NR548-Psychiatric Assessment for Psychiatric-Mental Health Nurse
Prac titioner
1. What does the competency about "anticipatory guidance" mean?: 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, 2015a, p. 65).
2. What does the ANA Standards explain the art of nursing is based on?: ANA
Standards and Scope: Scope of Nursing Practice
The art of nursing is based on caring and respect for human dignity (ANA, 2015a,
p. 11).
3. What is the fundamental principle of and attitude that the professional
nurse must have as outlined in Provision 1?: ANA Code of Ethics: Provision
1Provision 1 explains, "the nurse practices with compassion and respect for the
inherent dignity, worth, and unique attributes of every person" (ANA, 2015b, p.
1).
4. 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).
5. Healthy People 2030: focuses on the prevention, screening, assessment, and
treatment of mental disorders and behavioral conditions.
6. The Mental Health and Mental Disorders objectives: aim to improve health
and quality of life for people affected by these conditions.
7. Standard of Practice PMHNP: Assessment: The PMHNP must be able to
perform a comprehensive, person-centered psychiatric and mental health
diagnostic evaluation, using relevant diagnostic tests and procedures. Evidence-
based clinical practice guidelines inform screening and diagnostic activities when
appropriate. Assessment may include a multigenerational family assessment as
well as the assessment of interactions between the individual, family, community,
and social systems as they relate to mental health.
8. Standard of Practice PMHNP: Diagnosis: The PMHNP must be able to use
data obtained during the interview, examination, and diagnostic procedures to
develop standard psychiatric and substance use diagnoses. The PMHNP
evaluates the effects of psychiatric disorders on recovery, quality of life, and
functional status and may examine the impact of stressors, trauma, and
, situational crisis in the context of the family cycle. The PMHNP may assist other
staff in developing competence in the diagnostic process.
9. Standard of Practice PMHNP: Outcomes Identification: The PMHNP assists
the PMH-RN to identify expected outcomes based on scientific evidence.
Outcomes identification includes consideration of costs, clinical effectiveness,
satisfaction, consistency, and continuity among providers. The PMHNP develops
and applies clinical guidelines associated with positive clinical outcomes.
10. Standard of Practice PMHNP: Planning: The PMHNP applies current
evidence and expert clinical knowledge to the identification of assessment and
diagnostic strategies and therapeutic interventions. Individualized plans of care
incorporate the client's beliefs and values and may include treatment modalities
such as psychopharmacology and psychodynamic, cognitive behavioral, and
supportive interpersonal therapies.
11. Standard of Practice PMHNP: Implementation: PMHNPs facilitate the use
of system and community resources to implement the plan of care. The
implementation standard incorporates coordination of care across disciplines;
health teaching and health promotion; consultation; prescriptive authority and
treatment; pharmacological, biological, and integrative therapies; milieu therapy,
therapeutic relationships and counseling, and psychotherapy. The PMHNP
functions as the single point of accountability for all medical and psychiatric
services.
12. Standard of Practice PMHNP:Evaluation: PMHNPs evaluate the accuracy
of diagnosis and effectiveness of interventions in reaching the client's desired
outcomes. Evaluation includes consideration of the impact of the plan of care on
the client, family, group, community, and institutions. Results of evaluations may
lead to recommendations for process, protocol, or policy changes.
13. Standard of Practice PMHNP: Ethics: PMHNPs use the ANA Code of Ethics
with Interpretive Statements to guide practice including informing the client of
risks, benefits, and outcomes associated with care; participation in
interprofessional teams to address ethical concerns; promotion of environments
that support ethical care; and use of ethical principles to engage in advocacy for
those with mental health problems, psychiatric disorders, and addiction services.
14. Standard of Practice PMHNP: Cultural Humanity: PMHNPs engage in self-
reflection to assess for personal biases when working with culturally diverse
individuals, groups, and communities. They strive to cultivate curiosity about the
experience and treatment desires of clients from diverse backgrounds. They
promote an inclusive work environment and participate in lifelong learning to
, develop and reinforce working effectively and inclusively with diverse
populations.
15. Standard of Practice PMHNP: Communication: PMHNPs assess
communication preferences of healthcare consumers, families, and colleagues.
They seek to assess and improve personal communication skills, accurately
conveying information, and thoroughly documenting care. They maintain
communication with other members of the interprofessional and contribute their
professional perspective.
16 Standard of Practice PMHNP: Professional Collaboration: PMHNPs partner
with other disciplines to improve care through activities that include consultation,
education, research, and technological development. They model expert practice,
mentor colleagues, and facilitate interprofessional processes
17. Standard of Practice PMHNP: Leadership: PMHNPs provide leadership by
influencing decision-making bodies and health policy to promote person-centered,
recovery-oriented mental health services, and improvement of the practice
environment. They provide direction to interprofessional teams and design
innovations to improve practice and health outcomes. PMHNPs model expert
practice and mentor colleagues.
18. Standard of Practice PMHNP: Education: PMHNPs seek current evidence
to expand clinical knowledge, improve role performance, and increase
understanding of professional issues. In the advanced role, they model expert
practice; mentor RNs and other colleagues as appropriate; and participate in
interprofessional teams that contribute to the promotion of interprofessional
education, role development, advanced nursing practice, and health care.
19. Standard of Practice PMHNP: Evidence-Based Practice and Research:
PMHNPs contribute to nursing knowledge by conducting, appraising, or
synthesizing research to improve healthcare practice. PMHNPs engage in activities
that promote research and clinical inquiry, including the dissemination of research
findings and the integration of current evidence into practice.
20. Standard of Practice PMHNP: Quality of Practice: PMHNPs obtain and
maintain professional certification at the advanced level. PMHNPs may evaluate
the practice environment in relation to existing evidence, design quality
improvement initiatives, and identify opportunities for the generation or use of
research.
21. Standard of Practice PMHNP: Professional Practice Evaluation: PMHNPs
formally seek feedback regarding their practice from healthcare consumers,
colleagues, peers, and others. They reflect on and evaluate their practice and role
performance to model self-improvement.
