NR607 Final Exam
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
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
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
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
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
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
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
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
