NR548 Week 1(Latest ) Scope of
Psychiatric Mental Health Nursing Practice
Advanced Practice Competencies
American Psychiatric Nurses Association (APNA, 2020) and ANCC (2019)
recommendations - correct answer Didactic curriculum content to address
assessment and diagnosis, age-specific interventions, and mental health needs and
issues across the lifespan, including includes the three Ps (pathophysiology,
pharmacology, and physical assessment) and PMHNP-specific content, including
psychotherapeutic modalities (the fourth P).
American Psychiatric Nurses Association (APNA, 2020) and ANCC (2019)
recommendations - correct answer During supervised practice, students provide
psychiatric mental health services across the lifespan, including:
Clinical experience in various settings encouraged to promote integrated and
collaborative healthcare.
Minimum number of clinical hours sufficient for entry-level competence across the
lifespan.
Graduates who meet exam eligibility criteria register for the certification examination
for Psychiatric-Mental Health Nurse Practitioner (Across the Lifespan) Certification
(PMHNP-BC) which is offered by the ANCC. After certification and state credentialing,
graduates will be able to provide psychiatric mental health advanced practice services
across the lifespan.
Clinical Practice Settings
Crisis intervention and psychiatric emergency services - correct answer occur in a
hospital, psychiatric facility or community setting. These services focus on psychiatric
and substance-related emergencies.
Acute inpatient care - correct answer is a short-term treatment. It occurs in the
inpatient setting providing care for acutely ill clients at risk for harming self or others
or unable to meet basic needs due to impairment. The focus is crisis stabilization.
Intermediate and long-term care - correct answer may admit clients directly or accept
transfers from acute inpatient care. They provide intermediate or long-term care for
clients at chronic risk to self or others or unable to function without supervision and
support due to mental disorders. They include treatment, habilitation and rehabilitation
and may be public, private, or state hospitals operated through the criminal justice
system.
, NR548 Week 1(Latest ) Scope of
Psychiatric Mental Health Nursing Practice
Advanced Practice Competencies
Partial hospitalization and intensive outpatient treatment (IOP) - correct answer
provide acute symptom management, intensive treatment, and safe housing for clients
who do not require 24-hour medical management or nursing care. These programs
can be free standing or step-down facilities.
Residential services - correct answer provide 24-hour care and housing for an
extended period. Services include psychoeducation, vocational rehabilitation, and
training for activities of daily living.
Community-based care - correct answer is provided in non-hospital community
settings such as mental health clinics, homes, worksites, shelters, crisis centers,
senior centers, group homes, or schools. It can also provide care in an integrative
primary health care setting.
Assertive Community Treatment (ACT) - correct answer team treatment approach to
provide comprehensive, community-based psychiatric treatment, rehabilitation, and
support to persons with severe mental illness (SMI). It provides individualized service
24 hours a day, 7 days a week.
Primary care - correct answer Primary care settings provide healthcare at a basic
level rather than a specialized level. Primary care providers address a majority of
personal healthcare needs. Healthcare consumers often seek care for mental health
concerns at the primary care level for accessibility or to avoid the stigma associated
with mental health services. At the primary care level, PMHNPs may work in
collaboration or consultation with a primary care provider or independently provide
behavioral health care in an integrated setting.
Psychotherapy - correct answer Psychotherapy involves a formally structured
relationship between the therapist (PMHNP) and the healthcare consumer that applies
evidence-based methods to effect negotiated outcomes.
Psychopharmacological management - correct answer The PMHNP prescribes or
recommends pharmacologic agents and may order and interpret diagnostic and lab
tests to assess treatment response or monitor for adverse effects.
Case management - correct answer The PMHNP is responsible for the coordination of
care and related decision-making about mental health care for a client, family, group,
or population.
Psychiatric Mental Health Nursing Practice
Advanced Practice Competencies
American Psychiatric Nurses Association (APNA, 2020) and ANCC (2019)
recommendations - correct answer Didactic curriculum content to address
assessment and diagnosis, age-specific interventions, and mental health needs and
issues across the lifespan, including includes the three Ps (pathophysiology,
pharmacology, and physical assessment) and PMHNP-specific content, including
psychotherapeutic modalities (the fourth P).
American Psychiatric Nurses Association (APNA, 2020) and ANCC (2019)
recommendations - correct answer During supervised practice, students provide
psychiatric mental health services across the lifespan, including:
Clinical experience in various settings encouraged to promote integrated and
collaborative healthcare.
Minimum number of clinical hours sufficient for entry-level competence across the
lifespan.
Graduates who meet exam eligibility criteria register for the certification examination
for Psychiatric-Mental Health Nurse Practitioner (Across the Lifespan) Certification
(PMHNP-BC) which is offered by the ANCC. After certification and state credentialing,
graduates will be able to provide psychiatric mental health advanced practice services
across the lifespan.
Clinical Practice Settings
Crisis intervention and psychiatric emergency services - correct answer occur in a
hospital, psychiatric facility or community setting. These services focus on psychiatric
and substance-related emergencies.
Acute inpatient care - correct answer is a short-term treatment. It occurs in the
inpatient setting providing care for acutely ill clients at risk for harming self or others
or unable to meet basic needs due to impairment. The focus is crisis stabilization.
Intermediate and long-term care - correct answer may admit clients directly or accept
transfers from acute inpatient care. They provide intermediate or long-term care for
clients at chronic risk to self or others or unable to function without supervision and
support due to mental disorders. They include treatment, habilitation and rehabilitation
and may be public, private, or state hospitals operated through the criminal justice
system.
, NR548 Week 1(Latest ) Scope of
Psychiatric Mental Health Nursing Practice
Advanced Practice Competencies
Partial hospitalization and intensive outpatient treatment (IOP) - correct answer
provide acute symptom management, intensive treatment, and safe housing for clients
who do not require 24-hour medical management or nursing care. These programs
can be free standing or step-down facilities.
Residential services - correct answer provide 24-hour care and housing for an
extended period. Services include psychoeducation, vocational rehabilitation, and
training for activities of daily living.
Community-based care - correct answer is provided in non-hospital community
settings such as mental health clinics, homes, worksites, shelters, crisis centers,
senior centers, group homes, or schools. It can also provide care in an integrative
primary health care setting.
Assertive Community Treatment (ACT) - correct answer team treatment approach to
provide comprehensive, community-based psychiatric treatment, rehabilitation, and
support to persons with severe mental illness (SMI). It provides individualized service
24 hours a day, 7 days a week.
Primary care - correct answer Primary care settings provide healthcare at a basic
level rather than a specialized level. Primary care providers address a majority of
personal healthcare needs. Healthcare consumers often seek care for mental health
concerns at the primary care level for accessibility or to avoid the stigma associated
with mental health services. At the primary care level, PMHNPs may work in
collaboration or consultation with a primary care provider or independently provide
behavioral health care in an integrated setting.
Psychotherapy - correct answer Psychotherapy involves a formally structured
relationship between the therapist (PMHNP) and the healthcare consumer that applies
evidence-based methods to effect negotiated outcomes.
Psychopharmacological management - correct answer The PMHNP prescribes or
recommends pharmacologic agents and may order and interpret diagnostic and lab
tests to assess treatment response or monitor for adverse effects.
Case management - correct answer The PMHNP is responsible for the coordination of
care and related decision-making about mental health care for a client, family, group,
or population.
