Practicum Journal in Nursing Paper

The demand for healthcare services in the contemporary world today is considerably high. Through this aspect, healthcare institutions strive to provide quality services in the quest to meet patient demands. To achieve this fete, health institutions employ qualified personnel to warrant attainment of patient wellness. Besides, the number of nurse practitioners registering for higher courses in the quest to qualify for more complex tasks is rising every day. Specifically, nurse practitioners aspiring to be PMHNPs ought to possess the required skills to qualify for the positions. The trend displays the concern amongst practitioners to ensure a healthy community Practicum Journal in Nursing Paper.



Adams (2016) posits that it is imperative for potential practitioners to prove their learnt skills through passing a certification examination by the American Nurses Credentialing Center (ANCC). The assessment aids in evaluating their competence and understanding of the various working environments within their states of operation, challenges that arise, and interventions that would help alleviate difficult situations. The assessment process aids in employing qualified staff, who guarantee patient safety. Particularly, Psychiatric-mental health nurse practitioners (PMHNPs) are required to prove their knowledge since they handle psychotic patients, which is a serious ailment.

PMHNP Practice Environment in Maryland

In many countries, healthcare activities are regulated by the constitutions. The situation is similar in the United Sates, where institutions act in accordance to the provisions of the law. However, each state abides by specific regulations stipulated by their independent constitutions. Through these aspects, the working environments differ from one state to the other. For instance, PHMNPs in Maryland are allowed to practice independently (Adams, 2016). Specifically, they can prescribe drugs to psychotic victims without the consent of a physician. Besides, the Maryland constitution allows PMHNPS to run clinics in their medical operations. The freedom to operate as free agents enables faster dissemination of medical services to the residents.

Albeit PMHNPs in Maryland enjoy the freedom of operating freely, Adams (2016) explains that they face a series of restrictions. Particularly, the Maryland law requires full evaluation of a child’s health status by a qualified physician before clearance to attend child care centers. Besides, the child should be accompanied by a parent or guardian. Additionally, Maryland stipulates that students to be home-schooled on the recommendation of a qualified and registered physician.

PMHNP Practice in Maryland and West Virginia

In the United Sates, majority of the regulations governing medical procedures are similar across all the states. However, some constructs of the constitutions differ depending on the deliberations agreed by the various legislative representatives. For instance, Maryland allows PMNHPs to operate freely without the recommendation of a physician. The practice is allowed by their constitution. However, the situation is different in West Virginia, where a PMHNP can only prescribe drugs with the approval of a registered physician. In fact, they are obliged to sign a practice agreement that should be approved by an appropriate licensing board, an aspect that does not occur in Maryland Practicum Journal in Nursing Paper .

Issue faced by PHMNPs in the Profession

New employees face various challenges when assigned to their first work station in all the professions. While barriers to advanced nurse practice are significant, it is only imperative for the more experienced staff to help newer recruits adapt well to the organizational culture, in the quest to guarantee high productivity. Specifically, Starks et al. (2018) explains that novice PMHNPs face the challenge of poor collaboration, an aspect that arises from poor communication. In fact, the new staff is neglected on grounds of inexperience. The culture leads to demoralization in the long run, and may affect productivity. To alleviate the situation, it is imperative that health care institutions implement educative programs, which provide frameworks that guide experienced personnel on incorporating new PMHNPs in their workplaces.

Checklist for Board Examination

PMHNPs are advanced nurse practitioners, specializing in handling psychotic patients. In the U.S, such professionals ought to obtain a nurse practitioner (NP) board certification as a prerequisite to progress as registered nurses. For PMHNPs, they ought to pass an assessment evaluation in their area of specialization. According to Cook & Lineberry (2016), they spend three to six months preparing for the examination, where they complete clinical hours and apply for residencies. Besides, they evaluate themselves through preparation examinations provided by various exam preparation specialists. For instance, they enroll at the Advanced Practice Education Associates (APEA), where they respond to online sources throughout the year.


The demand for healthcare services up-surges each day. Through this aspect, various healthcare facilities strive to offer excellent and timely services. In the quest to achieve these fetes, the employ qualified personnel in specialized fields. Specifically, PMHNPs should pass the APEA board examination to receive full approval Practicum Journal in Nursing Paper .


Adams, S. (2016). Collaborating in an Evolving Health Care System: Opportunities for Redesigning Health Care Delivery. Journal of the American Psychiatric Nurses Association, 22(1), 62-69.

Cook, D. A., & Lineberry, M. (2016). Consequences validity evidence: evaluating the impact of educational assessments. Academic Medicine, 91(6), 785-795.

Kane, C. (2015). The 2014 scope and standards of practice for psychiatric mental health nursing: Key updates. Online journal of issues in nursing, 20(1).

Starks, S. A., Outlaw, F., Graff, J. C., Likes, W., White-Means, S., Melaro, L., & Wicks, M. N. (2018). Quality of Life and African American Women Who are Family Caregivers: A Literature Review with Implications for Psychiatric Mental Health Advanced Practice Registered Nurses. Issues in mental health nursing, 1-15. Practicum Journal in Nursing Paper .

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