REGULATORY PROCESS (ANCC 3RD
EDITION CHAPTER 2) 2026 COMPLETE
STUDY GUIDE
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Updated 2026 Questions and Answers
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Rationales Included
, NP Core Competencies: Serving as client advocate,
4. PROFESSIONAL ROLE Using information and technology in health care,
Using interdisciplinary collaboration and consultation, Practicing ethically,
Showing leadership,
Undertaking professional development,
Participating in policy making.
NP Core Competencies: Decision making with regard to cost, access, and efficacy; Applying business
5. MANAGING & NEGOTIATING HEALTH CARE strategies to practice;
DELIVERY SYSTEMS Negotiating legislative change when needed.
NP Core Competencies: Evaluating quality of care,
6. MONITORING QUALITY OF CARE Incorporating continuous quality improvement into practice.
NP Core Competencies: Remaining culturally sensitive when assessing a patient's symptoms and his/her
7. PROVIDING CULTURALLY SENSITIVE CARE perceptions of symptoms.
PMHNP Specialized Competencies: Assessment: Physical and mental health assessment in order to
Health Promotion, Health Protection, Disease Prevention 1) identify general health status of a patient,
& Treatment 2) screen for general, nonpsych disorders or problems
3) ascertain diff dx,
4) identify primary psych disorder.
Psychiatric evaluation including mental status evaluation
Differentiating normal & abnormal symptomatology
Family system assessments
PMHNP Specialized Competencies: Ordering and interpreting dx texts, diff dx, diagnosing psych disorders, applying
Diagnosis of health status taxonomy systems to the dx.
Neurobiological & associated taxonomies: ICD-9, DSM-IV-Tr, HIPPA, Nursing
Interventions Classification, Nursing Outcomes Classification, North American
Nsg Dx Assoc (NANDA)
PMHNP Specialized Competencies: Applying etiological models (e.g. neurobiological, psychosocial) to care of
Plan of care & implementation of treatment patients;
Using evidence-based standards of care & practice guidelines
Using psychotherapy
Prescribing psychotropic meds
Managing psychiatric emergencies
PMHNP Specialized Competencies: Using therapeutic communication
NP-patient relationship Promoting trust
Maintaining professional boundaries
PMHNP Specialized Competencies: Psychopharmacological education
Teaching and coaching function Psychoeducation