NR548 EXAM 1 | QUESTIONS AND ANSWERS | 2026
UPDATE | WITH COMPLETE SOLUTION
PMH-APRN Answer - a nurse with graduate-level training who provides
psychiatric-mental health care and promotes mental health across the lifespan
-assess, diagnose and treat individuals and families who have psychiatric
and/or substance disorders
-work in a variety of health care settings and practices and are eligible for
reimbursement through private insurers, HMOs, PPOs, Medicare and Medicaid
ANA Code of Ethics: anticipatory guidance competency Answer - 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.
ANA Code of Ethics: the art of nursing is based on? Answer - caring and
respect for human dignity
ANA Code of Ethics: the fundamental principle of and attitude that the
professional nurse must have as outlined in Provision 1 Answer - ANA Code of
Ethics: Provision 1
-"the nurse practices with compassion and respect for the inherent dignity,
worth, and unique attributes of every person" (ANA, 2015b, p. 1).
,ANA Code of Ethics: How should the nurse respond to the discovery of human
trafficking in his or her practice? Answer - 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" (ANA, 2015b, p. 33).
Dr. Edward Cowles created in 1882 Answer - the first organized training school
within a hospital for the insane
1913, Effie Jane Taylor developed Answer - the first nurse-organized training
course for psychiatric nursing at Johns Hopkins Hospital
(before early psychiatric nurses were trained by physicians)
Following WWI, the National League for Nursing Education added: Answer -
"nursing in nervous and mental diseases" to curriculum guides
In WWII, many potential military recruits deemed unfit for service due to
psychiatric concerns, while many veterans experienced combat-related
neuropsychiatric conditions. Laura Fitzsimmons recommended: Answer -
standards of training for psychiatric nurses, which led to improved education
and standards of care.
National Mental Health Act (NMHA) of 1946 Answer - -psychiatric nursing was
recognized as one of the four core disciplines in psychiatric care and treatment
-The act increased funding for psychiatric nursing education programs and
contributed to a growth in university-based nursing education.
1954 Answer - -the first graduate program in psychiatric nursing was
established at Rutgers University by Hildegarde Peplau
, • to prepare nurse therapists.
-The first advanced practice nursing role was the psychiatric-mental health
clinical nurse specialist (PMHCNS) role.
The Community Mental Health Centers Act of 1963 Answer - (1950s brought a
transition towards deinstitutionalization in care for those with mental illnesses,
which led to an increase in the number of psychiatric clients receiving care in
the community rather than hospitals)
-The Community Mental Health Centers Act of 1963 allowed for the expansion
of the PMHCNS role into community and ambulatory settings as they helped
those who had been deinstitutionalized adapt
1965 Answer - Loretta Ford, RN and Henry Silver MD introduce the nurse
practitioner role.
1973 ANA first published: Answer - Standards of Psychiatric-Mental Health
Nursing Practice
1980s states began to grant: Answer - prescriptive authority to advanced
practice registered nurse (APRN), adding medication prescribing and
management to the traditional therapy role of the psychiatric mental health
(PMH) APRN.
2000s these exams were developed: Answer - Certification exams for adult and
family psychiatric mental health nurse practitioner (PMHNP) developed.
-These exams were retired in 2015 when psychiatric certification exams were
combined to a single Psychiatric-Mental Health Nurse Practitioner (Across the
Lifespan) Certification (PMHNP-BC).
UPDATE | WITH COMPLETE SOLUTION
PMH-APRN Answer - a nurse with graduate-level training who provides
psychiatric-mental health care and promotes mental health across the lifespan
-assess, diagnose and treat individuals and families who have psychiatric
and/or substance disorders
-work in a variety of health care settings and practices and are eligible for
reimbursement through private insurers, HMOs, PPOs, Medicare and Medicaid
ANA Code of Ethics: anticipatory guidance competency Answer - 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.
ANA Code of Ethics: the art of nursing is based on? Answer - caring and
respect for human dignity
ANA Code of Ethics: the fundamental principle of and attitude that the
professional nurse must have as outlined in Provision 1 Answer - ANA Code of
Ethics: Provision 1
-"the nurse practices with compassion and respect for the inherent dignity,
worth, and unique attributes of every person" (ANA, 2015b, p. 1).
,ANA Code of Ethics: How should the nurse respond to the discovery of human
trafficking in his or her practice? Answer - 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" (ANA, 2015b, p. 33).
Dr. Edward Cowles created in 1882 Answer - the first organized training school
within a hospital for the insane
1913, Effie Jane Taylor developed Answer - the first nurse-organized training
course for psychiatric nursing at Johns Hopkins Hospital
(before early psychiatric nurses were trained by physicians)
Following WWI, the National League for Nursing Education added: Answer -
"nursing in nervous and mental diseases" to curriculum guides
In WWII, many potential military recruits deemed unfit for service due to
psychiatric concerns, while many veterans experienced combat-related
neuropsychiatric conditions. Laura Fitzsimmons recommended: Answer -
standards of training for psychiatric nurses, which led to improved education
and standards of care.
National Mental Health Act (NMHA) of 1946 Answer - -psychiatric nursing was
recognized as one of the four core disciplines in psychiatric care and treatment
-The act increased funding for psychiatric nursing education programs and
contributed to a growth in university-based nursing education.
1954 Answer - -the first graduate program in psychiatric nursing was
established at Rutgers University by Hildegarde Peplau
, • to prepare nurse therapists.
-The first advanced practice nursing role was the psychiatric-mental health
clinical nurse specialist (PMHCNS) role.
The Community Mental Health Centers Act of 1963 Answer - (1950s brought a
transition towards deinstitutionalization in care for those with mental illnesses,
which led to an increase in the number of psychiatric clients receiving care in
the community rather than hospitals)
-The Community Mental Health Centers Act of 1963 allowed for the expansion
of the PMHCNS role into community and ambulatory settings as they helped
those who had been deinstitutionalized adapt
1965 Answer - Loretta Ford, RN and Henry Silver MD introduce the nurse
practitioner role.
1973 ANA first published: Answer - Standards of Psychiatric-Mental Health
Nursing Practice
1980s states began to grant: Answer - prescriptive authority to advanced
practice registered nurse (APRN), adding medication prescribing and
management to the traditional therapy role of the psychiatric mental health
(PMH) APRN.
2000s these exams were developed: Answer - Certification exams for adult and
family psychiatric mental health nurse practitioner (PMHNP) developed.
-These exams were retired in 2015 when psychiatric certification exams were
combined to a single Psychiatric-Mental Health Nurse Practitioner (Across the
Lifespan) Certification (PMHNP-BC).
