ANCC PMHNP CHPT 2
NURSE PRACTITIONER ADVANCED PRACTICE CORE CONTENT correct Answer: NURSE PRACTITIONER
ADVANCED PRACTICE CORE CONTENT
All nurse practitioners upon graduation are expected to meet a set of core competencies (National
Organization of Nurse Practitioner Faculties [NONPF], 2014). Specialty competencies, such as the
Psychiatric-Mental Health Nurse Practitioner Competencies, are then built upon these core
competencies (NONPF, 2013).
Nurse Practitioner Core Competencies
* Scientific Foundations
*Leadership
*Quality
*Practice Inquiry
*Technology and Information Literacy
*Policy
*Health Delivery System
*Ethics
*Independent Practice
Leadership Competencies correct Answer: Leadership Competencies
Participates in community and population-focused programs that evaluate programs and promote
mental health and prevent or reduce risk of mental health problems
Advocates for complex client and family medicolegal rights and issues
Collaborates with interprofessional colleagues about advocacy, policy to reduce health disparities and
improve outcomes for populations
Quality Competencies correct Answer: Quality Competencies
Evaluates the appropriate uses of seclusion and restraints in the care process
Policy Competencies correct Answer: 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 correct Answer: Independent Practice Competencies
Develops age-appropriate treatment plans
Includes differential diagnosis
,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
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
, Demonstrates ability to address sexual and physical abuse, substance abuse, sexuality, and spiritual
conflicts
Applies therapeutic relationship strategies based on theory and research
Applies principles of self-efficacy, empowerment, and others to effect change
Identifies and maintains professional boundaries
Teaches clients, families, and groups
Provides psychoeducation
Modifies the treatment approach based on client readiness
Considers motivation and readiness to improve self-care
Demonstrates knowledge of appropriate use of seclusion and restraint
Documents appropriate use of seclusion and restraint
HISTORY OF THE NP ROLE correct Answer: HISTORY OF THE NP ROLE
The NP role was introduced in 1965 by Loretta C. Ford, EdD, and Henry K. Silver, MD, at the University of
Colorado (Mirr Jansen & Zwygart-Stauffacher, 2006). They identified new roles in which experienced
registered nurses (RNs) with advanced education and skills were performing clinical duties traditionally
reserved for physicians. Universities were slow to implement NP programs at the master's level.
However, RNs embraced the new role and rushed into continuing education programs of varying length,
quality, and focus to accomplish the necessary educational preparation for this new role.
In 2008 the License, Accreditation, Certification, and Education (LACE) consensus model was finalized
and adopted by many nursing organizations. The consensus model identified four
Advanced Practice Registered Nurse roles: Certified Registered Nurse Anesthetist (CRNA), Certified
Nurse Midwife (CNM), Clinical Nurse Specialist (CNS), and Certified Nurse Practitioner
(CNP). As part of the LACE model, Psychiatric-Mental Health was identified as a population focus. The
American Psychiatric Nurses Association (APNA) and International Society of Psychiatric
Nurses (ISPN) recommendation was for psychiatric-mental health nurse practitioners (PMHNPs) to be
prepared across the life span (APNA, 2011). As of 2015 APRNs in psychiatric-mental health nursing have
one certification examination, PMHNP-Life Span, with the American Nurses Credentialing Center (ANCC,
2015). All previous psychiatric-mental health advanced practice certification examinations have been
retired as of December 2015 (ANCC, 2015).
Proven competence brought an acceptance of the NP role in the healthcare system, with acceptance
and recognition of the title and role by consumers and other health professionals. NP programs are
accredited by one of two organizations to achieve standardization and control over quality: the
Commission on Collegiate Nursing Education (CCNE, 2016) and the Accreditation Commission for
Education in Nursing (ACEN, 2016). NPs are recognized providers under many third-party insurance
NURSE PRACTITIONER ADVANCED PRACTICE CORE CONTENT correct Answer: NURSE PRACTITIONER
ADVANCED PRACTICE CORE CONTENT
All nurse practitioners upon graduation are expected to meet a set of core competencies (National
Organization of Nurse Practitioner Faculties [NONPF], 2014). Specialty competencies, such as the
Psychiatric-Mental Health Nurse Practitioner Competencies, are then built upon these core
competencies (NONPF, 2013).
Nurse Practitioner Core Competencies
* Scientific Foundations
*Leadership
*Quality
*Practice Inquiry
*Technology and Information Literacy
*Policy
*Health Delivery System
*Ethics
*Independent Practice
Leadership Competencies correct Answer: Leadership Competencies
Participates in community and population-focused programs that evaluate programs and promote
mental health and prevent or reduce risk of mental health problems
Advocates for complex client and family medicolegal rights and issues
Collaborates with interprofessional colleagues about advocacy, policy to reduce health disparities and
improve outcomes for populations
Quality Competencies correct Answer: Quality Competencies
Evaluates the appropriate uses of seclusion and restraints in the care process
Policy Competencies correct Answer: 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 correct Answer: Independent Practice Competencies
Develops age-appropriate treatment plans
Includes differential diagnosis
,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
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
, Demonstrates ability to address sexual and physical abuse, substance abuse, sexuality, and spiritual
conflicts
Applies therapeutic relationship strategies based on theory and research
Applies principles of self-efficacy, empowerment, and others to effect change
Identifies and maintains professional boundaries
Teaches clients, families, and groups
Provides psychoeducation
Modifies the treatment approach based on client readiness
Considers motivation and readiness to improve self-care
Demonstrates knowledge of appropriate use of seclusion and restraint
Documents appropriate use of seclusion and restraint
HISTORY OF THE NP ROLE correct Answer: HISTORY OF THE NP ROLE
The NP role was introduced in 1965 by Loretta C. Ford, EdD, and Henry K. Silver, MD, at the University of
Colorado (Mirr Jansen & Zwygart-Stauffacher, 2006). They identified new roles in which experienced
registered nurses (RNs) with advanced education and skills were performing clinical duties traditionally
reserved for physicians. Universities were slow to implement NP programs at the master's level.
However, RNs embraced the new role and rushed into continuing education programs of varying length,
quality, and focus to accomplish the necessary educational preparation for this new role.
In 2008 the License, Accreditation, Certification, and Education (LACE) consensus model was finalized
and adopted by many nursing organizations. The consensus model identified four
Advanced Practice Registered Nurse roles: Certified Registered Nurse Anesthetist (CRNA), Certified
Nurse Midwife (CNM), Clinical Nurse Specialist (CNS), and Certified Nurse Practitioner
(CNP). As part of the LACE model, Psychiatric-Mental Health was identified as a population focus. The
American Psychiatric Nurses Association (APNA) and International Society of Psychiatric
Nurses (ISPN) recommendation was for psychiatric-mental health nurse practitioners (PMHNPs) to be
prepared across the life span (APNA, 2011). As of 2015 APRNs in psychiatric-mental health nursing have
one certification examination, PMHNP-Life Span, with the American Nurses Credentialing Center (ANCC,
2015). All previous psychiatric-mental health advanced practice certification examinations have been
retired as of December 2015 (ANCC, 2015).
Proven competence brought an acceptance of the NP role in the healthcare system, with acceptance
and recognition of the title and role by consumers and other health professionals. NP programs are
accredited by one of two organizations to achieve standardization and control over quality: the
Commission on Collegiate Nursing Education (CCNE, 2016) and the Accreditation Commission for
Education in Nursing (ACEN, 2016). NPs are recognized providers under many third-party insurance
