NR548-Psychiatric Assessment for
Psychiatric-Mental Health Nurse
Practitioner Exam Questions Fully
Answered.
What does the competency about "anticipatory guidance" mean? - 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, 2015a, p. 65).
What does the ANA Standards explain the art of nursing is based on? - Answer ANA Standards and
Scope: Scope of Nursing Practice
The art of nursing is based on caring and respect for human dignity (ANA, 2015a, p. 11).
What is the fundamental principle of and attitude that the professional nurse must have as outlined in
Provision 1? - Answer ANA Code of Ethics: Provision 1Provision 1 explains, "the nurse practices with
compassion and respect for the inherent dignity, worth, and unique attributes of every person" (ANA,
2015b, p. 1).
How should the nurse respond to the discovery of human trafficking in his or her practice? - 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).
Healthy People 2030 - Answer focuses on the prevention, screening, assessment, and treatment of
mental disorders and behavioral conditions.
The Mental Health and Mental Disorders objectives - Answer aim to improve health and quality of life
for people affected by these conditions.
, Standard of Practice PMHNP: Assessment - Answer The PMHNP must be able to perform a
comprehensive, person-centered psychiatric and mental health diagnostic evaluation, using relevant
diagnostic tests and procedures. Evidence-based clinical practice guidelines inform screening and
diagnostic activities when appropriate. Assessment may include a multigenerational family assessment
as well as the assessment of interactions between the individual, family, community, and social systems
as they relate to mental health.
Standard of Practice PMHNP: Diagnosis - Answer The PMHNP must be able to use data obtained during
the interview, examination, and diagnostic procedures to develop standard psychiatric and substance use
diagnoses. The PMHNP evaluates the effects of psychiatric disorders on recovery, quality of life, and
functional status and may examine the impact of stressors, trauma, and situational crisis in the context
of the family cycle. The PMHNP may assist other staff in developing competence in the diagnostic
process.
Standard of Practice PMHNP: Outcomes Identification - Answer The PMHNP assists the PMH-RN to
identify expected outcomes based on scientific evidence. Outcomes identification includes consideration
of costs, clinical effectiveness, satisfaction, consistency, and continuity among providers. The PMHNP
develops and applies clinical guidelines associated with positive clinical outcomes.
Standard of Practice PMHNP: Planning - Answer The PMHNP applies current evidence and expert
clinical knowledge to the identification of assessment and diagnostic strategies and therapeutic
interventions. Individualized plans of care incorporate the client's beliefs and values and may include
treatment modalities such as psychopharmacology and psychodynamic, cognitive behavioral, and
supportive interpersonal therapies.
Standard of Practice PMHNP: Implementation - Answer PMHNPs facilitate the use of system and
community resources to implement the plan of care. The implementation standard incorporates
coordination of care across disciplines; health teaching and health promotion; consultation; prescriptive
authority and treatment; pharmacological, biological, and integrative therapies; milieu therapy,
therapeutic relationships and counseling, and psychotherapy. The PMHNP functions as the single point
of accountability for all medical and psychiatric services.
Standard of Practice PMHNP:Evaluation - Answer PMHNPs evaluate the accuracy of diagnosis and
effectiveness of interventions in reaching the client's desired outcomes. Evaluation includes
consideration of the impact of the plan of care on the client, family, group, community, and institutions.
Results of evaluations may lead to recommendations for process, protocol, or policy changes.
