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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 - ANSWER ✔✔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
,Primary Care
Pharmacologic Intervention
Crisis Intervention
Partial Hospitalization/Intensive Outpatient Tx
Community-Based Care
Self-Employment
Psychotherapy - ANSWER ✔✔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
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, Primary Care
Pharmacologic Intervention
Crisis Intervention
Partial Hospitalization/Intensive Outpatient Tx
Community-Based Care
Self-Employment
Psychotherapy - ANSWER ✔✔Psychotherapy
Rationale: The PMHNP is utilizing a psychotherapeutic approach to help
the client gain insight
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