Psychiatric-Mental Health Nurse
Practitioner
WEEK ONE
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
What do the Standards explain the art of nursing is based on?
==The art of nursing is based on caring and respect for human dignity==
What is the fundamental principle of and attitude that the professional nurse must
have as outlined in Provision 1?
==ANA Code of Ethics: Provision 1 explains, "the nurse practices with compassion and
respect for the inherent dignity, worth, and unique attributes of every person"==
How should the nurse respond to the discovery of human trafficking in his or her
practice?
==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"==
In the 1950s what university awarded its first graduate degree in psychiatric-
mental health nursing.
==Rutgers University. The program was established by Hildegarde Peplau.==
,What was the first master's prepared advanced practice nursing role?
==The psychiatric mental health clinical nurse specialist==
When was role of the psychiatric and mental health nurse practitioner (PMHNP)
was introduced?
==In the 1990s and has evolved over time to incorporate a person-centered,
biopsychosocial model of care.==
In the late 19th century, reform movements led to changes in beliefs about the
role of mental asylums in the treatment of mental illness. Focus shifted from
restrictive custodial care to treatment. Who created the first organized training
school within a hospital for the insane in 1882?
==Dr. Edward Cowles==
Early psychiatric nurses were trained by physicians; however, in 1913, who
developed the first nurse-organized training course for psychiatric nursing at
Johns Hopkins Hospital?
==Effie Jane Taylor==
Which ACT allowed for the expansion of the PMHCNS role into community and
ambulatory settings as they helped those who had been deinstitutionalized adapt
==The Community Mental Health Centers Act of 1963==
Who introduced the nurse practitioner role?
==Loretta Ford, RN and Henry Silver MD==
This is the client's initial contact with the healthcare system about her concerns
==Primary Care==
The PMHNP is prescribing psychopharmacotherapy for the client
==Pharmacologic Intervention==
, The PMHNP is utilizing a psychotherapeutic approach to help the client gain
insight
==Psychotherapy==
A psychiatric emergency requiring immediate intervention
==Crisis Intervention==
Occurs in an intensive hospital or psychiatric facility setting
==Acute PMHNP Care==
Occurs when a client receives intensive therapy on an outpatient basis, often used
when a client does not require 24-hour care but still require intense treatment
==Partial Hospitalization/Intensive Outpatient Treatment==
Case management involves oversight and/or coordination of care. The PMHNP
serves as the point of contact person, coordinating the treatment team, which
consists of the PMHNP, a social worker, and possibly a psychologist and
psychiatrist.
==Case Management==
Provided in a non-hospital community setting
==Community-Based Care==
Utilize telecommunication technology to deliver treatment to clients.
==Telehealth==
The PMHNP owns the private practice that is providing services to the client. The
PMHNP is providing direct services through private practice.
==Self-Employment==
Code of Ethics: Respect for the Individual
==Approaches professional relationships with compassion, caring, and respect,
acknowledging the dignity and worth of each individual.==