PMHNP Practice Environment Assignment

Write a 2-page paper in which you do the following:

Describe the Psychiatric Mental Health Nurse Practitioner (PMHNP) practice environment for your home state of Pennsylvania highlighting restrictions or limitations for practice.
Compare the PMHNP practice environment in Pennsylvania with New Jersey.
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. PMHNP Practice Environment Assignment

Please, use the following reference and 6 more within 5 years. Thanks
A description of PMHNP practice environment for Pennsylvania state and restrictions for practice

A psychiatric mental health nurse practitioner (PMHNP) is a nurse practitioner licensed in Pennsylvania certified by the board in mental health nursing. While functioning as a professional nurse, a nurse practitioner undertakes diagnosis or prescription of corrective or medical therapeutic measures in partnership with a licensed medical doctor in the state (American Medical Association, 2017).

Regulatory barriers and legislation usually limit PMHNPs from fully practicing as primary care providers. Gadbois et al (2015) claim that even though nurse practitioners have national certification, scope of practice laws are the determinants of the extent of independent practice. These legislations control the degree of educational achievement required, level of prescriptive authority and the required level of physician involvement.

Pennsylvania laws do not permit PMHNP to fully practice and they are required to offer care in a controlled joint agreement with a physician to enable nurse practitioner for them to offer care to patients (Carthon et al, 2016). Neese (2017) argues that Pennsylvania is among the sixteen states with restricted practice for PMHNPs. PMHNPs in Pennsylvania are mandated to enter to a collaborative agreement with two medical doctors so as to practice. In addition, nurse practitioners in Pennsylvania are not allowed to undertake death certification and are forbidden from ordering physical therapy (Carthon, 2016). PMHNP Practice Environment Assignment

A comparing the PMHNP practice environment in Pennsylvania and New Jersey

Scope of practice legislation for nurse practitioner differs among states and these legislations might influence the locum tenens of nurse practitioners placed all over the United States (Barton Associates, 2018). In New Jersey, a PMHNP is an advanced practice nurse who has been certified by the state’s nursing board. Unlike in Pennsylvania when nurse practitioners have limited practice authority, New Jersey laws permits nurse practitioner to independently treat patients and prescribe medications without entering into a collaborative agreement with a physician. Additionally, nurse practitioners have the authority of establishing the cause of death and signing death certificates if they are the primary caregivers of the patient (American Medical Association, 2017).

Professional and clinical practice issue a new PMHNP will need to consider and address with the certification, relocation, and credentialing and licensure process

A new PMHNP must understand that majority of states need a nurse practitioner to be certified by the American nurse credentialing center. In Pennsylvania, certified registered nurse practitioners are certified by the Pennsylvania state board of nursing. A nurse practitioner must also get national certification. All nursing practices are controlled by state laws. Thus, scope of practice and licensing differs by state. Even though nurse practitioners aren’t certified through direct tradeoff, nurse practitioners who have licensure from other states might be held to diverse standards. International and out of state nurse practitioners need to meet the certification requirements that were operational in Pennsylvania at the period of state certification or initial licensure ( , 2018).

A checklist for passing the national certification exam

Preparing for and passing the national certification exam is an essential step in advancement from registered nurse to nurse practitioner. PMHNPs earn credentials through passing the board certification examination on mental health. I will spend around 3-6 months preparing for the national certification examination. During this period, i will be finishing clinical hours and courses. Exam preparation will entail a range of methods like self- study, and taking online examination preparation courses.

I will check the American nurses credentialing center website for an outline of the exam content along with other materials like practice exams and books and pay the required certification exam fees. ANCC (2017) argues that an outline of the test content can be found on the certification board website and it includes questions for every field or practice and ascertains areas contained in the exam. PMHNP Practice Environment Assignment


American Medical Association. (2017). State law Chart: Nurse Practitioner Practice Authority. Retrieved on September 3, 2018 from

American Nurses Credentialing Center, ANCC. (2017).ANCC Certification General testing and Renewal Handbook. Available at

Barton Associates. (2018). Nurse Practitioner Scope of Practice Laws. Retrieve d on September 3, 2018 from

Carthon, J., Nicely, K., Sarik, D., & Fairman, J. (2017). Effective Strategies for Achieving Scope of Practice Reform in Pennsylvania. Policy Politics & Nursing Practice, 17(2): 99-109.

Gadbois, E., Miller, E., Tyler, D., & Intrator, O. (2015). Trends in State Regulation of Nurse Practitioners and Physician Assistants, 2001 to 2010. Medical Care Research and Review, 72(2): 200-219.

Neese, B. (2017). A Guide to NP Independent Practice. Retrieved on September 3 2018 from

PMHNP Practice Environment Assignment

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