PRACTITIONER ROLE 2026 OVERVIEW
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What is the historical significance of the NP role? Correct Answer
Introduced in 1965 by Loretta C. Ford and Henry K. Silver, the NP
role expanded the clinical duties of RNs.
What is the LACE consensus model? Correct Answer A model
finalized in 2008 that identifies four Advanced Practice Registered
Nurse roles, including the Certified Nurse Practitioner.
What population focus was identified in the LACE model for
PMHNPs? Correct Answer Psychiatric Mental Health.
What is the recommendation for PMHNP education according to
APNA and ISPN? Correct Answer PMHNPs should be prepared
across the lifespan.
What significant contributions did June Mellow and Hildegard
Peplau make to psychiatric nursing? Correct Answer They were
seminal figures in establishing psychiatric nursing as a well-
recognized subspecialty starting in the 1950s.
,What does the PMHNP role reflect in the context of nursing
practice? Correct Answer The growth of the advanced practice
role, acceptance of a brain-based etiology of psychiatric
disorders, and the need for holistic nursing care.
What level of education is typically required for advanced practice
nurses specializing in psychiatry? Correct Answer Master's or
doctoral level education.
What is the primary focus of the Psychiatric-Mental Health Nurse
Practitioner (PMHNP)? Correct Answer To provide primary
psychiatric care to individuals or families at risk of or currently
experiencing a psychiatric disorder.
What are the core competencies that all nurse practitioners are
expected to meet upon graduation? Correct Answer A set of core
competencies established by the National Organization of Nurse
Practitioner Faculties (NONPF).
How does NONPF ensure that the competencies align with
nursing education? Correct Answer They revised the
competencies to align with The Essentials: Core Competencies
for Professional Nursing Education by the American Association
of Colleges of Nursing (AACN).
,What are the ten domains of the AACN Essentials for nurse
practitioners? Correct Answer 1. Knowledge of Nursing Practice,
2. Person-Centered Care, 3. Population Health, 4. Scholarship for
Nursing Discipline, 5. Quality and Safety, 6. Interprofessional
Partnerships, 7. Systems-Based Practice, 8. Informatics and
Healthcare Technologies, 9. Professionalism, 10. Personal,
Professional, and Leadership Development.
What is the purpose of specialty competencies for PMHNPs?
Correct Answer To provide specific competencies for entry-level
PMHNPs that complement the Nurse Practitioner Core
Competencies.
How do specialty competencies for PMHNPs address patient
care? Correct Answer They focus on the lifespan, including
families and populations.
What is the significance of the PMHNP role in relation to the
healthcare system? Correct Answer The role adapts as changes
occur within the healthcare system, reflecting evolving
competencies.
What are the leadership competencies of a Psychiatric Mental
Health Nurse Practitioner (PMHNP)? Correct Answer Participates
in community programs to promote mental health, advocates for
client rights, and collaborates with colleagues to reduce health
disparities.
, What quality competency involves the use of seclusion and
restraints? Correct Answer Evaluates the appropriate uses of
seclusion and restraints in the care process.
How can a PMHNP influence health policy? Correct Answer By
employing opportunities to reduce the stigma associated with
mental health services.
What are some independent practice competencies of a PMHNP?
Correct Answer Develops individualized treatment plans,
conducts various forms of psychotherapy, and assesses the
impact of medical problems on psychiatric treatment.
What types of psychotherapy can a PMHNP apply? Correct
Answer Supportive psychodynamic, cognitive, behavioral, and
other evidence-based psychotherapies.
What is the role of a PMHNP in managing psychiatric
emergencies? Correct Answer Manages psychiatric emergencies
and ensures client safety through appropriate interventions.
What is the significance of the client-NP relationship? Correct
Answer It serves as a vehicle for change and requires maintaining
a therapeutic relationship over time.