NR548 / NR 548 Exam 1 (Latest ): Psychiatric
Assessment for Psychiatric-Mental Health Nurse
Practitione
Who the first organized training school within a hospital for the insane in 1882? -
ANSWER Dr. Edward Cowles
Who developed the first nurse-organized training course for psychiatric nursing at
Johns Hopkins Hospital. - ANSWER Effie Jane Taylor
Who recommended standards of training for psychiatric nurses, which led to
improved education and standards of care? - ANSWER Laura Fitzsimmons
What year 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? - ANSWER 1950s
What Act allowed for the expansion of the PMHCNS role into community and
ambulatory settings as they helped those who had been deinstitutionalized adapt
(ANA, 2014). - ANSWER The Community Mental Health Centers Act of 1963
occur in a hospital, psychiatric facility or community setting. These services focus on
psychiatric and substance-related emergencies. - ANSWER Crisis intervention and
psychiatric emergency services
is a short-term treatment. It occurs in the inpatient setting providing care for acutely
ill patients at risk for harming self or others or unable to meet basic needs due to
impairment. The focus is crisis stabilization. - ANSWER Acute inpatient care
may admit clients directly or accept transfers from acute inpatient care. They provide
intermediate or long-term care for patients at chronic risk to self or others or unable
to function without supervision and support due to mental disorders. They include
treatment, habilitation and rehabilitation and may be public, private, or state hospitals
operated through the criminal justice system. - ANSWER Intermediate and long-
term care
provide acute symptom management, intensive treatment, and safe housing for
patients who do not require 24-hour medical management or nursing care. These
programs can be free standing or step-down facilities. - ANSWER Partial
hospitalization and intensive outpatient treatment (IOP)
provide 24-hour care and housing for an extended period. Services include
psychoeducation, vocational rehabilitation, and training for activities of daily living. -
ANSWER Residential Services
, is provided in non-hospital community settings such as mental health clinics, homes,
worksites, shelters, crisis centers, senior centers, group homes, or schools. It can
also provide care in an integrative primary health care setting. - ANSWER
Community based Care
is a team treatment approach to provide comprehensive, community-based
psychiatric treatment, rehabilitation, and support to persons with severe mental
illness (SMI). It provides individualized service 24 hours a day, 7 days a week. -
ANSWER Assertive Community Treatment (ACT)
provide healthcare at a basic level rather than a specialized level. These providers
address a majority of personal healthcare needs. Healthcare consumers often seek
care for mental health concerns at this level for accessibility or to avoid the stigma
associated with mental health services. - ANSWER Primary care
Has provided recommendations for licensure, accreditation, certification, and
education (LACE) pertaining to all APRN practice. PMHNP certification exam criteria
is set by the American Nurses Credentialing Center (ANCC). - ANSWER The
consensus model
focuses on the application of competencies, knowledge, and experience to
individuals, families, or groups with complex psychiatric-mental health problems -
ANSWER Role of the PMHNP-APRN
involves a formally structured relationship between the therapist (PMHNP) and the
healthcare consumer that applies evidence-based methods to effect negotiated
outcomes. - ANSWER Psychotherapy
The PMHNP prescribes or recommends pharmacologic agents and may order and
interpret diagnostic and lab tests to assess treatment response or monitor for
adverse effects. - ANSWER Psychopharmacological management
The PMHNP is responsible for the coordination of care and related decision-making
about mental health care for a client, family, group, or population. - ANSWER Case
management
The PMHNP engages in the design, implementation, management, and evaluation of
programs, systems, or policies to address the mental health needs of a population at
risk for developing mental health problems through prevention, health promotion,
identification and reduction of risk factors, screening, and early intervention. -
ANSWER Program, system, and policy development management
The role involves "the assessment, diagnosis, and treatment of behavioral, cognitive,
developmental, emotional, and spiritual responses of individuals, families, and
significant others with co-occurring [actual or potential] physical illness(es) and/or
dysfunction" (ANA, 2014, p.33). The PCLN often works as a member of an
interdisciplinary consultation-liaison team. - ANSWER Psychiatric Consultation-
Liaison Nursing (PCLN)
