PSYCHIATRIC- MENTAL HEALTH NURSE PRACTITIONER 4th Edition
Nursing Certification Review Manual Continuing Education Resource Clinical Practice Resource
Kathryn Johnson, MSN, PMHNP-BC, PMHCNS-BC
Dawn Vanderhoef, PhD, DNP, PMHNP-BC, PMHCNS-BC
Review and Resource Manual
P sychiatric-M
ental H ealth
N urse P
ractitio ner
R eview
and R
eso urce M
anual
4TH EDITION
PSYCHIATRIC-MENTAL HEALTH NURSE PRACTITIONER Review and Resource Manual, 4th Edition
Are you looking into how to advance your professional development through certification? Need a reliable and credible reference resource? No matter where you are in the process, make sure you have the most valuable review and resource tool at your disposal.
The Nursing Knowledge Center’s Psychiatric-Mental Health Nurse Practitioner Review and Resource Manual is a must-have tool for nurses planning to take the American Nurses Credentialing Center’s (ANCC’s) Psychiatric-Mental Health Nurse Practitioner certification exam.
Based on the official ANCC certification exam test content outline, this review and resource manual will help you:
n Study and analyze comprehensive material and concepts written by nursing experts.
n Develop a recommended seven-step plan to equip you for the exam and map out what to do on the day of the exam.
n Prepare for and familiarize yourself with psychological-mental health practitioner standards of practice.
n And much more ...
Make the Psychiatric-Mental Health Nurse Practitioner Review
and Resource Manual a key resource in your certification preparation.
AMERICAN NURSES ASSOCIATION 8515 GEORGIA AVE., SUITE 400 SILVER SPRING, MD 20910-3492 1.800.284.2378 | 301.628.5000
©2016 American Nurses Association. All rights reserved. Nursing Knowledge Center is part of the American Nurses Association.
Completion of this or any other course(s)/material(s) does not imply eligibility for certification or successful performance on any certification examination, nor is it a requirement to qualify for certification. The American Nurses Credentialing Center (ANCC) does not endorse any products or services.
www.nursingknowledgecenter.org
Review and Resource Manual
Psychiatric– Mental Health Nurse Practitioner
NURSING KNOWLEDGE CENTER
CONTINUING EDUCATION SOURCE
NURSING CERTIFICATION REVIEW MANUAL
CLINICAL PRACTICE RESOURCE
4th Edition
Published by American Nurses Credentialing Center
Kathryn Johnson, MSN, PMHNP-BC, PMHCNS-BC Dawn Vanderhoef, PhD, DNP, PMHNP-BC, PMHCNS-BC
Library of Congress Cataloging-in-Publication Data
Names: Johnson, Kathryn, 1947-, author. | Vanderhoef, Dawn, author. | Nursing Knowledge Center, publisher. Title: Psychiatric-mental health nurse practitioner review and resource manual / Kathryn Johnson, Dawn Vanderhoe. Other titles: Psychiatric-mental health nurse practitioner review manual Description: 4th edition. | Silver Spring, MD : Nursing Knowledge Center, American Nurses Association, 2016. | Preceded by Psychiatric-mental health nurse practitioner review manual / by Kathryn Johnson and Dawn Vanderhoef. 3rd edition. 2013. | Includes bibliographical references and index. Identifiers: LCCN 2016012871| ISBN 9781935213796 (pbk.) | ISBN 9781935213802 (ePub) | ISBN 9781935213819 (prc) | ISBN 9781935213826 (epdf) Subjects: | MESH: Psychiatric Nursing--methods | Education, Nursing, Continuing Classification: LCC RC438 | NLM WY 18.5 | DDC 616.89/0231--dc23 LC record available at http://lccn.loc.gov/2016012871
The American Nurses Association (ANA) is the only full-service professional organization representing the interests of the nation’s 3.1 million registered nurses through its constituent/ state nurses associations and its organizational affiliates. The ANA advances the nursing profession by fostering high standards of nursing practice, promoting the rights of nurses in the workplace, projecting a positive and realistic view of nursing, and lobbying the Congress and regulatory agencies on healthcare issues affecting nurses and the public.
© 2016 American Nurses Association 8515 Georgia Ave., Suite 400 Silver Spring, MD 20910 All rights reserved. Third printing, August 2018
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CONTENTS
INSTRUCTIONS FOR OBTAINING CONTINUING EDUCATION CREDIT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . XI
CHAPTER 1 . Taking The Certification Examination . . . . . . . . . . . . .1
General Suggestions for Preparing for the Exam 1
About the Certification Exams 8
Internet Resources 9
CHAPTER 2 . Psychiatric–Mental Health Nurse Practitioner Role, Scope of Practice, and Regulatory Process . . . . . . . 11
Nurse Practitioner Advanced Practice Core Content 11
Nurse Practitioner Advanced Practice Specialized Content 12
History of the NP Role 13
Professional Role Responsibilities 16
Roles of the PMHNP 22
Culturally Competent Care and Special Populations 23
Case Study 1 29
Case Study 2 29
Answers to Case Study Discussion Questions 31
References and Resources 32
CHAPTER 3 . Theoretical Basis of Care . . . . . . . . . . . . . . . . . . . . . .37
Biopsychosocial Framework of Care 37
Classification of Psychiatric Disorders: DSM-5 38
iv CONTENTS
Therapeutic Relationship 38
Developmental Theories 40
Foundational Theories Supporting PMHNP Role 41
Nursing Theories 47
Case Study 1 48
Case Study 2 48
Answers to Case Study Discussion Questions 49
References and Resources 49
CHAPTER 4 . Psychiatric–Mental Health Nurse Practitioner Professional Role and Health Policy: Leadership, Quality Improvement and Safety, Practice Inquiry, and Health Policy . . . . . . . . . . . . . . . . . . . . . . . . . . . .51
Leadership 51
Quality Improvement 55
Just Culture of Safety 55
Health Delivery Systems 56
Conflict of Interest 57
Rights of Clients 58
Health Policy Development 58
Case Study 59