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Barkley PMHNP Cert Review Exam Questions And Correct Answers
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Barkley PMHNP Cert Review Exam Questions And Correct AnswersTo initiate the evaluation process you would determine: - Answer Therapeutic
relationship/ working diagnosis/need for further evaluation and testing/initial plan of
care.
Pre-interview review: - Answer referral information/ patient questionnaires/ health
assessments
You would establish the context and relax the client by: - Answer Introduce yourself
(consider cultural norms)/ ensure you won't be interrupted/ consider clinician safety,
with exit strategies if patient should escalate.
Chief complaint: document the problem in the patient's words/
are symptoms: affective/ cognitive/ physical
seek permission to consult with family member
History of presenting problems: duration of problem (s)
What other things were going on in their life when they started to have problems.
Precipitating factors: 1. exacerbating factors
2. triggers
3. connecting events
4. causality
Social History: 1. changes in role or social function
2. history of abuse and victimization
, Social and developmental history: - Answer 1. identify who played roles in person's life.
2. Who are presently involved.
3. Social support
Family genogram: - Answer biological: eval autosomal dominant genetic inheritance
which is rare: present in more than one generation
~autosomal recessive- expressed in one generation
process: examine family patterns of communication and relating.
Social history continued: - Answer 1. friendships/ relationships with service providers
2. religious groups and/or clergy
3. history re: intimate relationships
4. status of interpersonal relationships
5. are important people in client's life- loving vs angry
6. involvement of family or other's in client's care
7. client's living situation
8. occupational status
9. educational/training status
10. financial situation
11. difficulties of activities of daily living
Family history: - Answer 1. family members with mental illness
2. unusual symptoms and behaviors
3. substance abuse/use
Personal Evaluation - Answer evaluate strengths, hobbies, and area of pride/expertise/
competence- coping stratagies
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