HEALTH NURSE
PRACTITIONER ROLE, SCOPE OF PRACTICE, AND
REGULATORY
PROCESS
All nurse practitioners upon graduation are expected to meet - --NURSE
PRACTITIONER ADVANCED PRACTICE CORE CONTENT
a set of core competencies
Specialty competencies, such as the Psychiatric-Mental Health Nurse
Practitioner Competencies, are then built upon these core competencies
(NONPF, 2013).
Nurse Practitioner Core Competencies are based on
"THE Q SLIPP" - --*Technology and Information Literacy
*Health Delivery System
*Ethics
*Quality
* Scientific Foundations
*Leadership
*Practice Inquiry
*Independent Practice
*Policy
What are the 3) MHNP Leadership Competencies - --Leadership
Competencies
ANCC PMHNP
,1)Participates in and evaluate community/population-focused programs that:
promote mental health
prevent or reduce risk of mental health problems
2)Advocates for complex client and family medicolegal rights and issues
3)Collaborates with colleagues about advocacy, policy to reduce health
disparities and improve outcomes for populations
Quality Competencies - --Quality Competencies
Evaluates the appropriate uses of seclusion and restraints in the care process
Policy Competencies - --Policy Competencies
Employs opportunities to influence health policy to reduce the impact of
stigma on services for prevention and treatment of mental health problems
and psychiatric disorders
Independent Practice Competencies - --Independent Practice Competencies
Develops age-appropriate treatment plans
Includes differential diagnosis
ANCC PMHNP
,Assesses impact of acute and chronic medical problems on psychiatric
treatment
Conducts individual and group psychotherapy
Applies supportive psychodynamic, cognitive, behavioral, and other
evidence-based psychotherapies to brief and long-term practice
Applies recovery-oriented principles
Demonstrates best practices of family care approaches
Plans care to minimize the development of complications and promote
function
Treats acute and chronic psychiatric disorders and problems
Safely prescribes pharmacologic agents
Ensures client safety through the appropriate prescription of pharmacologic
and nonpharmacologic interventions
Explains the risks and benefits of treatment to client and family
Identifies the role of PMHNP in risk mitigation strategies in areas of opiate
use and substance abuse
ANCC PMHNP
, Seeks consultation
Uses self-reflection to improve care
Provides consultation to healthcare providers and others to enhance quality
and cost
Guides the client in evaluating the appropriate use of complementary and
alternative treatment
Uses individualized outcome measure to evaluate psychiatric care
Manages psychiatric emergencies
Refers clients appropriately
Facilitates the transition of clients across levels of care
Uses outcomes to evaluate care
Attends to the client-NP relationship as a vehicle for change
Maintains a therapeutic relationship over time with individuals and groups
Therapeutically concludes the client-NP relationship
ANCC PMHNP