified as a population focus. The American
Psychiatric Nurses Association (APNA) and International Society of Psychiatric
Nurses (ISPN) recommendation was for psychiatric-mental health nurse practitioners (PMHNPs) to be
prepared across the life span (APNA, 2011). As of 2015 APRNs in psychiatric-mental health nursing have
one certification examination, PMHNP-Life Span, with the American Nurses Credentialing Center (ANCC,
2015). All previous psychiatric-mental health advanced practice certification examinations have been
retired as of December 2015 (ANCC, 2015).
Proven competence brought an acceptance of the NP role in the healthcare system, with acceptance
and recognition of the title and role by consumers and other health professionals. NP programs are
accredited by one of two organizations to achieve standardization and control over quality: the
Commission on Collegiate Nursing Education (CCNE, 2016) and the Accreditation Commission for
Education in Nursing (ACEN, 2016). NPs are recognized providers under many third-party insurance
,coverage plans (e.g., Medicare, Medicaid, CHAMPUS, federal programs funding school-based clinics, U.S.
military, Veterans Administra
In ______ year the License, Accreditation, Certification, and Education (LACE) consensus model was
finalized and adopted by many nursing organizations. The consensus model identified what four
Advanced Practice Registered Nurse roles? ----ANS---2008
Certified Registered Nurse Anesthetist (CRNA), Certified Nurse Midwife (CNM), Clinical Nurse Specialist
(CNS), and Certified Nurse Practitioner
(CNP)
Growth of the NP Role ----ANS---Growth of the NP Role
Facilitating factors for growth
*Consumer demand for services
*Acceptance of the advanced practice nursing role
*Emergence of the PMHNP role
*Decreasing stigmatization
*Emphasis on integrated healthcare services
Constraining factors for growth
*Growing competition in job market in general for NPs
*Reimbursement struggles with Medicare and private insurance companies
*Overlapping scope of practice with other NPs
*Increased concerns over reimbursement fraud and abuse (e.g., issues of coding and billing for services)
*Scope of practice and need for formal supervisory or collaborative relationships with physicians
Regulatory and Statutory Dimensions of the NP Role
State legislative statutes & The Nurse Practice Act ----ANS---Regulatory and Statutory Dimensions of the
NP Role
, State legislative statutes
* Grant legal authority for NP practice
The Nurse Practice Act of every state
* Provides title protection (who may be called a nurse practitioner)
* Defines advanced practice
* Prevailing state laws that define scope of practice (what NPs may do)
* Places restrictions on practice
* Sets NP credentialing requirements (e.g., educational requirements, certification)
* States grounds for disciplinary action:
** Practicing without valid license
** Falsification of records
** Medicare fraud
** Failure to use appropriate nursing judgment
** Failure to follow accepted nursing standards
** Failure to complete accurate nursing documentation
* May specifically require that an NP develop a collaborative agreement with a physician
** Collaborative agreement: Also known as a protocol that describes what types of drugs might be
prescribed and defines some form of oversight for NP practice
Regulatory and Statutory Dimensions of the NP Role
Statutory law, Licensure, Credentialing, Certification ----ANS---Regulatory and Statutory Dimensions of
the NP Role
Statutory law
* Rules and regulations differ for each state
* May further define scope of practice and practice requirements
* May provide restrictions in practice unique to specific state
