Week 1 NR 5048) with Complete
Solutions
The field of psychiatric-mental health nursing - ANSWER-began in the late
19th century when there was a societal shift in the perception of the purpose
of mental asylums from custodial care to medical and social treatment for
mental illness.
In the 1950s, Rutgers University - ANSWER-awarded the first graduate
degree in psychiatric-mental health nursing. The psychiatric mental health
clinical nurse specialist was the first master's prepared advanced practice
nursing role.
Early 20th Century - ANSWER-Early psychiatric nurses were trained by
physicians; however, in 1913, Effie Jane Taylor developed the first nurse-
organized training course for psychiatric nursing at Johns Hopkins Hospital.
, 1954 - 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.
1963 - ANSWER-The 1950s brought a transition towards deinstitutionalization
in care for those with mental illnesses, which led to an increase in the
number of psychiatric patients 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 (ANA, 2014).
The role of the psychiatric and mental health nurse practitioner (PMHNP) -
ANSWER-was introduced in the 1990s and has evolved over time to
incorporate a person-centered, biopsychosocial model of care.
Late 19th Century - ANSWER-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. Dr.
Edward Cowles created the first organized training school within a hospital
for the insane in 1882.