1: Psychiatric/Mental Health Nurse
Practitioner Assessment Exam With
Complete Solutions Latest Update
What are the four steps of "Beginning the Process"?
1. Establish therapeutic relationship
2. Set the stage for the assessment
3. Seek patient permission to consult with family
4. Safety
Initial Stage: Determining "_____ _________"
Chief Complaint
1. Document the problem in the patient's words
a. System presentation
-Affective
-Cognitive
-Physical
2. Examples: "I'm depressed."
What acronym is used for the History of Presenting Problems?
COLDSPA
C - Characteristics of symptoms
O - Onset
L - Location
D - Duration (How long do symptoms last?)
S - Severity
P - Precipitating factors/triggers
A - Alleviating factors
What 7 aspects are covered during Social History?
1. Roles
2. Relationships
,3. Education
4. Occupation/financial status
5. Living arrangements
6. Psychological trauma
7. Legal issues
Example: married, 3 children, grew up in Los Angeles, works as a psychologist full time
What 4 aspects are covered during Developmental History?
1. Born full term
2. Met developmental milestones
3. Learning disabilities/special education
4. Difficulties with teachers/authority figures
What is a family genogram?
Provides biological history and family process information, beginning with current family structure, then
exploring 2 generations past.
Describe autosomal dominance.
- Genetic inheritance (rare).
- Will be present in more than 1 generation
- 50% will pass on trait
Example: Huntington's disease, Neurofibromatosis type 1
Describe autosomal recessive.
- Expressed in one generation as inherited from unaffected parent
- 2 copies must be present (parents could be carriers and not affected)
1. Family genogram
2. Unusual symptoms and behaviors
3. Substance abuse/use
What should be asked about during the Personal Evaluation?
1. Evaluate strengths, hobbies, and areas of pride/competence/expertise
a. Coping strategies
Gottesman, Laursen, Bertelsen, and Mortensen's 2010 Study
, Both parents have schizophrenia:
_____% of children went to psychiatric facility
_____% of children went to psychiatric facility (incl. schizophrenia)
27.3% of children went to psychiatric facility
39.2% of children went to psychiatric facility (incl. schizophrenia)
Gottesman, Laursen, Bertelsen, and Mortensen's 2010 Study
One parent has schizophrenia:
_____% of children went to psychiatric facility (incl. schizophrenia)
7% of children went to psychiatric facility (incl. schizophrenia)
Gottesman, Laursen, Bertelsen, and Mortensen's 2010 Study
Neither parent has schizophrenia:
_____% of children went to psychiatric facility (incl. schizophrenia)
0.86% of children went to psychiatric facility (incl. schizophrenia)
Gottesman, Laursen, Bertelsen, and Mortensen's 2010 Study
Both parents have bipolar disorder
_____% of children have bipolar
_____% of children have bipolar (incl. unipolar depressive disorder)
24.9% of children have bipolar
36% of children have bipolar (incl. unipolar depressive disorder)
Gottesman, Laursen, Bertelsen, and Mortensen's 2010 Study
One parent has bipolar disorder
_____% of children has bipolar
4.4% of children has bipolar
Gottesman, Laursen, Bertelsen, and Mortensen's 2010 Study
Neither parent has bipolar disorder
_____% of children has bipolar
0.48% of children has bipolar
Gottesman, Laursen, Bertelsen, and Mortensen's 2010 Study
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