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NR607 Final Exam Questions And All Correct Verified Answers.
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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 healthc...

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  • October 22, 2024
  • 101
  • 2024/2025
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NR607 Final Exam Questions And All
Correct Verified Answers.
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 - Answer Primary Care



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



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 - Answer Pharmacologic Intervention



Rationale: The PMHNP is prescribing psychopharmacotherapy for the client



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 - Answer Psychotherapy



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



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 - Answer Crisis Intervention



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



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.

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 - Answer Acute PMHNP Care

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



Following hospitalization, the client returns home but commutes to a treatment center for 4 hours a day
5 days per week for ongoing therapy, medication management, and psychoeducation.

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 - Answer Partial Hospitalization/Intensive Outpatient Treatment



Rationale: Partial Hospitalization/Intensive Outpatient Treatment occurs when a client receives intensive
therapy on an outpatient basis, often used when a client do not require 24-hour care but still require
intense treatment.



The PMHNP serves as the point of contact person, coordinating the treatment team, which consists of
the PMHNP, a social worker, and possibly a psychologist and psychiatrist.

PMHNP role:



Acute PMHNP Care

Telehealth

Case Management

Primary Care

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