NR548 Psychiatric Assessment for Psychiatric-
Mental Health Nurse Practitioner\\ NR548 –
Psychiatric Assessment for PMHNP: Complete
2025 Study Guide & Exam Review
WEEK ONE
ANA Standards and Scope: Standard 5B: Health Teaching & Promotion
An educated professional nurse is aware of normal developmental and situational threats to wellness
and can educate healthcare consumers to avoid them. Example: Moving a toddler from a crib to a bed
can prevent injury associated with climbing out of the crib at that developmental age
What do the Standards explain the art of nursing is based on?
The art of nursing is based on caring and respect for human dignity
What is the fundamental principle of and attitude that the professional nurse must have as outlined in
Provision 1?
ANA Code of Ethics: Provision 1 explains, "the nurse practices with compassion and respect for the
inherent dignity, worth, and unique attributes of every person"
How should the nurse respond to the discovery of human trafficking in his or her practice?
ANA Code of Ethics: Provision 8 Nurses must "bring attention to human rights violations in all settings
and contexts. The nursing profession must respond when these violations are encountered"
In the 1950s what university awarded its first graduate degree in psychiatric-mental health nursing.
Rutgers University. The program was established by Hildegarde Peplau.
What was the first master's prepared advanced practice nursing role?
The psychiatric mental health clinical nurse specialist
When was role of the psychiatric and mental health nurse practitioner (PMHNP) was introduced?
In the 1990s and has evolved over time to incorporate a person-centered, biopsychosocial model of
care.
In the late 19th century, reform movements led to changes in beliefs about the role of mental asylums
in the treatment of mental illness. Focus shifted from restrictive custodial care to treatment. Who
created the first organized training school within a hospital for the insane in 1882?
Dr. Edward Cowles
,Early psychiatric nurses were trained by physicians; however, in 1913, who developed the first nurse-
organized training course for psychiatric nursing at Johns Hopkins Hospital?
Effie Jane Taylor
Which ACT allowed for the expansion of the PMHCNS role into community and ambulatory settings as
they helped those who had been deinstitutionalized adapt
The Community Mental Health Centers Act of 1963
Who introduced the nurse practitioner role?
Loretta Ford, RN and Henry Silver MD
This is the client's initial contact with the healthcare system about her concerns
Primary Care
The PMHNP is prescribing psychopharmacotherapy for the client
Pharmacologic Intervention
The PMHNP is utilizing a psychotherapeutic approach to help the client gain insight
Psychotherapy
A psychiatric emergency requiring immediate intervention
Crisis Intervention
Occurs in an intensive hospital or psychiatric facility setting
Acute PMHNP Care
Occurs when a client receives intensive therapy on an outpatient basis, often used when a client does
not require 24-hour care but still require intense treatment
Partial Hospitalization/Intensive Outpatient Treatment
Case management involves oversight and/or coordination of care. The PMHNP serves as the point of
contact person, coordinating the treatment team, which consists of the PMHNP, a social worker, and
possibly a psychologist and psychiatrist.
Case Management
Provided in a non-hospital community setting
Community-Based Care
Utilize telecommunication technology to deliver treatment to clients.
Telehealth
The PMHNP owns the private practice that is providing services to the client. The PMHNP is providing
direct services through private practice.
, Self-Employment
Code of Ethics: Respect for the Individual
Approaches professional relationships with compassion, caring, and respect, acknowledging the dignity
and worth of each individual.
Affirms the worth and dignity of those with PMH disorders by advocating to overcome negative stigmas
towards PMH diagnoses to ensure access to care.
Code of Ethics: Commitment to the Healthcare Consumer
The PMHNP's primary commitment is to the individual, family, group, or community who is the
healthcare consumer.
Code of Ethics: Advocacy for the Healthcare Consumer
The PMHNP recognizes the vulnerability, complexity, and legal considerations associated with providing
care to those with PMH disorders.
Code of Ethics: Responsibility and Accountability for Practice
The PMHNP must be responsible and accountable for their own practice. Must be able to articulate
competencies and be aware of scope of practice and professional standards guiding their own practice.
Must understand the scope of other team members' practice in order to delegate appropriately.
Code of Ethics: Duties to Self and Others
The PMHNP owes the same duties to self as to others.
accords moral worth and dignity to oneself and others, including colleagues. Is committed to practicing
self-care, managing stress, and maintaining supportive relationships to meet personal needs outside of
therapeutic relationships.
identifies and addresses moral distress.
Code of Ethics: Contributions to Healthcare Environments
The PMHNP
helps maintain and improve healthcare environments and conditions of employment. Recognizes signs
and symptoms of psychiatric disorders in the workplace and reports peer observations or concerns to
leadership.
helps address problems faced by colleagues that may impact client safety or violate public trust,
including substance abuse.
Code of Ethics: Advancement of the Nursing Profession
The PMHNP contributes to advancing the profession through practice, education, administration, and
knowledge development. Maintains knowledge of and applies evidence-based practice guidelines,
including risk assessment and management.
Mental Health Nurse Practitioner\\ NR548 –
Psychiatric Assessment for PMHNP: Complete
2025 Study Guide & Exam Review
WEEK ONE
ANA Standards and Scope: Standard 5B: Health Teaching & Promotion
An educated professional nurse is aware of normal developmental and situational threats to wellness
and can educate healthcare consumers to avoid them. Example: Moving a toddler from a crib to a bed
can prevent injury associated with climbing out of the crib at that developmental age
What do the Standards explain the art of nursing is based on?
The art of nursing is based on caring and respect for human dignity
What is the fundamental principle of and attitude that the professional nurse must have as outlined in
Provision 1?
ANA Code of Ethics: Provision 1 explains, "the nurse practices with compassion and respect for the
inherent dignity, worth, and unique attributes of every person"
How should the nurse respond to the discovery of human trafficking in his or her practice?
ANA Code of Ethics: Provision 8 Nurses must "bring attention to human rights violations in all settings
and contexts. The nursing profession must respond when these violations are encountered"
In the 1950s what university awarded its first graduate degree in psychiatric-mental health nursing.
Rutgers University. The program was established by Hildegarde Peplau.
What was the first master's prepared advanced practice nursing role?
The psychiatric mental health clinical nurse specialist
When was role of the psychiatric and mental health nurse practitioner (PMHNP) was introduced?
In the 1990s and has evolved over time to incorporate a person-centered, biopsychosocial model of
care.
In the late 19th century, reform movements led to changes in beliefs about the role of mental asylums
in the treatment of mental illness. Focus shifted from restrictive custodial care to treatment. Who
created the first organized training school within a hospital for the insane in 1882?
Dr. Edward Cowles
,Early psychiatric nurses were trained by physicians; however, in 1913, who developed the first nurse-
organized training course for psychiatric nursing at Johns Hopkins Hospital?
Effie Jane Taylor
Which ACT allowed for the expansion of the PMHCNS role into community and ambulatory settings as
they helped those who had been deinstitutionalized adapt
The Community Mental Health Centers Act of 1963
Who introduced the nurse practitioner role?
Loretta Ford, RN and Henry Silver MD
This is the client's initial contact with the healthcare system about her concerns
Primary Care
The PMHNP is prescribing psychopharmacotherapy for the client
Pharmacologic Intervention
The PMHNP is utilizing a psychotherapeutic approach to help the client gain insight
Psychotherapy
A psychiatric emergency requiring immediate intervention
Crisis Intervention
Occurs in an intensive hospital or psychiatric facility setting
Acute PMHNP Care
Occurs when a client receives intensive therapy on an outpatient basis, often used when a client does
not require 24-hour care but still require intense treatment
Partial Hospitalization/Intensive Outpatient Treatment
Case management involves oversight and/or coordination of care. The PMHNP serves as the point of
contact person, coordinating the treatment team, which consists of the PMHNP, a social worker, and
possibly a psychologist and psychiatrist.
Case Management
Provided in a non-hospital community setting
Community-Based Care
Utilize telecommunication technology to deliver treatment to clients.
Telehealth
The PMHNP owns the private practice that is providing services to the client. The PMHNP is providing
direct services through private practice.
, Self-Employment
Code of Ethics: Respect for the Individual
Approaches professional relationships with compassion, caring, and respect, acknowledging the dignity
and worth of each individual.
Affirms the worth and dignity of those with PMH disorders by advocating to overcome negative stigmas
towards PMH diagnoses to ensure access to care.
Code of Ethics: Commitment to the Healthcare Consumer
The PMHNP's primary commitment is to the individual, family, group, or community who is the
healthcare consumer.
Code of Ethics: Advocacy for the Healthcare Consumer
The PMHNP recognizes the vulnerability, complexity, and legal considerations associated with providing
care to those with PMH disorders.
Code of Ethics: Responsibility and Accountability for Practice
The PMHNP must be responsible and accountable for their own practice. Must be able to articulate
competencies and be aware of scope of practice and professional standards guiding their own practice.
Must understand the scope of other team members' practice in order to delegate appropriately.
Code of Ethics: Duties to Self and Others
The PMHNP owes the same duties to self as to others.
accords moral worth and dignity to oneself and others, including colleagues. Is committed to practicing
self-care, managing stress, and maintaining supportive relationships to meet personal needs outside of
therapeutic relationships.
identifies and addresses moral distress.
Code of Ethics: Contributions to Healthcare Environments
The PMHNP
helps maintain and improve healthcare environments and conditions of employment. Recognizes signs
and symptoms of psychiatric disorders in the workplace and reports peer observations or concerns to
leadership.
helps address problems faced by colleagues that may impact client safety or violate public trust,
including substance abuse.
Code of Ethics: Advancement of the Nursing Profession
The PMHNP contributes to advancing the profession through practice, education, administration, and
knowledge development. Maintains knowledge of and applies evidence-based practice guidelines,
including risk assessment and management.
