NR548 NR 548 EXAM 1 NEWEST LATEST UPDATE 2024-2025 PSYCHIATRIC
ASSESSMENT FOR THE PSYCHIATRIC-MENTAL HEALTH NURSE
PRACTITIONER REVIEW
ANA Code of Ethics: anticipatory guidance competency - Correct Answer-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.
ANA Code of Ethics: the art of nursing is based on? - Correct Answer-caring and respect for
human dignity
ANA Code of Ethics: the fundamental principle of and attitude that the professional nurse must
have as outlined in Provision 1 - Correct Answer-ANA Code of Ethics: Provision 1
-"the nurse practices with compassion and respect for the inherent dignity, worth, and unique
attributes of every person" (ANA, 2015b, p. 1).
ANA Code of Ethics: How should the nurse respond to the discovery of human trafficking in his
or her practice? - Correct Answer-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" (ANA, 2015b, p. 33).
PMH-APRN - Correct Answer-a nurse with graduate-level training who provides psychiatric-
mental health care and promotes mental health across the lifespan
-assess, diagnose and treat individuals and families who have psychiatric and/or substance
disorders
-work in a variety of health care settings and practices and are eligible for reimbursement
through private insurers, HMOs, PPOs, Medicare and Medicaid
,Dr. Edward Cowles created in 1882 - Correct Answer-the first organized training school within a
hospital for the insane
1913, Effie Jane Taylor developed - Correct Answer-the first nurse-organized training course for
psychiatric nursing at Johns Hopkins Hospital
(before early psychiatric nurses were trained by physicians)
Following WWI, the National League for Nursing Education added: - Correct Answer-"nursing in
nervous and mental diseases" to curriculum guides
In WWII, many potential military recruits deemed unfit for service due to psychiatric concerns,
while many veterans experienced combat-related neuropsychiatric conditions. Laura
Fitzsimmons recommended: - Correct Answer-standards of training for psychiatric nurses,
which led to improved education and standards of care.
National Mental Health Act (NMHA) of 1946 - Correct Answer--psychiatric nursing was
recognized as one of the four core disciplines in psychiatric care and treatment
-The act increased funding for psychiatric nursing education programs and contributed to a
growth in university-based nursing education.
1954 - Correct Answer--the first graduate program in psychiatric nursing was established at
Rutgers University by Hildegarde Peplau
• to prepare nurse therapists.
-The first advanced practice nursing role was the psychiatric-mental health clinical nurse
specialist (PMHCNS) role.
The Community Mental Health Centers Act of 1963 - Correct Answer-(1950s brought a
transition towards deinstitutionalization in care for those with mental illnesses, which led to an
increase in the number of psychiatric clients receiving care in the community rather than
hospitals)
, -The Community Mental Health Centers Act of 1963 allowed for the expansion of the PMHCNS
role into community and ambulatory settings as they helped those who had been
deinstitutionalized adapt
1965 - Correct Answer-Loretta Ford, RN and Henry Silver MD introduce the nurse practitioner
role.
1973 ANA first published: - Correct Answer-Standards of Psychiatric-Mental Health Nursing
Practice
1980s states began to grant: - Correct Answer-prescriptive authority to advanced practice
registered nurse (APRN), adding medication prescribing and management to the traditional
therapy role of the psychiatric mental health (PMH) APRN.
2000s these exams were developed: - Correct Answer-Certification exams for adult and family
psychiatric mental health nurse practitioner (PMHNP) developed.
-These exams were retired in 2015 when psychiatric certification exams were combined to a
single Psychiatric-Mental Health Nurse Practitioner (Across the Lifespan) Certification (PMHNP-
BC).
The 21st Century Cures Act of 2016: - Correct Answer--resulted in the creation of the U.S.
Department of Health and Human Services (HHS) Interdepartmental Serious Mental Illness
Coordinating Committee (ISMICC)
-group is charged with compiling a summary of advances in serious mental illness (SMI) and
serious emotional disturbance (SED) research, evaluating federal programs and treatment
services related to SMI and SED, and making specific recommendations to better coordinate the
administration of mental health services
present: - Correct Answer-Current trends in care focus on integrated treatment of those with
co-occurring medical and psychiatric diagnoses and co-occurring psychiatric and substance use
disorders, leading to a need to add content in advanced health assessment, pharmacology,
pathophysiology, and the diagnosis of psychiatric illness to graduate psychiatric nursing
curricula.
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