The PMHNP Practice Environment Essay

The PMHNP Practice Environment Essay

Psychiatric/mental health nurse practitioners currently have only one choice for certification, which is through the American Nurses Credentialing Center (ANCC). The ANCC offers the “psychiatric/mental-health nurse practitioner (across the lifespan)” board certification (PMHNP-BC). In many states, board certification is needed as a prerequisite to being granted an NP license. Even if board certification is not a requirement for state licensure, it may be a requirement to receive privileges in various hospitals and other health care facilities. It may also be required by malpractice insurance providers prior to issuing coverage to NPs. In this Practicum Journal Assignment, you will develop a plan, which will serve as the road map for you to follow to attain your certification. Students will: Analyze state restrictions or limitations for practice Compare PMHNP practice environments in various states Analyze clinical practice issues Create plans for passing national certification exams To prepare for this Practicum Journal: Review the interactive nurse practitioner (NP) scope of practice law guide in your Learning The PMHNP Practice Environment Essay Resources. Review your state regulations and a neighboring state or state in which you would like to practice. ( MY STATE S NEW JERSEY. NEIGHBORING STATE IS NEW YORK AND PENSILLVANIA. STATE LIKE TO PRACTICE FLORIDA ) Reflect on how to approach relocating licensure from one state to another. Review certification exam requirements for PMHNPs. QUESTIONS: Write a 2- to 3-page paper in which you do the following: Describe the PMHNP practice environment for your home state, highlighting restrictions or limitations for practice. Compare the PMHNP practice environment in your home state with a neighboring state or a state in which you would like to practice. Describe a professional and/or clinical practice issue a new PMHNP will need to consider and address with the certification, licensure, credentialing, or relocation process. Develop a checklist for passing the national certification exam, including a detailed timeline that includes academic preparation (study plan), registration, financial preparation, etc.


Road Map to Attain Certification

The PMHNP practice environment in New Jersey and restrictions for practice

PMHNPs in New Jersey are allowed to practice independently to diagnose and treat people with mental health problems in the absence of a medical doctor’s supervision. Nevertheless, a nurse practitioner is only allowed to prescribe medications or order devices and medications in accord with a written agreement with a collaborating medical doctor. The written agreement should address if consultation with a collaborating medical doctor is needed prior to prescription of controlled substances, supervision requisites of the physician to collaborate with, and periodic assessments of patients records and charts by the physician (NCSL& ASTHO, 2018).

PMHNPs in New Jersey are limited from practicing to the full level of their education by state regulations which limit their full practice authority.  State scope  of practice  laws limit full practice authority for nurse practitioners which hinders the their capacity to improve mental patients access to care and create greater flexibility for developing health care that is centered around an individual patient (Dilon  & Gary, 2017). The PMHNP Practice Environment Essay

Comparison of PMHNP in New Jersey with neighboring states (Pennsylvania)

Unlike New Jersey where PMHNPs are allowed to practice independently in diagnosing and treating patients,   Pennsylvania state regulations do not grant PMHNPs full practice authority. Stokowski (2018) notes that nurse practitioners in Pennsylvania diagnose, treat, undertake diagnostic tests and order medications in accordance to a collaborative pact with a licensed medical doctor. Additionally, a nurse practitioner must in a prescriptive authority agreement with a collaborating physician.

Professional and clinical practice issue that a new PMHNP should consider and address with relocation, licensure certification and credentialing

Before applying for certification, credentialing and licensure, a new PMHNP must consider and address relevant policies. PMHNP are certified by the American nurse credentialing center. When an individual meets eligibility requirements for taking certification and passes national certification exam, the nurse practitioner is credential PMHNP-board certified. The validity of the credential is five years and the credential can be used by maintenance of practice licensure and completion of renewal requirements for renewal of certification (American Nurses Credentialing Center, 2018).

A PMHNP considering relocate licensure to another state needs to check with state’s regulations and statutes that govern psychiatric mental health nursing before undertaking the role. Rice and Moller (2017) argue that statutes of several states have considerable penalties for starting practice before obtaining licenses of the individual state.  Numerous states engage in compact designations, which make relocation of a registered nurse simpler, but restrict the duration a person can practice without first making an application for the individual state license (Rice & Moller, 2017).

A checklist for passing the national certification examination

Prior to starting the process of applying for the ANCC certification exam, I will have completed a post-graduate degree in psychiatric mental health nursing.  According Mometrix Test Preparation (2018), to be qualified to sit the national certification exam, a candidate requires a legal registered nurse license and a master’s or graduate degree from an academic program with around five hundred clinical hours. I will submit my application online and pay exam fee. The PMHN certification examination is charged around 295 dollars for American nurse association members and 393 dollars for those without membership (Mometrix Test Preparation, 2018).

I will send my official transcript to ANCC and get a validation letter from the institution where I attained my nurse practitioner examination. After receiving approval I will schedule my exam test center, where i will sit for the certification exam within ninety days. When preparing for the exam, I will download reference lists, sample suggestions and test content outlines from ANCC website. I will also sign up with review course. The PMHNP Practice Environment Essay


American Nurses Credentialing Center. (2018). Psychiatric-Mental Health Nurse Practitioner (Across the Lifespan) Certification. Available at

Dilon, D., & Gary, F. (2017). Full Practice Authority for Nurse Practitioners. Nursing Administration Quarterly, 4(1): 86-93.

National Conference of State Legislatures (NCSL)  & Association of State and Territorial Health Officials (ASTHO).  (2018). New Jersey Scope of Practice Policy: State Profile. Scope of practice

Mometrix Test Preparation (2018). Family Psychiatric & Mental Health Nurse Practitioner Practice Test. Available at

Rice, M., & Moller, M. (2017).  Regulations of APRN_PMH Practice Affecting Employment. ttps://

Stokowski, L. (2018). APRN Prescribing Law: A State- by-State Summary. Available at

The PMHNP Practice Environment Essay


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