1. American Nurses Credentialing Center (ANCC) is currently the only option for PMHNPs to obtain the national certification as a PMHNP-BC (across the lifespan). Board certification is not a requirement in all the states for the NP license, but malpractice insurance providers and many health care facilities may require NP board certification as a prerequisite to grant privilege to practice.
In a 2 -3 page paper:
• Examine and describe the PMHNP practice restrictions/limitations in your state.
• Describe a clinical practice or professional issues with the licensure and certification.
• Research reimbursement rates for various treatment modalities.
• Compare NP rates to other provider rates.
• Develop your roadmap (checklist) for passing the national certification exam. Provide a detailed timeline that include study plan, registration and any financial preparation.
2. In some states, PMHNPs practice independently; while in some states, PMHNPs will need a supervising physician or a collaborative agreement with a physician to practice. In this journal, to prepare yourself to practice upon graduation, examine the practice requirements in your state.
In a 2-3 page paper:
• Analyze and describe the PMHNP practice agreements in your state.
• Discuss two physician collaboration issues you might encounter as a PMHNP in your state.
• What are the barriers to PMHNPs practicing independently in your state?
• Discuss your plan for how you might address PMHNP practice issues in your state.
A 58 yr. old female school teacher with heart disease and a recent heart attack 6 months ago presents to ER with a complain of heart palpitation, chest discomfort and SOB. She appears anxious and asks repeatedly “Am I having another heart attack?!” Denies any triggers to her symptoms and reports “it all started out of nowhere.” Since her heart attack 6 months ago, she has suffered from several of these symptoms. She has extended her medical leave of absence from work. She denies use of substance and quit smoking 6 months ago after the heart attack.
Mental status examination reveals an obese, anxious woman who speaks hurriedly between breathes. Vital signs reveal tachycardia and tachypnea. Cardiac examination also demonstrates a rapid rate with an irregular rhythm. The remainder of the physical examination is unremarkable.
1. Describe the conditions that will need to be ruled out before a psychiatric diagnosis can be made.
2. Discuss any diagnostic work up you think is necessary, provide your rational.
3. Does the patient require psychiatric hospitalization? What’s your rationale for your decision?
4. Discuss your most likely diagnosis with the evidence to support your decision?
5. Provide your references.