NR548 PSYCHIATRIC ASSESSMENT FOR THE
PSYCHIATRIC-MENTAL HEALTH NURSE
PRACTITIONER NEWEST LATEST UPDATE 2024/
2025
match the practice setting with the correct scenario: 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. - Crisis
Intervention
Rationale: Suicidal ideation with a plan is a psychiatric emergency requiring immediate
intervention
match the practice setting with the correct scenario: 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. - Acute PMHNP Care
Rationale: Acute inpatient care occurs in an intensive hospital or psychiatric facility
setting
match the practice setting with the correct scenario: 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 - 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 does not
require 24-hour care but still require intense treatment
match the practice setting with the correct scenario: 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 - Case Management
Rationale: Case management involves oversight and/or coordination of care
match the practice setting with the correct scenario: Over the course of 2 months, the
client's condition improves. She is discharged from intensive outpatient treatment and
begins weekly appointments with the PMHNP at the PMHNP's clinic - Community-
Based Care
, Rationale: Community-based care is provided in a non-hospital community setting
match the practice setting with the correct scenario: A global pandemic limits face-to-
face mental health visits, the PMHNP determines that the client requires ongoing mental
health treatment. The PMHNP arranges to meet with the client via weekly interactive
video sessions - Telehealth
Rationale: Telehealth services utilize telecommunication technology to deliver treatment
to clients
PMH-APRN - a nurse with graduate-level training who provides psychiatric-mental
health care and promotes mental health across the lifespan
-assess, diagnose and treat individuals and families who have psychiatric and/or
substance disorders
-work in a variety of health care settings and practices and are eligible for
reimbursement through private insurers, HMOs, PPOs, Medicare and Medicaid
ANA Code of Ethics: anticipatory guidance competency - 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 Code of Ethics: the art of nursing is based on? - caring and respect for human
dignity
ANA Code of Ethics: the fundamental principle of and attitude that the professional
nurse must have as outlined in Provision 1 - ANA Code of Ethics: Provision 1
-"the nurse practices with compassion and respect for the inherent dignity, worth, and
unique attributes of every person" (ANA, 2015b, p. 1).
ANA Code of Ethics: How should the nurse respond to the discovery of human
trafficking in his or her practice? - 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).
Dr. Edward Cowles created in 1882 - the first organized training school within a hospital
for the insane
1913, Effie Jane Taylor developed - the first nurse-organized training course for
psychiatric nursing at Johns Hopkins Hospital
(before early psychiatric nurses were trained by physicians)
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