# Advanced Practice Psychiatric Nurses

> Assess, diagnose, and treat individuals and families with mental health or substance use disorders or the potential for such disorders. Apply therapeutic activities, including the prescription of medication, per state regulations, and the administration of psychotherapy.

- **SOC code:** 29-1141.02
- **Canonical URL:** https://singulariki.com/roles/role-29-1141-02
- **Also known as:** Advanced Practice Psychiatric Nurse, PMHNP (Psychiatric-Mental Health Nurse Practitioner), Psychiatric Clinical Nurse Specialist (Psychiatric CNS), Psychiatric NP (Psychiatric Nurse Practitioner), APN (Advanced Practice Nurse), Adult Psychiatric Mental Health APRN (Adult Psychiatric Mental Health Advanced Practice Registered Nurse), Board Certified Psychiatric Mental Health Clinical Nurse Specialist (BC PMH-CNS), Psychiatric APN (Psychiatric Advanced Practice Nurse)
- **Frame:** "AI exposure" means task overlap (how codifiable the work is), not jobs lost or a forecast. Every figure below is traced to a named public dataset.

## What this work is

**Core tasks** (O*NET):
- Assess patients' mental and physical status, based on the presenting symptoms and complaints.
- Educate patients and family members about mental health and medical conditions, preventive health measures, medications, or treatment plans.
- Document patients' medical and psychological histories, physical assessment results, diagnoses, treatment plans, prescriptions, or outcomes.
- Diagnose psychiatric disorders and mental health conditions.
- Write prescriptions for psychotropic medications as allowed by state regulations and collaborative practice agreements.
- Monitor patients' medication usage and results.
- Evaluate patients' behavior to formulate diagnoses or assess treatments.
- Distinguish between physiologically- and psychologically-based disorders, and diagnose appropriately.
- Develop and implement treatment plans.
- Conduct individual, group, or family psychotherapy for those with chronic or acute mental disorders.
- Participate in activities aimed at professional growth and development, including conferences or continuing education activities.
- Collaborate with interdisciplinary team members, including psychiatrists, psychologists, or nursing staff, to develop, implement, or evaluate treatment plans.

**Emerging tasks** (O*NET):
- Mentor nursing students.

## Skills, tools, capabilities

**Knowledge, skills & abilities** (O*NET, highest importance first):
- Psychology _(knowledge)_
- Therapy and Counseling _(knowledge)_
- Problem Sensitivity _(ability)_
- English Language _(knowledge)_
- Medicine and Dentistry _(knowledge)_
- Active Listening _(essential_skill)_
- Biology _(knowledge)_
- Social Perceptiveness _(transferable_skill)_
- Oral Comprehension _(ability)_
- Oral Expression _(ability)_
- Speaking _(essential_skill)_
- Written Comprehension _(ability)_

**Skills in demand:**
- Psychology _(Specialized Skill)_
- English Language _(Common Skill)_
- Active Listening _(Common Skill)_
- Biology _(Specialized Skill)_
- Social Perceptiveness _(Common Skill)_
- Deductive Reasoning _(Common Skill)_
- Writing _(Common Skill)_
- Time Management _(Common Skill)_
- Speech Recognition _(Specialized Skill)_
- Reading Comprehension _(Common Skill)_
- Inductive Reasoning _(Common Skill)_
- Critical Thinking _(Common Skill)_

**Tools & technology:**
- Microsoft Teams _(hot technology, in demand)_
- Microsoft Access _(hot technology)_
- Microsoft Excel _(hot technology)_
- Microsoft Office software _(hot technology)_
- Microsoft Outlook _(hot technology)_
- Microsoft Word _(hot technology)_
- SAS _(hot technology)_
- Google Meet _(in demand)_
- AUDIT-C
- Beck Anxiety Inventory
- Beck Depression Inventory
- Brief Psychiatric Rating Scale BPRS Nursing Modification

## AI exposure & outlook

- **AI task-overlap index:** 54th percentile (Moderate) across all occupations — composite of current-era exposure studies (ai-exposure-index-v1).
- **Overall AI exposure (Felten et al.):** 55th percentile (Moderate) — source: felten_aioe.
- **LLM task exposure, γ (OpenAI / Eloundou):** 70th percentile (High) — source: eloundou_gamma.
- **AI assistant applicability (Microsoft):** 39th percentile (Moderate) — source: microsoft_applicability.
- **Remote-capable (Dingel–Neiman):** no — task structure, not who actually works remote.
- **Projected employment (BLS 2024–34):** 4.9% growth (About average); 189.1k annual openings; 3,391k → 3,557.1k jobs.
- **Pay & employment (BLS OEWS, May 2024):** median $93,600; 3,282,010 employed.

## How people actually use AI here

Anthropic Economic Index — measured AI conversations mapped to this occupation's tasks:

- **Automation vs augmentation:** 26% automation, 67% augmentation (usage-weighted).
- **Autonomy median:** 4.0 (higher = AI acts more independently).
- **Dominant collaboration mode:** learning.

**Tasks most handed to AI here:**
- Direct or provide home health services. _(9.4% of measured AI use; learning)_
- Educate patients and family members about mental health and medical conditions, preventive health measures, medications, or treatment plans. _(6.5% of measured AI use; learning)_
- Interpret diagnostic or laboratory tests such as electrocardiograms (EKGs) and renal functioning tests. _(1.1% of measured AI use; learning)_
- Teach classes in mental health topics such as stress reduction. _(0.9% of measured AI use; learning)_
- Develop and implement treatment plans. _(0.7% of measured AI use; task iteration)_
- Monitor patients' medication usage and results. _(0.4% of measured AI use; learning)_
- Assess patients' mental and physical status based on the presenting symptoms and complaints. _(0.3% of measured AI use; learning)_

**Example prompts (honest phrasings of the tasks above — starting points, not endorsed instructions):**
- Help me direct or provide home health services.
- Help me educate patients and family members about mental health and medical conditions, preventive health measures, medications, or treatment plans.
- Help me interpret diagnostic or laboratory tests such as electrocardiograms (EKGs) and renal functioning tests.
- Help me teach classes in mental health topics such as stress reduction.
- Help me develop and implement treatment plans.

## Sources

- **O*NET** (30.3) — U.S. Department of Labor / National Center for O*NET Development. https://www.onetcenter.org/database.html
- **BLS Occupational Employment and Wage Statistics (OEWS)** (May 2024) — U.S. Bureau of Labor Statistics. https://www.bls.gov/oes/
- **BLS Employment Projections** (2024–2034) — U.S. Bureau of Labor Statistics. https://www.bls.gov/emp/
- **Anthropic Economic Index** (v4 (2026-01-15) + v2 (2025-03-27)) — Anthropic. https://www.anthropic.com/economic-index
- **Microsoft “Working with AI”** (working-with-ai) — Microsoft Research. https://www.microsoft.com/en-us/research/
- **“GPTs are GPTs” (Eloundou et al.)** (arXiv 2303.10130) — OpenAI / academic. https://arxiv.org/abs/2303.10130
- **AI Occupational Exposure (AIOE)** (Felten, Raj & Seamans) — academic. https://github.com/AIOE-Data/AIOE
- **Dingel & Neiman (2020)** (dingel-neiman-workathome) — academic. https://github.com/jdingel/DingelNeiman-workathome

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_Generated from Singulariki's joined dataset; data snapshot 2026-06-02T21:00:32.945303+00:00. https://singulariki.com/roles/role-29-1141-02_
