100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
Previously searched by you
NR548 Exam 3 Psychiatric Assessment for the PMHNP Latest Update Questions and 100% Verified Correct Answers Actual Exam Guaranteed A+ Brand NEW!!!!!!!$20.49
Add to cart
NR548 Exam 3 Psychiatric Assessment for the
PMHNP Latest Update 2024-2025 110 Questions
and 100% Verified Correct Answers Actual Exam
Guaranteed A+ Brand NEW!!!!!!!
ABSATTC - CORRECT ANSWER: Mnemonic for Elements of the Mental Status
Examination
-All Borderline Subjects Are Tough, Troubled Characters
• Appearance
• Behavior
• Speech
• Affect
• Thought process
• Thought content
• Cognitive examination
All components of a clinical encounter should be documented including: - CORRECT
ANSWER: • chief complaint
• referral source
• history of present illness
• current treatments including medications and therapies
• past medical, family, social histories
• review of systems
• mental status examination
• diagnosis
• treatment plan
An absence of speech is seen with some diagnoses such as ___________ - CORRECT
ANSWER: dementia
,Assessment - CORRECT ANSWER: -includes the diagnosis
-concise and informative
-A list of differential diagnoses may be included, but the initial diagnosis listed is the
DSM-5 TR diagnosis.
Chief Complaint - CORRECT ANSWER: reason client gives for presenting for treatment
at this time; typically, a direct quotation or subjective statement
Closing the Interview - CORRECT ANSWER: PMHNP explains the diagnosis and
treatment options to the client
-offers an opportunity for the client to ask questions and give input
-discussion includes recommendations for any additional psychological assessments
and laboratory testing needed
-education regarding recommended medications and therapies
-If a need to collaborate with other providers for information or treatment, the PMHNP
should seek permission from the client at this time to do so
-opportunity to address any client concerns about stigma
-discuss need for F/U care
closure - CORRECT ANSWER: -final phase of the psychiatric interview process
-provides the client with a summary and findings of the interview and allows for
discussion of future plans
-PMHNP may provide education during this phase
Common problematic request - patient seeks hospitalization for a problem that can be
treated in an outpatient setting: What is important to keep in mind? - CORRECT
ANSWER: possibility that the patient is suffering much more than originally indicated
-their request for hospitalization is their way of obliquely disclosing that.
-may need to reassess for SI at this point, if still satisfied that hospitalization is not
indicated, discuss other options:
,• Day hospitalization
• Respite care
• Staying with a friend or relative for a while if the home situation is intolerable
• Taking a few days off from work
• Having the patient call you (or another clinician) for daily check-ins during a crisis
period
• Setting up more frequent appointments
• A short course of an antianxiety medication
Documentation - CORRECT ANSWER: Use the ten minutes following the 50-minute
interview to record clinical findings
-facilitates communication with other members of the healthcare team
-provides information to insurance companies and third parties for billing and
reimbursement
-required to satisfy legal requirements and mitigate risk
• Careful and thorough record-keeping is imperative in the event of litigation
DSM-5 TR vs Diagnosis - CORRECT ANSWER: includes all diagnoses involving
psychiatric, personality, or medical disorders
Elicit the Patient's Agenda - CORRECT ANSWER: elicit it with a simple question, such
as:
How do you hope I can help you?
How were you hoping that I could help you to feel better?
-Sometimes patients have a pretty clear idea of what they'd like; medication, counseling,
advice about something, a letter to someone
-don't have a specific request or agenda; don't force the issue with these patients
Factors that affect the interpretation of the MSE - CORRECT ANSWER: culture
native language
, educational level
literacy
social factors
Family History - CORRECT ANSWER: -includes history of psychiatric disorders,
substance abuse, and suicide in the client's family
-provides an understanding of the client's home life, their childhood experiences,
education, and relationships
-genogram will suffice for family psychiatric hx
final step of the psychiatric interview - CORRECT ANSWER: documentation
-Thorough, accurate documentation is necessary for clinical and legal purposes
Follow-Up care - CORRECT ANSWER: PMHNP should discuss the need for follow-up
care with the client during the closure of the interview
-include clients in determining the need for and frequency of follow-up visits
• promote adherence
-Two-week intervals are common when starting new medications
• assess for tolerability, efficacy, and the need for dose adjustment
-four-week intervals (or longer) are typical for stable clients
-Scheduling future visits is important as noncompliance is common in mental health
Follow-Up homework - CORRECT ANSWER: PMHNP may assign homework to the
client
-especially when tx plan includes cognitive-behavioral or family therapy
-explain the purpose and goal of the assignment
-explain whether the client will be expected to report on the homework at the next
appointment
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Tutordiligent. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $20.49. You're not tied to anything after your purchase.
