NR 548 Exam 1 Psychiatric Assessment for the PMHNP
Complete Guide with Questions and Verified Answers
100% Correct
1. PMH-APRN
Answer> a nurse with graduate-level training who provides psychiatric-mental
health care and promotes mental health across the lifespan
-assess, diagnose and treat individuals and families who have psychiatric and/or
substance disorders
-work in a variety of health care settings and practices and are eligible for reimburse-
ment through private insurers, HMOs, PPOs, Medicare and Medicaid
2. ANA Code of Ethics anticipatory guidance competency
Answer> ANA Standards and Scope Standard 5B Health Teaching & Promotion
-An educated professional nurse is aware of normal developmental and situational
threats to wellness and can educate healthcare consumers to avoid them.
• Example Moving a toddler from a crib to a bed can prevent injury associated with
climbing out of the crib at that developmental age.
,3. ANA Code of Ethics the art of nursing is based on?
Answer> caring and respect for human dignity
4. ANA Code of Ethics the fundamental principle of and attitude that the
professional nurse must have as outlined in Provision 1
Answer> ANA Code of Ethics Provision 1
-"the nurse practices with compassion and respect for the inherent dignity, worth,
and unique attributes of every person" (ANA, 2015b, p. 1).
5. ANA Code of Ethics How should the nurse respond to the discovery of
human trafficking in his or her practice?
Answer> 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).
6. Dr. Edward Cowles created in 1882
Answer> the first organized training school within a hospital for the insane
7. 1913, Effie Jane Taylor developed
Answer> the first nurse-organized training course for psychiatric nursing at Johns
Hopkins Hospital
(before early psychiatric nurses were trained by physicians)
,8. Following WWI, the National League for Nursing Education added
Answer> "nursing in nervous and mental diseases" to curriculum guides
9. 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
Answer> standards of training for psychiatric nurses, which led to improved
education and standards of care.
10. National Mental Health Act (NMHA) of 1946
Answer> -psychiatric nursing was recog- nized as one of the four core disciplines
in psychiatric care and treatment
-The act increased funding for psychiatric nursing education programs and con-
tributed to a growth in university-based nursing education.
11. 1954
Answer> -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.
12. The Community Mental Health Centers Act of 1963
, Answer> (1950s brought a transi- tion 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
13. 1965
Answer> Loretta Ford, RN and Henry Silver MD introduce the nurse practitioner
role.
14. 1973 ANA first published
Answer> Standards of Psychiatric-Mental Health Nursing Practice
15. 1980s states began to grant
Answer> 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.
16. 2000s these exams were developed
Answer> Certification exams for adult and family psychiatric mental health nurse
practitioner (PMHNP) developed.
-These exams were retired in 2015 when psychiatric certification exams were com-
Complete Guide with Questions and Verified Answers
100% Correct
1. PMH-APRN
Answer> a nurse with graduate-level training who provides psychiatric-mental
health care and promotes mental health across the lifespan
-assess, diagnose and treat individuals and families who have psychiatric and/or
substance disorders
-work in a variety of health care settings and practices and are eligible for reimburse-
ment through private insurers, HMOs, PPOs, Medicare and Medicaid
2. ANA Code of Ethics anticipatory guidance competency
Answer> ANA Standards and Scope Standard 5B Health Teaching & Promotion
-An educated professional nurse is aware of normal developmental and situational
threats to wellness and can educate healthcare consumers to avoid them.
• Example Moving a toddler from a crib to a bed can prevent injury associated with
climbing out of the crib at that developmental age.
,3. ANA Code of Ethics the art of nursing is based on?
Answer> caring and respect for human dignity
4. ANA Code of Ethics the fundamental principle of and attitude that the
professional nurse must have as outlined in Provision 1
Answer> ANA Code of Ethics Provision 1
-"the nurse practices with compassion and respect for the inherent dignity, worth,
and unique attributes of every person" (ANA, 2015b, p. 1).
5. ANA Code of Ethics How should the nurse respond to the discovery of
human trafficking in his or her practice?
Answer> 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).
6. Dr. Edward Cowles created in 1882
Answer> the first organized training school within a hospital for the insane
7. 1913, Effie Jane Taylor developed
Answer> the first nurse-organized training course for psychiatric nursing at Johns
Hopkins Hospital
(before early psychiatric nurses were trained by physicians)
,8. Following WWI, the National League for Nursing Education added
Answer> "nursing in nervous and mental diseases" to curriculum guides
9. 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
Answer> standards of training for psychiatric nurses, which led to improved
education and standards of care.
10. National Mental Health Act (NMHA) of 1946
Answer> -psychiatric nursing was recog- nized as one of the four core disciplines
in psychiatric care and treatment
-The act increased funding for psychiatric nursing education programs and con-
tributed to a growth in university-based nursing education.
11. 1954
Answer> -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.
12. The Community Mental Health Centers Act of 1963
, Answer> (1950s brought a transi- tion 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
13. 1965
Answer> Loretta Ford, RN and Henry Silver MD introduce the nurse practitioner
role.
14. 1973 ANA first published
Answer> Standards of Psychiatric-Mental Health Nursing Practice
15. 1980s states began to grant
Answer> 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.
16. 2000s these exams were developed
Answer> Certification exams for adult and family psychiatric mental health nurse
practitioner (PMHNP) developed.
-These exams were retired in 2015 when psychiatric certification exams were com-
