# COMAR Title 10 — Maryland Department of Health

## Subtitle 27 — Board of Nursing

### Chapter 12 — Nurse Psychotherapists in Independent Practice — Clinical Nurse Specialists

#### Regulation .02 Definitions.

*COMAR 10.27.12.02*

A. The following terms have the meanings indicated.

B. Terms Defined.

  (1) “Advanced practice registered nurse (APRN)” means a registered nurse who is certified by the Board as:

    (a) A certified nurse midwife (CNM);

    (b) A certified registered nurse anesthetist (CRNA);

    (c) A certified nurse practitioner (CRNP); or

    (d) A clinical nurse specialist (CNS).

  (2) “Board” means the Maryland Board of Nursing.

  (3) “Certification” means the permission to practice as a PMH/APRN granted by the Board to a registered nurse who has:

    (a) Met all the specified requirements of a national certifying body recognized by the Board; and

    (b) Complied with the requirements of this chapter.

  (4) “Mental health diagnosis” means the identification of a potential or an actual alteration in an individual's mental health status.

  (5) “Multistate licensure privilege” has the meaning set forth in COMAR 10.27.01.01B.

  (6) “Nurse psychotherapist” means a registered nurse, certified under this chapter, who utilizes psychotherapy in a formally structured, contractual relationship between the nurse therapist and a client.

  (7) “Psychiatric mental health/ advanced practice registered nurse (PMH/APRN)” means an advanced practice registered nurse who:

    (a) Is certified by the Board as a clinical nurse specialist in the practice of psychiatric mental health; and

    (b) Autonomously and independently engages in activities authorized by this chapter.

  (8) “Psychobiological interventions” means interventions which integrate physiological and psychological dimensions of care and include a range of therapies from diet/nutrition regulation, hypnosis, and relaxation techniques to the use of pharmacologic agents.

  (9) “Registered nurse (RN)” means an individual who:

    (a) Is licensed by the Board to practice registered nursing; or

    (b) Has a multistate licensure privilege to practice registered nursing.