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NR548 PMHNP EXAM 1 WITH 100+ QUESTIONS WITH ACTUAL ANSWERS (VERIFIED ANSWERS) 2025 ALREADY, Exams of Neuroscience

Chamberlain College of Nursing Neuroscience

NR548 PMHNP EXAM 1 WITH 100+ QUESTIONS WITH ACTUAL ANSWERS (VERIFIED ANSWERS) 2025 ALREADY GRADEDNR548 PMHNP EXAM 1 WITH 100+ QUESTIONS WITH ACTUAL ANSWERS (VERIFIED ANSWERS) 2025 ALREADY GRADEDNR548 PMHNP EXAM 1 WITH 100+ QUESTIONS WITH ACTUAL ANSWERS (VERIFIED ANSWERS) 2025 ALREADY GRADEDNR548 PMHNP EXAM 1 WITH 100+ QUESTIONS WITH ACTUAL ANSWERS (VERIFIED ANSWERS) 2025 ALREADY GRADED

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NR548 PMHNP EXAM 1 WITH 100+ QUESTIONS

WITH ACTUAL ANSWERS (VERIFIED ANSWERS)

2025 ALREADY GRADED

PMH-APRN - CORRECT ANSWER>>>>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 - CORRECT ANSWER>>>>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? - CORRECT ANSWER>>>>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 - CORRECT ANSWER>>>>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? - CORRECT ANSWER>>>>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 - CORRECT ANSWER>>>>the first organized training

school within a hospital for the insane

1913, Effie Jane Taylor developed - CORRECT ANSWER>>>>the first nurse-organized

training course for psychiatric nursing at Johns Hopkins Hospital

(before early psychiatric nurses were trained by physicians)

Following WWI, the National League for Nursing Education added: - CORRECT

ANSWER>>>>"nursing in nervous and mental diseases" to curriculum guides

In WWII, many potential military recruits deemed unfit for service due to psychiatric concerns,

while many veterans experienced combat-related neuropsychiatric conditions. Laura

Partial preview of the text

Download NR548 PMHNP EXAM 1 WITH 100+ QUESTIONS WITH ACTUAL ANSWERS (VERIFIED ANSWERS) 2025 ALREADY and more Exams Neuroscience in PDF only on Docsity!

NR548 PMHNP EXAM 1 WITH 100+ QUESTIONS

WITH ACTUAL ANSWERS (VERIFIED ANSWERS)

2025 ALREADY GRADED

PMH-APRN - CORRECT ANSWER>>>>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 - CORRECT ANSWER>>>>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? - CORRECT ANSWER>>>>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 - CORRECT ANSWER>>>>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? - CORRECT ANSWER>>>>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 - CORRECT ANSWER>>>>the first organized training school within a hospital for the insane 1913, Effie Jane Taylor developed - CORRECT ANSWER>>>>the first nurse-organized training course for psychiatric nursing at Johns Hopkins Hospital (before early psychiatric nurses were trained by physicians) Following WWI, the National League for Nursing Education added: - CORRECT ANSWER>>>>"nursing in nervous and mental diseases" to curriculum guides In WWII, many potential military recruits deemed unfit for service due to psychiatric concerns, while many veterans experienced combat-related neuropsychiatric conditions. Laura

Fitzsimmons recommended: - CORRECT ANSWER>>>>standards of training for psychiatric nurses, which led to improved education and standards of care. National Mental Health Act (NMHA) of 1946 - CORRECT ANSWER>>>>-psychiatric nursing was recognized as one of the four core disciplines in psychiatric care and treatment

The act increased funding for psychiatric nursing education programs and contributed to a growth in university-based nursing education. 1954 - CORRECT ANSWER>>>>-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. The Community Mental Health Centers Act of 1963 - CORRECT ANSWER>>>>(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 1965 - CORRECT ANSWER>>>>Loretta Ford, RN and Henry Silver MD introduce the nurse practitioner role. 1973 ANA first published: - CORRECT ANSWER>>>>Standards of Psychiatric-Mental Health Nursing Practice 1980s states began to grant: - CORRECT ANSWER>>>>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 these exams were developed: - CORRECT 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). The 21st Century Cures Act of 2016: - CORRECT ANSWER>>>>-resulted in the creation of the U.S. Department of Health and Human Services (HHS) Interdepartmental Serious Mental Illness Coordinating Committee (ISMICC)
group is charged with compiling a summary of advances in serious mental illness (SMI) and serious emotional disturbance (SED) research, evaluating federal programs and treatment services related to SMI and SED, and making specific recommendations to better coordinate the administration of mental health services

match the practice setting with the correct scenario: The client has experienced depressive symptoms. The PMHNP prescribes a selective serotonin reuptake inhibitor (SSRI). - CORRECT ANSWER>>>>Pharmacologic Intervention Rationale: The PMHNP is prescribing psychopharmacotherapy for the client match the practice setting with the correct scenario: The PMHNP provides the client with some mindfulness techniques to try at home. - CORRECT ANSWER>>>>Psychotherapy Rationale: The PMHNP is utilizing a psychotherapeutic approach to help the client gain insight 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. - CORRECT ANSWER>>>>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. - CORRECT ANSWER>>>>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 - CORRECT ANSWER>>>>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 - CORRECT ANSWER>>>>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 - CORRECT ANSWER>>>>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 - CORRECT ANSWER>>>>Telehealth Rationale: Telehealth services utilize telecommunication technology to deliver treatment to clients match the practice setting with the correct scenario: The PMHNP owns the private practice that is providing services to the client - CORRECT ANSWER>>>>Self-Employment Rationale: The PMHNP is providing direct services through private practice Code of Ethics - CORRECT ANSWER>>>>provides guidance to nurses about ethical behavior and mandates a minimum standard of practice

nine provisions within the Code
Within the nine provisions, three groupings exist
specific applications have been developed for PMHNP practice Code of Ethics 9 Provisions - CORRECT ANSWER>>>>-Respect for the Individual
Provision 1: The nurse practices with compassion and respect for the inherent dignity, worth, and unique attributes of every person.
Commitment to the Healthcare Consumer
Provision 2: The nurse's primary commitment is to the patient, whether an individual, family, group, community, or population.
Advocacy for the Healthcare Consumer
Provision 3: The nurse promotes, advocates for, and protects the rights, health, and safety of the patient.
Responsibility and Accountability for Practice
Provision 4: The nurse has authority, accountability, and responsibility for nursing practice; makes decisions and takes action consistent with the obligation to promote health and provide optimum patient care.
Duties to Self and Others
Provision 5: The nurse owes the same duties to self as to others, including the responsibility to promote health and safety, preserve wholeness of character and integrity, maintain competence, and continue personal and professional growth.

sessions today. - CORRECT ANSWER>>>>Responsibility and Accountability for Practice (provision 4) Rationale: This is an unethical scenario. The PMHNP must understand the scope of other team members' practice in order to delegate appropriately. Conducting a counseling session is outside of the RN's scope of practice. Match the ethical principles to the scenario it represents: The PMHNP takes time for daily meditation to improve mindfulness and ease stress. - CORRECT ANSWER>>>>Duties to Self and Others (provision 5) Rationale: The PMHNP is committed to practicing self-care, managing stress, and maintaining supportive relationships to meet personal needs outside of therapeutic relationships. Match the ethical principles to the scenario it represents: A PMHNP discovers her colleague is diverting scheduled medications to self-medicate anxiety. The PMHNP reports the concerns to the colleague's supervisor. - CORRECT ANSWER>>>>Contributions to Healthcare Environments (provision 6) Rationale: The PMHNP recognizes signs/symptoms of psychiatric disorders in the workplace reporting peer observations to leadership. The PMHNP helps address problems faced by colleagues that impact client safety or violate public trust, including substance abuse. Match the ethical principles to the scenario it represents: The PMHNP gives a presentation at a national conference on best practices in depression treatment. - CORRECT ANSWER>>>>Advancement of the Nursing Profession (provision 7) Rationale: The PMHNP contributes to advancing the profession through practice, education, administration, and knowledge development. Match the ethical principles to the scenario it represents: The PMHNP is a member of the ANA and NAMI and regularly participates in workgroups that seek to expand access to care for healthcare consumers with PMH disorders. - CORRECT ANSWER>>>>Collaboration to meet health needs (provision 8) Rationale: The PMHNP promotes community, national, and international efforts to meet health needs through collaboration with other healthcare professionals to promote prevention, treatment, and recovery. Match the ethical principles to the scenario it represents: A PMHNP speaks at a school board meeting about the need develop policies to expand mental health services for underserved students. - CORRECT ANSWER>>>>Promotion of the Nursing Profession (provision 9) Rationale: The PMHNP participates in policy development and implementation that recognizes PMH disorders as treatable and ensures that nursing care is delivered with respect to human needs and values without prejudice.

Strategies to eliminate disparities in behavioral health: - CORRECT ANSWER>>>>-increasing the number of minority providers

improving access to services through telehealth and other technologies
examining and understanding the social determinants of health in underserved communities
using cultural humility to enhance communication in populations served
increasing the use of Primary Care Behavioral Health (PCBH) integrative practice clinics that provide medical and behavioral health services in one location Social Determinants of Health (SDOH) - CORRECT ANSWER>>>>The World Health Organization (n.d., para. 1) defines the SDOH as "the conditions in which people are born, grow, live, work, and age. These conditions are influenced by economics, political influence, and resources at the global, national, and local levels."
Another key determinant of health is access to quality, affordable healthcare Healthy People 2030 - CORRECT ANSWER>>>>a national initiative for discerning individual and population risk factors and health indicators
The Healthy People initiative developed a "place-based" organizing framework to consider SDOH which highlights five key areas of SDOH and underlying factors that may contribute to DISPARITIES.
Health and Health Care
Neighborhood and Built Environment
Social and Community Context
Economic Stability
Education Match the disparity to the key area of the Social Determinants of Health: Incarceration Crime and Violence Access to Mental Health Services Housing Instability Language and Literacy - CORRECT ANSWER>>>>Incarceration - Social and Community Context Crime and Violence - Neighborhood and Built environment Access to Mental Health Services - Health and Healthcare Housing Instability - Economic Stability Language and Literacy - Education personal health literacy - CORRECT ANSWER>>>>The U.S. Department of Health and Human Services (HHS) defined as "the degree to which individuals have the ability to find, understand, and use information and services to inform health-related decisions and actions for themselves and others" the leading causes of disability, disease burden, premature mortality, and suicide. - CORRECT ANSWER>>>>neuropsychiatric disorders

Each standard for the psychiatric mental health registered nurse (PMH-RN) also applies to the PMHNP role 17 standards of professional performance - CORRECT ANSWER>>>>Guide PMHNP practice: Standard 1: Assessment Standard 2: Diagnosis Standard 3: Outcomes Identification Standard 4: Planning Standard 5: Implementation Standard 6: Evaluation Standard 7: Ethics Standard 8: Cultural Humanity Standard 9: Communication Standard 10: Professional Collaboration Standard 11: Leadership Standard 12: Education Standard 13: Evidence-Based Practice and Research Standard 14: Quality of Practice Standard 15: Professional Practice Evaluation Standard 16: Resource Utilization Standard 17: Environmental Health PMHNP standards of Practice: Standard 1 - CORRECT ANSWER>>>>Standard 1: 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. PMHNP standards of Practice: Standard 2 - CORRECT ANSWER>>>>Standard 2: 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. PMHNP standards of Practice: Standard 3 - CORRECT ANSWER>>>>Standard 3: 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. PMHNP standards of Practice: Standard 4 - CORRECT ANSWER>>>>Standard 4: 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. PMHNP standards of Practice: Standard 5 - CORRECT ANSWER>>>>Standard 5: 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. PMHNP standards of Practice: Standard 6 - CORRECT ANSWER>>>>Standard 6: 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. PMHNP standards of Practice: Standard 7 - CORRECT ANSWER>>>>Standard 7: 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. PMHNP standards of Practice: Standard 8 - CORRECT ANSWER>>>>Standard 8: 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. PMHNP standards of Practice: Standard 9 - CORRECT ANSWER>>>>Standard 9: 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. PMHNP standards of Practice: Standard 10 - CORRECT ANSWER>>>>Standard 10: Professional Collaboration

PMHNPs work to analyze the impact of social, political, and economic influences on the environment and human health exposures, creating partnerships that promote sustainable environmental health policies. Select the most appropriate standard for each scenario: The PMHNP prescribes clozapine for a client experiencing symptoms of schizophrenia. He reminds the client to follow up with the lab to have bloodwork drawn every two weeks to monitor white blood cell count. - CORRECT ANSWER>>>>Standard 5: Implementation Rationale: Under the implementation standard 5D, the PMHNP prescribes pharmacologic agents based on current knowledge of pharmacology and physiology and provides healthcare consumers with information about intended effects and potential adverse effects of proposed prescriptive therapies. Select the most appropriate standard for each scenario: The PMHNP is treating a client who comes in with the following symptoms: trouble sleeping, low energy, difficulty concentrating, and a persistent sad mood for the last four weeks. Due to the symptoms, the client has withdrawn from her friends and is experiencing difficulties at work. The PMHNP correctly determines that the client's symptoms fit the criteria for Major Depressive Disorder. - CORRECT ANSWER>>>>Standard 2: Diagnosis Rationale: Under the Diagnosis standard, the PMHNP develops standard psychiatric and substance use diagnoses. Select the most appropriate standard for each scenario: The PMHNP serves as a peer reviewer of articles for the Journal of the American Psychiatric Nurses Association. - CORRECT ANSWER>>>>Standard 13: Evidence-Based Practice and Research Rationale: Under the Evidence-Based Practice and Research standard, the PMHNP contributes to nursing knowledge by conducting, critically appraising, or synthesizing research that discovers, examines, and evaluates knowledge, theories, criteria, and creative approaches to improve healthcare practice.

NR548 PMHNP EXAM 1 WITH 100+ QUESTIONS WITH ACTUAL ANSWERS (VERIFIED ANSWERS) 2025 ALREADY, Exams of Neuroscience

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Partial preview of the text

Download NR548 PMHNP EXAM 1 WITH 100+ QUESTIONS WITH ACTUAL ANSWERS (VERIFIED ANSWERS) 2025 ALREADY and more Exams Neuroscience in PDF only on Docsity!

NR548 PMHNP EXAM 1 WITH 100+ QUESTIONS

WITH ACTUAL ANSWERS (VERIFIED ANSWERS)

2025 ALREADY GRADED