NR607 Week 1: Advanced Nursing Concepts, Readings &
Quiz Ready
1. The PMHNP (Psychiatric Mental Health Nurse Practitioner) is providing care to a 29-
year-old client who presents with persistent sadness and hopelessness for the last two
months. She is having difficulty sleeping and has a decreased appetite. This is the
patient's first contact with with the healthcare system about her concerns.
PMHNP role:
Acute PMHNP Care Telehealth
Case Management Primary
Care
Pharmacologic Intervention
Crisis Intervention
Partial Hospitalization/Intensive Outpatient Tx
Community-Based Care
Self-Employment Psychotherapy:
Primary Care
Rationale: This is the client's initial contact with the healthcare system about her concerns
2. The client has experienced depressive symptoms. The PMHNP prescribes a selective
serotonin reuptake inhibitor (SSRI).
PMHNP role:
Acute PMHNP Care Telehealth
Case Management Primary
Care
Pharmacologic Intervention
Crisis Intervention
Partial Hospitalization/Intensive Outpatient Tx
Community-Based Care
Self-Employment
,Psychotherapy: Pharmacologic Intervention
Rationale: The PMHNP is prescribing psychopharmacotherapy for the client
3. The PMHNP provides the client with some mindfulness techniques to try at home.
PMHNP role:
Acute PMHNP Care Telehealth
Case Management Primary
Care
Pharmacologic Intervention
Crisis Intervention
Partial Hospitalization/Intensive Outpatient Tx
Community-Based Care
Self-Employment Psychotherapy:
Psychotherapy
Rationale: The PMHNP is utilizing a psychotherapeutic approach to help the client gain insight
4. Two weeks after starting on the SSRI, the client begins to experience suicidal ideations
and develops a plan to kill herself. A friend brings the client to the emergency room. The
PMHNP meets the client at the emergency room and collaborates with the physician to
coordinate care.
PMHNP role:
Acute PMHNP Care Telehealth
Case Management Primary
Care
Pharmacologic Intervention
Crisis Intervention
Partial Hospitalization/Intensive Outpatient Tx
, Community-Based Care Self-
Employment Psychotherapy: Crisis
Intervention
Rationale: Suicidal ideation with a plan is a psychiatric emergency requiring immediate intervention.
5. The client is admitted to the psychiatric and behavioral health unit at the local hospital
for a 72-hour observation where the PMHNP works with her team providing treatment.
The client remains hospitalized for a week while her medications are managed. The
client attends individual and group thera- py sessions.
PMHNP role:
Acute PMHNP Care Telehealth
Case Management Primary
Care
Pharmacologic Intervention
Crisis Intervention
Partial Hospitalization/Intensive Outpatient Tx
Community-Based Care
Self-Employment Psychotherapy:
Acute PMHNP Care
Rationale: Acute inpatient care occurs in an intensive hospital or psychiatric facility setting.
6. Following hospitalization, the client returns home but commutes to a treat- ment
center for 4 hours a day 5 days per week for ongoing therapy, medica- tion
management, and psychoeducation.
PMHNP role:
Acute PMHNP Care Telehealth
Case Management
Quiz Ready
1. The PMHNP (Psychiatric Mental Health Nurse Practitioner) is providing care to a 29-
year-old client who presents with persistent sadness and hopelessness for the last two
months. She is having difficulty sleeping and has a decreased appetite. This is the
patient's first contact with with the healthcare system about her concerns.
PMHNP role:
Acute PMHNP Care Telehealth
Case Management Primary
Care
Pharmacologic Intervention
Crisis Intervention
Partial Hospitalization/Intensive Outpatient Tx
Community-Based Care
Self-Employment Psychotherapy:
Primary Care
Rationale: This is the client's initial contact with the healthcare system about her concerns
2. The client has experienced depressive symptoms. The PMHNP prescribes a selective
serotonin reuptake inhibitor (SSRI).
PMHNP role:
Acute PMHNP Care Telehealth
Case Management Primary
Care
Pharmacologic Intervention
Crisis Intervention
Partial Hospitalization/Intensive Outpatient Tx
Community-Based Care
Self-Employment
,Psychotherapy: Pharmacologic Intervention
Rationale: The PMHNP is prescribing psychopharmacotherapy for the client
3. The PMHNP provides the client with some mindfulness techniques to try at home.
PMHNP role:
Acute PMHNP Care Telehealth
Case Management Primary
Care
Pharmacologic Intervention
Crisis Intervention
Partial Hospitalization/Intensive Outpatient Tx
Community-Based Care
Self-Employment Psychotherapy:
Psychotherapy
Rationale: The PMHNP is utilizing a psychotherapeutic approach to help the client gain insight
4. Two weeks after starting on the SSRI, the client begins to experience suicidal ideations
and develops a plan to kill herself. A friend brings the client to the emergency room. The
PMHNP meets the client at the emergency room and collaborates with the physician to
coordinate care.
PMHNP role:
Acute PMHNP Care Telehealth
Case Management Primary
Care
Pharmacologic Intervention
Crisis Intervention
Partial Hospitalization/Intensive Outpatient Tx
, Community-Based Care Self-
Employment Psychotherapy: Crisis
Intervention
Rationale: Suicidal ideation with a plan is a psychiatric emergency requiring immediate intervention.
5. The client is admitted to the psychiatric and behavioral health unit at the local hospital
for a 72-hour observation where the PMHNP works with her team providing treatment.
The client remains hospitalized for a week while her medications are managed. The
client attends individual and group thera- py sessions.
PMHNP role:
Acute PMHNP Care Telehealth
Case Management Primary
Care
Pharmacologic Intervention
Crisis Intervention
Partial Hospitalization/Intensive Outpatient Tx
Community-Based Care
Self-Employment Psychotherapy:
Acute PMHNP Care
Rationale: Acute inpatient care occurs in an intensive hospital or psychiatric facility setting.
6. Following hospitalization, the client returns home but commutes to a treat- ment
center for 4 hours a day 5 days per week for ongoing therapy, medica- tion
management, and psychoeducation.
PMHNP role:
Acute PMHNP Care Telehealth
Case Management
