Nursing Certification Review Manual Continuing Education Resource Clinical Practice Resource Kathryn Johnson, MSN, PMHNP-BC, PMHCNS-BC Dawn Vanderhoef, PhD, DNP, PMHNP-BC, PMHCNS- Review and Resource Manual Psychiatric– Mental Health Nurse Practitioner 4th Edition CONTINUING EDUCATION SOURCE NURSING CERTIFICATION REVIEW MANUAL CLINICAL PRACTICE RESOURCE Published by American Nurses Credentialing Center Kathryn Johnson, MSN, PMHNP-BC, PMHCNS-BC Dawn Vanderhoef, PhD, DNP, PMHNP-BC, PMHCNS-BC NURSING KNOWLEDGE CENTER 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 CONTENTS INSTRUCTIONS FOR OBTAINING CONTINUING EDUCATION CREDIT................................................................. XI CHAPTER 1. TakingThe 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 III 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 Answers to Case Study Discussion Questions 60 References and Resources 60 CHAPTER 5. Neuroanatomy, Neurophysiology, and Behavior.... 63 The Nervous System 63 Neuroanatomy and the Brain 64 Neurophysiology and the Brain 68 Neuroimaging Assessment and Diagnostic Procedures 71 Genomics 73