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  1. You should take (and pass) the PMHNP exam to become a PMHNP. Completing the coursework and earning a certificate alone doesn't qualify you to practice as a psych provider. There is also no such thing as an "ANCC exam for the ARNP" since there are multiple exams for different specialties. In most states, you will not need a separate license for a new specialty but you should look into your state law (or the state you intend to practice in). For instance, in my state, you would need to obtain an additional license since NP licenses are specialty-specific. After that, the rest is largely up to you and how you want to practice. Your next steps would depend on if you are looking for a new position or seeking to add mental health care to your current practice.
  2. pro-student

    Dilemma: FNP or AGNP -final semester

    You might as well change. Without a clinical you aren't going to be able to practice at all and without a quality clinical, you're not going to be prepared to provide quality care. Adult-Gero does include women's health so you still might (and definitely should) have adequate clinical exposure to this area.
  3. pro-student

    Dilemma choosing schools

    Ask Maryville for an extension. The worst they can say is no. Neither program is known for being competitive (although the PMHNP program at Fronteir is new) and tend to admit whoever meets their minimum criteria.
  4. pro-student

    Is being a pediatric NP easier?

    Haha, that's cute. Kids come with their own set of challenges, usually that means families. You will see all kinds of parenting styles and deal with parents who are extremely difficult to say the least. With kids, you also have to keep development in mind all the time. A lot of what we do as providers in screening but it's incredibly important to know what is normal variation and what warrants concern. It's been said that you don't appreciate how important a history is until you can't get one and with kids the ability to get any kind of actuate history can be next to impossible. While most kids are fairly healthy, when they are not, their care can get complicated in a hurry. Peds is certainly not easier, just a different set of challenges.
  5. pro-student

    Most valuable experience

    It's hard to answer that question without any context. The best experience will vary depending on what your goals are. There is no objectively best experience.
  6. Spend a little time figuring out what she wants and working from there. She is likely to be resistant to any plan you (or anyone else) tries to impose on here. Investing in building some rapport and guiding her to make a plan. For instance, if she wants to continue the pregnancy and hopes to raise a healthy child, gentle ask questions to get her to consider what changes she needs to make to give her the best chance of success. I'm a big fan of motivational interviewing because we can't change people but, if we can tap into what motivates them, we can help them make changes themselves. Remember the RULE of motivation: Resist the "righting" reflex or the instinct to fix her. Understand what motivates her because this is the only way you're going to have any chance of reaching her. Listen with empathy using all those therapeutic communication skills we (should have) learned. Empower her to make the changes she can and support her every step (even if that means a few steps backward).
  7. pro-student

    College selection for doctoral program

    I second this. I have read manuscripts from PhD students at both the mentioned online for-profit schools and they were laughably inadequate. The level was below what would be acceptable in (real) BSN programs. Interestingly, the faculty almost never appear as co-authors which is odd. Either the faculty don't even want to be associated with these manuscripts or they don't have any expertise in the area of the student's work to contribute anything of substance (or both).
  8. pro-student

    NP role in a code

    "Under current law, [APRNs] are able to pronounce death, ascertain the cause of death and provide the medical information required by the death certificate, but by Florida law, they are not authorized to sign the death certificate." This would seem to suggest that you could decide when to "call it" in a code but not sign the death certificate. In reality, however, this would depend on any policies the facility and/or collaborating physician have. I cannot imagine a scenario, however, when a kid is dying in an ED and a physician won't at least step into the room. Regardless of your previous experience, I would highly doubt you would be left alone to run a code in a hospital setting, particularly in the ED.
  9. pro-student

    FNP program passing grade

    In graduate schools in general, B (or B- if they use the plus/minus) is usually the minimum passing grade. Also, you are generally required to maintain at least a 3.0 GPA and if your semester GPA falls below that, you might find yourself on academic probation. This could mean if you get all Bs and one B- in a semester, you could be on probation even though they are all passing grades.
  10. pro-student

    Advice for changing my major. Leaving nursing?

    I would respectfully suggest that if you're only willing to put in as little time as necessary with people you or anyone else views as "less desirable" and if you use the term "undesireable" even if it is n quotes, you don't actually want to work in a helping profession. Nurses, teachers, social workers, etc... spend a majority of their professional lives caring for people no one else wants to precisely because those are the people in need of help. If you're looking for a career where you only have to punch your ticket working with these people (regardless of what you call them or who you try to brush it off on) then you will be sorely disappointed by ANY of the helping professions.
  11. pro-student

    Which nursing leadership role the hospital Exec's like?

    I'm not sure what you're asking because unless you are actually a provider billing fee-for-service, you actually cost the hospital money. Since most providers are not actually employees of hospitals, they also usually only generate revenue for the hospital if they admit patients or order services that the hospital can charge for (e.g. - labs, MRIs). This seems like the most bizarre way to choose a career direction because anyone in any role can be a valuable employee provided they do their job well and don't cost the hospital a lot of money, say, in insurance premiums, settlements, or disability payouts. I gather your interest is not in being a provider. Really, short of bringing in revenue, your financial benefit to a hospital is doing something worthwhile while costing the least. There's no degree for that. The custodian who does a great job, draws the smallest salary, and never calls in sick or takes vacation fits that bill. Shy of being an experienced healthcare executive with a proven track record of providing value to hospitals, in any capacity they are really just looking for someone reasonably competent who will work for a reasonable amount of compensation. A much more sensible question, and many e what you were getting at, "would be what roles do hospitals tend to view as valuable and what are the appropriate educational preparations for those roles?" To that I would suggest that two popular areas tend to be healthcare marketing and compliance/risk-management. There are specific concentrations in healthcare marketing in all kinds of degrees (MHA, MBA, MS) but a hospital is more likely to value your skill set rather than the specific letters. The same goes for risk management which you could do with an MBA, JD, MHA, even MPH. Just avoid the perception that you are "over educated" because then they will tend to think you'll want a higher salary.
  12. pro-student

    Academic adviser says I'm selling myself short by going into nursing.

    Wait, she thinks you're selling yourself short going into nursing but then cautioning you because it's too hard to get into? Doesn't make any sense. Is she a nurse? Chances are that, unless she is, she probably doesn't have a good idea of what nursing really is like. I would reach out the the nursing department at your school. See if there is someone who actually is a nurse that you can talk to.
  13. pro-student

    Statistics class

    The basic content is probably very similar but the psych version will likely be more applied. The type of examples they are likely to use in psych stats are probably closer to what we encounter in nursing whereas a math stats class will probably have examples from all across the board. If you can take either, I would probably choose the psych stats although if you're thinking about grad school, there might be some programs that won't consider it a stats class (most probably will but definitely save you syllabus in case you need to prove that).
  14. pro-student

    Psych NP & psychotherapy

    PMHNPs are expected to be trained and qualified to provide psychotherapy in addition to their other functions however the reality of both education and the job market heavily lean away from psychotherapy. In most job markets, it simply is not practical to hire PMHNPs to do therapy (even if it only makes up a part of their clinical time). First of all, most employers could hire on average 3-4 master's prepared therapists for they same salary as 1 NP. Meanwhile, they can schedule that NP for 5-15 minute med check appointments which are often reimbursed at a hire rate than the hour long therapy sessions (and are more likely to be covered by insurance). Second, the other master's prepared therapists they could hire typically went through a degree the was mostly, if not entirely, focused on providing psychotherapy including significantly more didactic and clinical practice in psychotherapy. You certainly could pursue an additional advanced degree in mental health that is more focused on therapy however, beyond the basics, therapy is best learned by practice (ideally with some supervision). A quality PMHNP program will give you at least the basics and some programs are quite well-rounded in their training of providers. Nonetheless, the major trend is for PMHNPs to be prescribers who know about therapy rather than therapists who also prescribe. There are also psychotherapy fellowships (especially for psychodynamic/psychoanalytic) that are open to PMHNPs but these are generally only found on the coasts and can be competitive. Since the advent of the Consensus Model, all PMHNP programs are now required to include the whole lifespan (child, adolescent, adult, and older adult). Essentially every other mental health profession still trains providers who specialize in either child/adolescent or adult because there are pretty significant differences between these populations in terms of assessment, diagnosis, and treatment. Since most practicing and academic PMHNPs were trained as specialists, the quality of training for this lifespan still remains to be seen. Once you get out of school and pass boards, you're obviously free to practice with only a specific population but I think the move to lifespan scope of practice has just further diluted the psychotherapy content and practice in grad programs. I think a lot boils down to the quality of program you attend and being able to negotiate a position that provides some ability/support for your desire to be a complete mental health provider. Some people have been successful in moving into a private/group practice after a few years of initial experience that gives them the freedom to be the kind of provider they would like to be. If you can network into a practice or have enough of an entrepreneurial spirit to wade into private practice, then I think the PMHNP could be ideally suited to your career goals. But it will be a bit of an uphill battle to get there. I hope that help and wish you the best of luck regardless of what route you choose.
  15. pro-student

    Vanderbilt - have they stopped securing preceptors, too?

    It depends on your specialty but they are very careful not to do anything that guarantees (or suggests a guarantee of) clinical placements. When I was at Vanderbilt, we were told that local clinical placements were considered those within a 2 hour (one way) commute and that for at least one semester you would be expected to take a clinical placement outside this area. This was all for "local" students who also took classes on campus. If you are a distance student, you are really on your own to find a clinical site. They will often share will you if they happen to have a contact in your area or if there is a site a previous student has used but you might have to press them for that.