PMHNP ASSESSMENT
INITIAL STAGE: "CHIEF COMPLAINT"
-History Of Presenting Problems
-Social History
-Developmental History
-Family history
-Personal Evaluation
-Genetics
-Culture , religion, spirituality
-Past Psychiatric History
-Medical History (
-Sleep
-Substance use assessment - correct answer ✔SYMPTOM OF
PRESENTING PROBLEM-the patients words
-Affective
-Cognitive
-Physical
i.e "I am depressed"
History of presenting problems - correct answer ✔C- Characteristics of
Symptoms
O-Onset
L-Lingering (how long has the symptoms been going on?; days, weeks,
months)
D-Duration(How long do symptoms last)
S-Stressors
, P-Precipitating factors/triggers
A-Alleviating factors
Social History - correct answer ✔Roles, Relationships, Education,
Occupation/financial status, Living arrangement, Psychological trauma, Legal
issues
Developmental History - correct answer ✔Born full term, Met developmental
milestones, Learning disabilities/special education, difficulties with
teachers/authority figure.
Autosmal Dominant - correct answer ✔Abnormal gene from one parent
produces disease.
-Will be present in more than one generation
-50% will pass trait
example of autosomal dominant - correct answer ✔Huntington's disease,
Neurofibromatosis type 1
autosomal recessive - correct answer ✔two copies of an abnormal gene
must be present in order for the disease or trait to develop. (parents could be
carriers and not be affected by the disease)
Example of Austosomal Recessive - correct answer ✔Cystic Fibrosis, sicke
cell, tay-sach disease
GENETICS-Gottesman, Laursen, Berelsen, Mortensen 2010 study - correct
answer ✔Rates of schizophrenia highest among offspring of two parents with
schizophrenia, bipolar
INITIAL STAGE: "CHIEF COMPLAINT"
-History Of Presenting Problems
-Social History
-Developmental History
-Family history
-Personal Evaluation
-Genetics
-Culture , religion, spirituality
-Past Psychiatric History
-Medical History (
-Sleep
-Substance use assessment - correct answer ✔SYMPTOM OF
PRESENTING PROBLEM-the patients words
-Affective
-Cognitive
-Physical
i.e "I am depressed"
History of presenting problems - correct answer ✔C- Characteristics of
Symptoms
O-Onset
L-Lingering (how long has the symptoms been going on?; days, weeks,
months)
D-Duration(How long do symptoms last)
S-Stressors
, P-Precipitating factors/triggers
A-Alleviating factors
Social History - correct answer ✔Roles, Relationships, Education,
Occupation/financial status, Living arrangement, Psychological trauma, Legal
issues
Developmental History - correct answer ✔Born full term, Met developmental
milestones, Learning disabilities/special education, difficulties with
teachers/authority figure.
Autosmal Dominant - correct answer ✔Abnormal gene from one parent
produces disease.
-Will be present in more than one generation
-50% will pass trait
example of autosomal dominant - correct answer ✔Huntington's disease,
Neurofibromatosis type 1
autosomal recessive - correct answer ✔two copies of an abnormal gene
must be present in order for the disease or trait to develop. (parents could be
carriers and not be affected by the disease)
Example of Austosomal Recessive - correct answer ✔Cystic Fibrosis, sicke
cell, tay-sach disease
GENETICS-Gottesman, Laursen, Berelsen, Mortensen 2010 study - correct
answer ✔Rates of schizophrenia highest among offspring of two parents with
schizophrenia, bipolar
