Exam (elaborations)

NR 548 EXAM BANK EXAM YEAR 2024/2025 / ACCURATE CURRENTLY TESTING EXAM VERSIONS WITH ACTUAL QUESTIONS AND DETAILED ANSWERS WITH A STUDY GUIDE / EXPERT VERIFIED FOR GURANTEED PASS/ LATEST UPDATE.

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Institution NR 548
Course NR 548

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NR 548 EXAM BANK EXAM YEAR 2024/2025 / ACCURATE
CURRENTLY TESTING EXAM VERSIONS WITH ACTUAL
QUESTIONS AND DETAILED ANSWERS WITH A STUDY
GUIDE / EXPERT VERIFIED FOR GURANTEED PASS/
LATEST UPDATE.

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.
-Primary care has become the point of entry to psychiatric care for many clients.
-PMHNPs are helping to address the growing need for primary mental health services and mental
illness prevention.
-Though the number of advanced practice psychiatric nurses has increased, there are still
limitations in access for many clients, which has led to disparities in mental health treatment.

,PMHNP scope of practice - CORRECT ANSWER broad and includes practice in a variety of
possible roles and clinical settings
-Education
• A master's degree, post master's certificate, or doctoral degree is required for PMH APRN
practice.
-Clinical Practice Settings
• Crisis intervention and psychiatric emergency services
• Acute inpatient care
• Intermediate and long-term care
• Partial hospitalization and intensive outpatient treatment (IOP)
• Residential services
• Community-based care
• Assertive Community Treatment (ACT)
-PMHNP APRN Roles
• Primary care
• Psychotherapy
• Psychopharmacological management
• Case management
• Program, system, and policy development management
• Psychiatric Consultation-Liaison Nursing (PCLN)
• Clinical Supervision
• Self-Employment
-PMH APRN Specialty Areas
• Integrative programs
• Telehealth
• Forensic mental health
• Disaster psychiatric-mental health nursing

, match the practice setting with the correct scenario: The PMHNP 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 client's first contact with the
healthcare system about her concerns. - CORRECT ANSWER Primary Care

Rationale: This is the client's initial contact with the healthcare system about her concerns

match the practice setting with the correct scenario: The client has experienced depressive
symptoms. The PMHNP prescribes a selective serotonin reuptake inhibitor (SSRI). - CORRECT
ANSWER Pharmacologic Intervention

Rationale: The PMHNP is prescribing psychopharmacotherapy for the client

match the practice setting with the correct scenario: The PMHNP provides the client with some
mindfulness techniques to try at home. - CORRECT ANSWER Psychotherapy

Rationale: The PMHNP is utilizing a psychotherapeutic approach to help the client gain insight

match the practice setting with the correct scenario: 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. - CORRECT ANSWER Crisis Intervention

Rationale: Suicidal ideation with a plan is a psychiatric emergency requiring immediate
intervention

match the practice setting with the correct scenario: 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 therapy sessions. - CORRECT
ANSWER Acute PMHNP Care

Rationale: Acute inpatient care occurs in an intensive hospital or psychiatric facility setting

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Exam (elaborations) ·

Exam (elaborations)

NR 548 EXAM BANK EXAM YEAR 2024/2025 / ACCURATE CURRENTLY TESTING EXAM VERSIONS WITH ACTUAL QUESTIONS AND DETAILED ANSWERS WITH A STUDY GUIDE / EXPERT VERIFIED FOR GURANTEED PASS/ LATEST UPDATE.

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