NR548-Psychiatric Assessment for
Psychiatric-Mental Health Nurse
Practitioner exam-questions and answers
(SAMHSA, 2022) strategy plan - answer
✅✅According to the Substance Abuse and Mental
Health Services Administration's (SAMHSA, 2022)
strategic plan for 2019-2023, advancing recovery
support services is essential for treating the opioid
crisis and substance abuse disorders.
1946 - answer ✅✅With the passage of the National
Mental Health Act (NMHA) of 1946, psychiatric
nursing was recognized as one of the four core
disciplines in psychiatric care and treatment
(American Nurses Association [ANA] et al., 2022).
The act increased funding for psychiatric nursing
,education programs and contributed to a growth in
university-based nursing education.
1954 - answer ✅✅In 1954, 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 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 (ANA et al., 2022).
,1965 - answer ✅✅Loretta Ford, RN and Henry
Silver MD introduce the nurse practitioner role.
1973 - answer ✅✅ANA first published Standards of
Psychiatric-Mental Health Nursing Practice in 1973.
1980s - answer ✅✅Over time, research turned
towards the neurobiological basis for mental illness.
With advances in psychotropic medications,
psychopharmacology has played an increased role in
treatment. In the 1980s, states began to grant
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 - 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).
Advancement of the Nursing Profession - answer
✅✅Scenario
The PMHNP gives a presentation at a national
conference on best practices in depression treatment.
Rationale
The PMHNP contributes to advancing the profession
through practice, education, administration, and
knowledge development.
Ethical Principle 8
Advocacy for the Healthcare Consumer - answer
✅✅Scenario
The PMHNP is sharing sexually explicit memes with
a client that she saw earlier today in a group session.
Rationale
This is an unethical scenario. The PMHNP
recognizes the power differential in the therapeutic
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