2
NR607 Final Exam with precise answers and rationales || || || || || || ||
The PMHNP (Psychiatric Mental Health Nurse Practitioner) is providing care to a 29-year-old
|| || || || || || || || || || || || ||
client who presents with persistent sadness and hopelessness for the last two months. She is
|| || || || || || || || || || || || || || ||
having difficulty sleeping and has a decreased appetite. This is the patient's first contact with with
|| || || || || || || || || || || || || || || ||
the healthcare system about her concerns.
|| || || || ||
PMHNP role: ||
Acute PMHNP Care || ||
Telehealth
Case Management
||
Primary Care ||
Pharmacologic Intervention ||
Crisis Intervention ||
Partial Hospitalization/Intensive Outpatient Tx
|| || ||
Community-Based Care ||
Self-Employment
Psychotherapy - ✔✔Primary Care || || ||
Rationale: This is the client's initial contact with the healthcare system about her concerns
|| || || || || || || || || || || || ||
The client has experienced depressive symptoms. The PMHNP prescribes a selective serotonin
|| || || || || || || || || || || ||
reuptake inhibitor (SSRI). || ||
PMHNP role: ||
Acute PMHNP Care || ||
Telehealth
Case Management
||
,2
Primary Care ||
Pharmacologic Intervention ||
Crisis Intervention
||
Partial Hospitalization/Intensive Outpatient Tx
|| || ||
Community-Based Care ||
Self-Employment
Psychotherapy - ✔✔Pharmacologic Intervention || || ||
Rationale: The PMHNP is prescribing psychopharmacotherapy for the client
|| || || || || || || ||
The PMHNP provides the client with some mindfulness techniques to try at home.
|| || || || || || || || || || || ||
PMHNP role: ||
Acute PMHNP Care
|| ||
Telehealth
Case Management
||
Primary Care ||
Pharmacologic Intervention ||
Crisis Intervention
||
Partial Hospitalization/Intensive Outpatient Tx
|| || ||
Community-Based Care ||
Self-Employment
Psychotherapy - ✔✔Psychotherapy || ||
Rationale: The PMHNP is utilizing a psychotherapeutic approach to help the client gain insight
|| || || || || || || || || || || || ||
,2
Two weeks after starting on the SSRI, the client begins to experience suicidal ideations and
|| || || || || || || || || || || || || || ||
develops a plan to kill herself. A friend brings the client to the emergency room. The PMHNP
|| || || || || || || || || || || || || || || || ||
meets the client at the emergency room and collaborates with the physician to coordinate care.
|| || || || || || || || || || || || || ||
PMHNP role: ||
Acute PMHNP Care || ||
Telehealth
Case Management||
Primary Care ||
Pharmacologic Intervention ||
Crisis Intervention ||
Partial Hospitalization/Intensive Outpatient Tx
|| || ||
Community-Based Care ||
Self-Employment
Psychotherapy - ✔✔Crisis Intervention || || ||
Rationale: Suicidal ideation with a plan is a psychiatric emergency requiring immediate
|| || || || || || || || || || || ||
intervention.
The client is admitted to the psychiatric and behavioral health unit at the local hospital for a 72-
|| || || || || || || || || || || || || || || || ||
hour observation where the PMHNP works with her team providing treatment. The client remains
|| || || || || || || || || || || || || ||
hospitalized for a week while her medications are managed. The client attends individual and
|| || || || || || || || || || || || || ||
group therapy sessions.
|| ||
PMHNP role: ||
Acute PMHNP Care || ||
Telehealth
Case Management||
Primary Care ||
, 2
Pharmacologic Intervention ||
Crisis Intervention ||
Partial Hospitalization/Intensive Outpatient Tx
|| || ||
Community-Based Care ||
Self-Employment
Psychotherapy - ✔✔Acute PMHNP Care || || || ||
Rationale: Acute inpatient care occurs in an intensive hospital or psychiatric facility setting.
|| || || || || || || || || || || ||
Following hospitalization, the client returns home but commutes to a treatment center for 4 hours
|| || || || || || || || || || || || || || ||
a day 5 days per week for ongoing therapy, medication management, and psychoeducation.
|| || || || || || || || || || || ||
PMHNP role: ||
Acute PMHNP Care || ||
Telehealth
Case Management
||
Primary Care ||
Pharmacologic Intervention ||
Crisis Intervention ||
Partial Hospitalization/Intensive Outpatient Tx
|| || ||
Community-Based Care ||
Self-Employment
Psychotherapy - ✔✔Partial Hospitalization/Intensive Outpatient Treatment
|| || || || ||
Rationale: Partial Hospitalization/Intensive Outpatient Treatment occurs when a client receives
|| || || || || || || || || ||
intensive therapy on an outpatient basis, often used when a client do not require 24-hour care but
|| || || || || || || || || || || || || || || || ||
still require intense treatment.
|| || ||
NR607 Final Exam with precise answers and rationales || || || || || || ||
The PMHNP (Psychiatric Mental Health Nurse Practitioner) is providing care to a 29-year-old
|| || || || || || || || || || || || ||
client who presents with persistent sadness and hopelessness for the last two months. She is
|| || || || || || || || || || || || || || ||
having difficulty sleeping and has a decreased appetite. This is the patient's first contact with with
|| || || || || || || || || || || || || || || ||
the healthcare system about her concerns.
|| || || || ||
PMHNP role: ||
Acute PMHNP Care || ||
Telehealth
Case Management
||
Primary Care ||
Pharmacologic Intervention ||
Crisis Intervention ||
Partial Hospitalization/Intensive Outpatient Tx
|| || ||
Community-Based Care ||
Self-Employment
Psychotherapy - ✔✔Primary Care || || ||
Rationale: This is the client's initial contact with the healthcare system about her concerns
|| || || || || || || || || || || || ||
The client has experienced depressive symptoms. The PMHNP prescribes a selective serotonin
|| || || || || || || || || || || ||
reuptake inhibitor (SSRI). || ||
PMHNP role: ||
Acute PMHNP Care || ||
Telehealth
Case Management
||
,2
Primary Care ||
Pharmacologic Intervention ||
Crisis Intervention
||
Partial Hospitalization/Intensive Outpatient Tx
|| || ||
Community-Based Care ||
Self-Employment
Psychotherapy - ✔✔Pharmacologic Intervention || || ||
Rationale: The PMHNP is prescribing psychopharmacotherapy for the client
|| || || || || || || ||
The PMHNP provides the client with some mindfulness techniques to try at home.
|| || || || || || || || || || || ||
PMHNP role: ||
Acute PMHNP Care
|| ||
Telehealth
Case Management
||
Primary Care ||
Pharmacologic Intervention ||
Crisis Intervention
||
Partial Hospitalization/Intensive Outpatient Tx
|| || ||
Community-Based Care ||
Self-Employment
Psychotherapy - ✔✔Psychotherapy || ||
Rationale: The PMHNP is utilizing a psychotherapeutic approach to help the client gain insight
|| || || || || || || || || || || || ||
,2
Two weeks after starting on the SSRI, the client begins to experience suicidal ideations and
|| || || || || || || || || || || || || || ||
develops a plan to kill herself. A friend brings the client to the emergency room. The PMHNP
|| || || || || || || || || || || || || || || || ||
meets the client at the emergency room and collaborates with the physician to coordinate care.
|| || || || || || || || || || || || || ||
PMHNP role: ||
Acute PMHNP Care || ||
Telehealth
Case Management||
Primary Care ||
Pharmacologic Intervention ||
Crisis Intervention ||
Partial Hospitalization/Intensive Outpatient Tx
|| || ||
Community-Based Care ||
Self-Employment
Psychotherapy - ✔✔Crisis Intervention || || ||
Rationale: Suicidal ideation with a plan is a psychiatric emergency requiring immediate
|| || || || || || || || || || || ||
intervention.
The client is admitted to the psychiatric and behavioral health unit at the local hospital for a 72-
|| || || || || || || || || || || || || || || || ||
hour observation where the PMHNP works with her team providing treatment. The client remains
|| || || || || || || || || || || || || ||
hospitalized for a week while her medications are managed. The client attends individual and
|| || || || || || || || || || || || || ||
group therapy sessions.
|| ||
PMHNP role: ||
Acute PMHNP Care || ||
Telehealth
Case Management||
Primary Care ||
, 2
Pharmacologic Intervention ||
Crisis Intervention ||
Partial Hospitalization/Intensive Outpatient Tx
|| || ||
Community-Based Care ||
Self-Employment
Psychotherapy - ✔✔Acute PMHNP Care || || || ||
Rationale: Acute inpatient care occurs in an intensive hospital or psychiatric facility setting.
|| || || || || || || || || || || ||
Following hospitalization, the client returns home but commutes to a treatment center for 4 hours
|| || || || || || || || || || || || || || ||
a day 5 days per week for ongoing therapy, medication management, and psychoeducation.
|| || || || || || || || || || || ||
PMHNP role: ||
Acute PMHNP Care || ||
Telehealth
Case Management
||
Primary Care ||
Pharmacologic Intervention ||
Crisis Intervention ||
Partial Hospitalization/Intensive Outpatient Tx
|| || ||
Community-Based Care ||
Self-Employment
Psychotherapy - ✔✔Partial Hospitalization/Intensive Outpatient Treatment
|| || || || ||
Rationale: Partial Hospitalization/Intensive Outpatient Treatment occurs when a client receives
|| || || || || || || || || ||
intensive therapy on an outpatient basis, often used when a client do not require 24-hour care but
|| || || || || || || || || || || || || || || || ||
still require intense treatment.
|| || ||
