1
NR548 EXAM 1 LATEST REAL EXAM QUESTIONS & VERIFIED
ANSWERS (2026) – PASS GUARANTEED
1913, Effie Jane Taylor developed
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:
"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:
standards of training for psychiatric nurses, which led to improved education and
standards of care.
National Mental Health Act (NMHA) of 1946
-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.
ANA Code of Ethics: the art of nursing is based on?
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
ANA Code of Ethics: Provision 1
, 2
-"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?
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
the first organized training school within a hospital for the insane
1954
-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
(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
Loretta Ford, RN and Henry Silver MD introduce the nurse practitioner role.
1973 ANA first published:
, 3
Standards of Psychiatric-Mental Health Nursing Practice
1980s states began to grant:
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:
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).
The 21st Century Cures Act of 2016:
-resulted in the creation of the U.S. Department of Health and Human Services
(HHS) Interdepartmental Serious Mental Illness Coordinating Committee (ISMICC)
-group is charged with compiling a summary of advances in serious mental illness
(SMI) and serious emotional disturbance (SED) research, evaluating federal
programs and treatment services related to SMI and SED, and making specific
recommendations to better coordinate the administration of mental health
services
present:
Current trends in care focus on integrated treatment of those with co-occurring
medical and psychiatric diagnoses and co-occurring psychiatric and substance use
disorders, leading to a need to add content in advanced health assessment,
pharmacology, pathophysiology, and the diagnosis of psychiatric illness to
graduate psychiatric nursing curricula.
-Primary care has become the point of entry to psychiatric care for many clients.
-PMHNPs are helping to address the growing need for primary mental health
services and mental illness prevention.
NR548 EXAM 1 LATEST REAL EXAM QUESTIONS & VERIFIED
ANSWERS (2026) – PASS GUARANTEED
1913, Effie Jane Taylor developed
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:
"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:
standards of training for psychiatric nurses, which led to improved education and
standards of care.
National Mental Health Act (NMHA) of 1946
-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.
ANA Code of Ethics: the art of nursing is based on?
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
ANA Code of Ethics: Provision 1
, 2
-"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?
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
the first organized training school within a hospital for the insane
1954
-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
(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
Loretta Ford, RN and Henry Silver MD introduce the nurse practitioner role.
1973 ANA first published:
, 3
Standards of Psychiatric-Mental Health Nursing Practice
1980s states began to grant:
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:
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).
The 21st Century Cures Act of 2016:
-resulted in the creation of the U.S. Department of Health and Human Services
(HHS) Interdepartmental Serious Mental Illness Coordinating Committee (ISMICC)
-group is charged with compiling a summary of advances in serious mental illness
(SMI) and serious emotional disturbance (SED) research, evaluating federal
programs and treatment services related to SMI and SED, and making specific
recommendations to better coordinate the administration of mental health
services
present:
Current trends in care focus on integrated treatment of those with co-occurring
medical and psychiatric diagnoses and co-occurring psychiatric and substance use
disorders, leading to a need to add content in advanced health assessment,
pharmacology, pathophysiology, and the diagnosis of psychiatric illness to
graduate psychiatric nursing curricula.
-Primary care has become the point of entry to psychiatric care for many clients.
-PMHNPs are helping to address the growing need for primary mental health
services and mental illness prevention.
