ANCC PMHNP CHAPTER 2 PSYCHIATRIC-MENTAL HEALTH NURSE PRACTITIONER ROLE, SCOPE OF PRACTICE, AND REGULATORY PROCESS Exam Review Questions with Correct Solutions Updated 2025/2026 Newest Syllabus A+ GRADED!! 100% Guaranteed Pass!!!<<Latest Version>&

ANCC PMHNP CHAPTER 2 PSYCHIATRIC-MENTAL HEALTH NURSE PRACTITIONER ROLE, SCOPE OF PRACTICE, AND REGULATORY PROCESS Exam Review Questions with Correct Solutions Updated 2025/2026 Newest Syllabus A+ GRADED!! 100% Guaranteed Pass!!!&lt;&lt;Latest Version&gt;&gt; XX Forensic: The application of scientific knowledge to legal problems and legal proceedings, for example, in forensic anthropology, forensic dentistry, forensic medicine (legal medicine), forensic pathology, and forensic science XX Forensic science: The application of a broad range of sciences to answer question Forensic Versus Correctional - ANSWER Forensic Versus Correctional XX Forensic: Nurse-client relationship based on crime committed and investigational aspect of the interaction XX Correctional: Nurse-client relationship based on offender's current mental health and medical conditions XX Locations: Emergency departments, prisons (high-, medium-, and low-security units), courts, and police stations (Lyons, 2009) Forensic Knowledge Base - ANSWER Forensic Knowledge Base XX Relies on evidence-based practice as well as past clinical experience XX Incorporates both criminal justice and mental health systems XX The forensic PMHNP should possess theoretical and practical knowledge of the criminal justice and mental health systems ZZ Function of the court ZZ Litigation procedures ZZ Workings of the criminal justice system ZZ Relevant case law and health litigation ZZ Understanding of mental health, distorted thinking patterns, and impaired cognition ZZ Competence: Safety, security, management, and assessment of risk; management of aggression and violence; therapeutic relationship; offending behavior knowledge; prison culture; documentation; medical knowledge; psychopharmacology; and crisis de-escalation (Lyons, 2009) Forensic Risk Assessment vs. Risk Assessment - ANSWER Forensic Risk Assessment vs. Risk Assessment XX Forensic risk assessment: Protect the public from persons with known mental disorders having dangerous, violent, and criminal histories XX Risk assessment: Psychiatric evaluation performed in emergency department after arrest and before person is confined to a correctional facility (Lyons, 2009) CASE STUDY 1 Karen Harris is a newly graduated PMHNP. She worked as a psychiatric nurse for 5 years before going to graduate school. She is considering a job at the local community mental health center. The director of the center has told her that her role would consist of seeing mainly adult clients with serious, chronic, and persistent mental illness. On occasions when the psychiatrist is "busy," Ms. Harris is told she may be expected to see a few children in addition to adults. The director expects Ms. Harris to provide medication management to well-known clients and occasionally to assist in diagnostic evaluations of new clients or clients in crisis. He also expects that she will "from time to time" meet the emergent medical needs of clients who have limited access to primary care providers, including the routine, ongoing care of nonpsychiatric disorders such as diabetes, hypertension, and chronic pain. Ms. Harri - ANSWER ANSWERS TO CASE STUDY DISCUSSION QUESTIONS Case Study 1 1. The key word here is "legally." Professional standards and scope of practice documents suggest what is reasonable and prudent practice. Professional nursing organizations will provide information on what is seen as acceptable educational preparation for practice. However, the individual legislative regulations of each state determine what constitutes legal practice for each individual PMHNP. 2. The Nurse Practice Act and related legislation of the state in which she practices will delineate the legal boundaries of her practice. 3. Professional standards and scope-of-practice documents suggest what is reasonable and prudent practice. The individual legislative regulations of each state determine what constitutes legal practice for each individual PMHNP. 4. Professional nursing organizations provide information through a Scope and Standards document about what is seen as an acceptable practice role for PMHNPs, but the PMHNP's practice is ultimately guided by the individual state's Nurse Practice Act. 5. Any client, including a psychiatric client, has the right to refuse treatment. Ms. Harris is legally and ethically bound to honor the client's rights. 6. Ms. Harris must meet the legal standard in the state where she practices to treat a client against his or her wishes. This usually entails performing the legal task of committing a client and in most states, ensuring that the following criteria are met: ZZ The person has a diagnosed psychiatric disorder ZZ The person is unaware or unwilling to accept the nature and severity of disorder ZZ As a result of a mental disorder, a person is harmful to self or others ZZ As a result of a mental disorder, a person cannot take care of his or her basic needs of food, clothing, and shelter 7. A durable power of attorney CASE STUDY 2 A PMHNP working in a rural mental health clinic is asked by a women's clinic to evaluate Ms. M., a 35-year-old female. Ms. M. insists she is not depressed, but that she has been feeling understandably distressed because she was fired from her job for excessive absenteeism related to "head, neck, and back pain." Ms. M. has difficulty falling and staying asleep, wakes up feeling tearful, and doesn't want to get out of bed. She has become socially isolative and spends hours sitting in front of the television. She has been taking 50 mg of amitriptyline for the past 6 months. The medication has been prescribed by a physician's assistant at a women's clinic. She was last seen at the women's clinic 4 months ago. After evaluating Ms. M., the PMHNP decides that she meets criteria for major depression. He decides to continue the amitriptyline but increases the dose