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NR548 EXAM 1 QUESTIONS AND 100% CORRECT ANSWERS (LATEST UPDATE 2024/2025)
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NR548 EXAM 1 QUESTIONS AND100% CORRECT ANSWERS
(LATEST UPDATE 2024/2025)
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 seAngs and pracBces and are eligible for
reimbursement through private insurers, hmos, ppos, Medicare and Medicaid
ANA Code of Ethics: anBcipatory guidance competency
ANA Standards and Scope: Standard 5B: Health Teaching & PromoBon
-An educated professional nurse is aware of normal developmental and
situaBonal 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 aAtude that the
professional nurse must have as outlined in Provision 1
ANA Code of Ethics: Provision 1
-"the nurse pracBces with compassion and respect for the inherent dignity,
worth, and unique aSributes 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 pracBce?
ANA Code of Ethics: Provision 8
-Nurses must "bring aSenBon to human rights violaBons in all seAngs and
contexts. . . . The nursing profession must respond when these violaBons 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)
Following WWI, the NaBonal League for Nursing EducaBon added:
"nursing in nervous and mental diseases" to curriculum guides
In WWII, many potenBal military recruits deemed unfit for service due to
psychiatric concerns, while many veterans experienced combat-related
neuropsychiatric condiBons. Laura Fitzsimmons recommended:
Standards of training for psychiatric nurses, which led to improved educaBon
and standards of care.
NaBonal Mental Health Act (NMHA) of 1946
-psychiatric nursing was recognized as one of the four core disciplines in
psychiatric care and treatment
-The act increased funding for psychiatric nursing educaBon programs and
contributed to a growth in university-based nursing educaBon.
1954
-the first graduate program in psychiatric nursing was established at Rutgers
University by Hildegarde Peplau
, • to prepare nurse therapists.
-The first advanced pracBce nursing role was the psychiatric-mental health
clinical nurse specialist (PMHCNS) role.
The Community Mental Health Centers Act of 1963
(1950s brought a transiBon towards deinsBtuBonalizaBon 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 seAngs as they helped
those who had been deinsBtuBonalized adapt
1965
LoreSa Ford, RN and Henry Silver MD introduce the nurse pracBBoner role.
1973 ANA first published:
Standards of Psychiatric-Mental Health Nursing PracBce
1980s states began to grant:
PrescripBve authority to advanced pracBce registered nurse (APRN), adding
medicaBon prescribing and management to the tradiBonal therapy role of the
psychiatric mental health (PMH) APRN.
2000s these exams were developed:
CerBficaBon exams for adult and family psychiatric mental health nurse
pracBBoner (PMHNP) developed.
-These exams were reBred in 2015 when psychiatric cerBficaBon exams were
combined to a single Psychiatric-Mental Health Nurse PracBBoner (Across the
Lifespan) CerBficaBon (PMHNP-BC).
The 21st Century Cures Act of 2016:
-resulted in the creaBon of the U.S. Department of Health and Human Services
(HHS) Interdepartmental Serious Mental Illness CoordinaBng CommiSee
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