Question

Sally Marshall is a newly graduated PMHNP. She worked as a psychiatric nurse for 9 years before going to graduate school. She has been offered a job at the local community mental health center. The clinical manager for the center has told her that her role will consist of seeing mostly adult patients with serious, chronic, and persistent mental illnesses.

The clinical manager also informs Miss Marshall she will occasionally have to see children in additions to adults, when the psychiatrist is “busy.” The manager provides Miss Marshall with further expectations for the job which include; providing medication management for well-known patients and occasionally assisting with diagnostic evaluations of new patients or patients in crisis. He tells Miss Marshall it is understood that she will “from time to time” care for the emergent medical needs of patients who have limited access to primary care providers. She should expect to provide care for patient diagnosed with non-psychiatric disorders, such as, diabetes, hypertension, and chronic pain. Miss Marshall asks for two days to consider the job offer.

Assignment: Choose three of the professional roles and policy we have addressed; ¹Leadership, ²Quality Improvement/Safety, ³Health Policy/Advocacy, ⁴Practice Inquiry, ⁵Technology/Information Literacy, ⁶Health Delivery System, ⁷Ethics/Legalities, and ⁸Scope and Standards, to evaluate the following questions:

1. Would a PMHNP be legally authorized to treat both children and adults?
2. What regulation, rule, or standard should a PMHNP consult to determine if he/she is legally allowed to treat both children and adults?
3. What regulation, rule, or standard should a PMHNP consult to determine if he/she is legally allowed to treat both physical and psychiatric disorders?
4. What is the role of professional psychiatric nursing organizations in assisting a PMHNP to determine the scope of practice that is appropriate for her as a new graduate?

Use at least 6 sources with apa references, where did you obtain the information for each question?

Answer 1

Would a PMHNP be legally authorized to treat both children and adults?

Psychiatric Mental Health Nurse Practitioner Scope of practice legally authorized to treat mental health patients of all age groups. PMHNP can practice in several locations such as mental health hospital, in-patient facilities, home health centers, correlational facilities, and local community mental health centers.

What regulation, rule, or standard should a PMHNP consult to determine if he/she is legally allowed to treat both children and adults?

The scope of practice and standard of the American Psychiatric Nurses Association (APNA), American Association of Nurse Practitioner(AANP), To determine the role and practice of the Psychiatric Mental Health Nurse Practitioner. As per this standard, the PMHNP can involve in assessing the patient mental health status, diagnosing of mental illness, planning of treatment, Prescribe medication and health promotion and prevention activities. It allows PMHNP to work with a special population such as children and the elderly group.

What regulation, rule, or standard should a PMHNP consult to determine if he/she is legally allowed to treat both physical and psychiatric disorders?

A PMHNP should consult an American Psychiatric Nurses Association(APNA), International Psychiatric Nurses Association (IPNA), to determine the legal allowance of treating physical and psychiatric disorders. As per APNA, PMHNP can treat primary care services, but it is outside the psychiatric nurse's Scope of practice.

What is the role of professional psychiatric nursing organizations in assisting a PMHNP to determine the scope of practice that is appropriate for her as a new graduate?

American Psychiatric Nurses association guides PMHNPs to meet the mental health needs of individual, families, and communities. They determine the scope of practice of newly graduated PMHNP in order to

• examine the changes in the mental health condition in the outpatient basis or home-based services.
• perform various mental health assessment.
• Prescribe medication as per state practice law.
• Provide treatment and holistic approach.
• Collaborate with doctors and other health professionals.
• Analyze the effectiveness of treatment.
• Conduct research in mental health and to educate the patients and families.