Practice Agreements for Psychiatric Nurse Practitioners

Practice Agreements for Psychiatric Nurse Practitioners


A psychiatric Nurse Practitioner is licensed to provide mental healthcare as specified by the ANA scope of practice to adult, geriatric, and pediatric populations. The Psychiatric Mental Health Nurse Practitioners (PMHNP) perform a variety of roles including performing mental health evaluations to determine psychiatric conditions, interpreting lab and other diagnostic procedures, and prescribing of drugs among other functions. The paper comprehensively discusses various components associated with PMHNP including the practice agreements in California, physician collaboration issues, and barriers for PMHNP practicing independently in California.

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Practice Agreements for PMHNPs
The PMHNP performs duties under the scope of Registered Nurses (RN) relying on standardized procedures for authorization to execute overlapping medical functions. They operate under the Nursing Practice Act (NPA) to perform a variety of roles including mental and physical assessments, prevention of diseases, conducting of immunization and skin tests among others. The Californian PMHNPs are mandated to provide mental health services in collaboration with a consulting physician (Coffman et al., 2018). The other practice agreement is that NPs in California are not permitted to sign death certificates. Only qualified Medical Doctor (MD) is allowed to sign a death certificate (Xue et al., 2016). The PMHNPs are only authorized to approve handicap parking permits and thus cannot declare someone dead.
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Certification Plan

Certification Plan


A Psychiatric Mental Health Nurse Practitioner (PMHNP) is a registered nurse (RN) who has pursued a master’s degree as a nurse practitioner with a focus on psychiatric-mental health. A PMHNP is usually trained to offer holistic care to the patients to bridge the gap between mental and physical health. The scope of practice for NPs varies from one state to another. The NPs in California operate under restrictive authority, and thus they perform some duties under the supervision of a consulting physician. Some of these roles include prescribing medications and interpreting diagnostic tests. The paper comprehensively addresses the practice environment of PMHNPs in California and compares it with that of Nevada and also points out the professional issues that one needs to consider to be able to acquire certification.

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PMHNP Practice Environment for California
In California, the NPs are categorized under restrictive practice authority meaning that they can only perform some roles under the oversight of a consulting physician (Coffman et al., 2018). Some of these duties include prescribing medications and interpreting laboratory tests. The legal responsibility of the PMHNPs lies in the hands of the physicians and are thus required to determine the level of supervision, communicate regularly, and oversee the standards of care provided by the NPs (California Healthcare Foundation, 2018).
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Neurocognitive Disorder Due to Alzheimer’s disease

Neurocognitive Disorder Due to Alzheimer disease


Minor or Major Neurocognitive Disorder due to Alzheimer’s Disease (AD) refers to the DSM-5 or the diagnosis allotted to patients with mental deficits linked to the onset and progression of the AD. The Alzheimer’s disease is a neurological condition that results in continuous cognitive dysfunction because of the incursion of neurofibrillary tangles and beta-amyloid plaques in cholinergic neurons. The disorder leads to a reduction in the production of acetylcholine of the affected neurons usually evidenced by progressive loss of memory, and other behavioural signs and symptoms. The paper comprehensively describes the diagnostic criteria for neurocognitive disorder due to AD, including the treatment and its associated risks.

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The Diagnostic Criteria
The DSM-5 unfolds various elements of the diagnostic criteria for neurocognitive disorder due to AD:
Ø The patient fulfils the diagnostic criteria for minor or major neurocognitive disease
Ø There are gradual or insidious onset and progression of cognitive decline
Ø The family history or genetic testing rules the presence of causative Alzheimer’s genetic mutation
Ø Evidence shows a decline in memory and a reduction in the learning capacity
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Psychiatrist Mental Health Nurse Practitioner’s California State Practice Agreements

Psychiatrist Mental Health Nurse Practitioner’s California State Practice Agreements


Nurse Practitioners California State Practice AgreementsNurse Practitioners California State Practice Agreements
Psychiatrist Mental Health Nurse Practitioners California State Practice Agreements
A psychiatrist Mental Health Nurse Practitioner (PMHNP) is a registered nurse who has obtained a graduate degree in nursing that allows him or her to provide primary mental health care and other primary care services. PMHPNPs coordinate psychological, spiritual, biological, and social elements to offer holistic care for individuals, groups, and families. They offer a variety of mental health care services in the clinical nursing practice such as conducting diagnostic tests for psychiatric disorders, prescribing medications for mental health disorders, and offering psychotherapy services to individuals, families, and groups among others. The paper provides a comprehensive review of the practice guidelines for PMHNPs in California including the collaboration issues and their solutions.

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Practice Agreements for PMHNPs in California
The state nurse practice act governs the practice of PMHNPs and other nursing practitioners in California. The Board of Registered Nursing (BRN) has enacted laws that require PMHNPs to work under standardized procedures that authorizes such nurse practitioners (NPs) to perform overlapping medical functions. In California, the NPs offer healthcare services in collaboration with a consulting physician (Coffman et al., 2018).
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personality disorder

Personality Disorder


Personality Disorder
Borderline personality disorder (BPD) is characterized by variations in moods, behavior, and self-image. These symptoms usually lead to impulsive actions and challenges in relationships. A person with BPD will always portray excessive anxiety, anger, and depression. The DSM-5 (diagnostic and statistical manual of mental disorders) provides the diagnostic information for psychiatric disorders like BPD and other related conditions. For every disease, the DSM-5 documents the list of symptoms that includes a statement of the number of signs required to warrant the diagnosis of the disorder. The paper comprehensively explores the diagnostic criteria for BPD including the psychotherapy and psychopharmacological treatment and the clinical features of the disease.

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Diagnostic Criteria for BPD
BPD is a condition featured by unstable interpersonal relationships, intense emotions, and unstable self-image (American Psychiatric Association, 2013). The disease is also characterized by impulsivity among other symptoms as indicated by five (or more) of the clinical features listed below:
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