Exam 1: NR 548 / NR548 (Latest 2025 /
2026) Psychiatric Assessment for
Psychiatric-Mental Health Nurse
Practitioner |Weeks 1-2 Covered
|Questions with Verified Answers| 100%
Correct – Chamberlain.
1. Who developed the first organized training school within a hospital for the
insane in 1882?
A. Effie Jones
B. Edward Cowles
C. Dorothea Dix
D. Loretta Ford
Correct ,,,answer,,,: B
*Rationale: Dr. Edward Cowles created the first organized training school within a
hospital for the insane in 1882 at McLean Hospital. This marked a significant shift
from restrictive custodial care to treatment-focused approaches in mental health
care and established the foundation for psychiatric nursing education .*
2. Who developed the first nurse-organized training course for psychiatric
nursing at Johns Hopkins Hospital in 1913?
,A. Effie Jones
B. Edward Cowles
C. Dorothea Dix
D. Loretta Ford
Correct ,,,answer,,,: A
*Rationale: Effie Jane Taylor (often referred to as Effie Jones) developed the first
nurse-organized training course for psychiatric nursing at Johns Hopkins Hospital
in 1913. Before this, early psychiatric nurses were trained by physicians rather than
by nursing educators .*
3. Following World War I, what did the National League for Nursing
Education add to curriculum guides?
A. "Pharmacology for Mental Health"
B. "Nursing in nervous and mental diseases"
C. "Advanced Psychiatric Assessment"
D. "Therapeutic Communication Skills"
Correct ,,,answer,,,: B
Rationale: Following World War I, the National League for Nursing Education
added "nursing in nervous and mental diseases" to curriculum guides. This
expanded awareness of mental health disorders and the need for specialized
nursing care and helped standardize psychiatric nursing education .
4. The National Mental Health Act of 1946 did which of the following?
A. Established Medicare and Medicaid
,B. Recognized psychiatric nursing as one of four core disciplines in psychiatric
care
C. Created the nurse practitioner role
D. Mandated community mental health centers
Correct ,,,answer,,,: B
*Rationale: The National Mental Health Act of 1946 recognized psychiatric
nursing as one of the four core disciplines along with psychiatry, psychology, and
social work. The act also increased funding for psychiatric nursing education
programs and contributed to growth in university-based nursing education .*
5. Where and when was the first graduate program in psychiatric nursing
established?
A. Yale University, 1946
B. Johns Hopkins University, 1913
C. Rutgers University, 1954
D. University of Pennsylvania, 1965
Correct ,,,answer,,,: C
*Rationale: In 1954, the first graduate program in psychiatric nursing was
established at Rutgers University by Hildegarde Peplau to prepare nurse therapists.
This was the first advanced practice nursing role—the psychiatric-mental health
clinical nurse specialist (PMHCNS) .*
6. What was the first advanced practice nursing role?
A. Nurse Practitioner (NP)
, B. Certified Nurse Midwife (CNM)
C. Psychiatric-Mental Health Clinical Nurse Specialist (PMHCNS)
D. Certified Registered Nurse Anesthetist (CRNA)
Correct ,,,answer,,,: C
*Rationale: The first advanced practice nursing role was the psychiatric-mental
health clinical nurse specialist (PMHCNS) role, established with the first graduate
program at Rutgers University in 1954. The nurse practitioner role was introduced
later in 1965 .*
7. Who introduced the nurse practitioner role and in what year?
A. Hildegarde Peplau, 1954
B. Loretta Ford and Henry Silver, 1965
C. Effie Jones, 1913
D. Edward Cowles, 1882
Correct ,,,answer,,,: B
Rationale: Loretta Ford, RN, and Henry Silver, MD, introduced the nurse
practitioner role in 1965 at the University of Colorado. This expanded advanced
practice nursing beyond the clinical nurse specialist role into primary care .
8. In what year did the ANA first publish the Standards of Psychiatric-Mental
Health Nursing Practice?
A. 1954
B. 1965
2026) Psychiatric Assessment for
Psychiatric-Mental Health Nurse
Practitioner |Weeks 1-2 Covered
|Questions with Verified Answers| 100%
Correct – Chamberlain.
1. Who developed the first organized training school within a hospital for the
insane in 1882?
A. Effie Jones
B. Edward Cowles
C. Dorothea Dix
D. Loretta Ford
Correct ,,,answer,,,: B
*Rationale: Dr. Edward Cowles created the first organized training school within a
hospital for the insane in 1882 at McLean Hospital. This marked a significant shift
from restrictive custodial care to treatment-focused approaches in mental health
care and established the foundation for psychiatric nursing education .*
2. Who developed the first nurse-organized training course for psychiatric
nursing at Johns Hopkins Hospital in 1913?
,A. Effie Jones
B. Edward Cowles
C. Dorothea Dix
D. Loretta Ford
Correct ,,,answer,,,: A
*Rationale: Effie Jane Taylor (often referred to as Effie Jones) developed the first
nurse-organized training course for psychiatric nursing at Johns Hopkins Hospital
in 1913. Before this, early psychiatric nurses were trained by physicians rather than
by nursing educators .*
3. Following World War I, what did the National League for Nursing
Education add to curriculum guides?
A. "Pharmacology for Mental Health"
B. "Nursing in nervous and mental diseases"
C. "Advanced Psychiatric Assessment"
D. "Therapeutic Communication Skills"
Correct ,,,answer,,,: B
Rationale: Following World War I, the National League for Nursing Education
added "nursing in nervous and mental diseases" to curriculum guides. This
expanded awareness of mental health disorders and the need for specialized
nursing care and helped standardize psychiatric nursing education .
4. The National Mental Health Act of 1946 did which of the following?
A. Established Medicare and Medicaid
,B. Recognized psychiatric nursing as one of four core disciplines in psychiatric
care
C. Created the nurse practitioner role
D. Mandated community mental health centers
Correct ,,,answer,,,: B
*Rationale: The National Mental Health Act of 1946 recognized psychiatric
nursing as one of the four core disciplines along with psychiatry, psychology, and
social work. The act also increased funding for psychiatric nursing education
programs and contributed to growth in university-based nursing education .*
5. Where and when was the first graduate program in psychiatric nursing
established?
A. Yale University, 1946
B. Johns Hopkins University, 1913
C. Rutgers University, 1954
D. University of Pennsylvania, 1965
Correct ,,,answer,,,: C
*Rationale: In 1954, the first graduate program in psychiatric nursing was
established at Rutgers University by Hildegarde Peplau to prepare nurse therapists.
This was the first advanced practice nursing role—the psychiatric-mental health
clinical nurse specialist (PMHCNS) .*
6. What was the first advanced practice nursing role?
A. Nurse Practitioner (NP)
, B. Certified Nurse Midwife (CNM)
C. Psychiatric-Mental Health Clinical Nurse Specialist (PMHCNS)
D. Certified Registered Nurse Anesthetist (CRNA)
Correct ,,,answer,,,: C
*Rationale: The first advanced practice nursing role was the psychiatric-mental
health clinical nurse specialist (PMHCNS) role, established with the first graduate
program at Rutgers University in 1954. The nurse practitioner role was introduced
later in 1965 .*
7. Who introduced the nurse practitioner role and in what year?
A. Hildegarde Peplau, 1954
B. Loretta Ford and Henry Silver, 1965
C. Effie Jones, 1913
D. Edward Cowles, 1882
Correct ,,,answer,,,: B
Rationale: Loretta Ford, RN, and Henry Silver, MD, introduced the nurse
practitioner role in 1965 at the University of Colorado. This expanded advanced
practice nursing beyond the clinical nurse specialist role into primary care .
8. In what year did the ANA first publish the Standards of Psychiatric-Mental
Health Nursing Practice?
A. 1954
B. 1965
