Exam 2: NR548/ NR 548 (Latest Update 2024/ 2025) Psychiatric Assessment for the Psychiatric-Mental Health Nurse Practitioner Review |Weeks 3-4 Covered| Questions and Verified Answers| 100% Correct- Chamberlain Q: Reduction of guilt seeks to directly reduce a patient's guilt about a specific behavio...
NR-548 Psychiatric Assessment for Psychiatric -Mental Health Nurse Practitioner Exam 2 Question: Reduction of guilt Answer: seeks to directly reduce a patient's guilt about a specific behavior in order to discover what they have been doing -useful i n obtaining a hx of domestic violence & other antisocial behavior Domestic Violence -"Have you ever been in situations where fights occurred and you were affected?" • If patient answers "yes," you can flesh out whether role was being a witness, victim, or perpetrator Question: According to Peplau's Theory of Interpersonal Relations, establishing early rapport allows the role of the nurse to evolve from stranger to: Answer: resource person, teacher, leader, surrogate, technical expert, and counselor Question: Establishing the Relationship Answer: -Trust is essential for a therapeutic alliance -First impressions are important -PMHNP should take time to make introductions and ensure the client is comfortable -Ask general questions to arrive at an empath ic understanding of how the client feels -Listen carefully and communicate an appreciation for the client's concerns -Building a trusting relationship based on respect, kindness, and acceptance will break down barriers and allow for client needs to be the center of the plan of care -Being present and openly engaged will enhance the communication experience Question: Three phases of the psychiatric interview Answer: 1. Opening phase 2. Body of the Interview 3. Closing the Interview Question: Opening phas e Answer: -first 5 -10 minutes -establish rapport & therapeutic alliance -often most important phase • establishes the foundation -begins with PMHNP asking "what brought you in to see me today?" Question: Body of the Interview Answer: -30-40 minutes -Chief Complaint Established • additional Q's asked to elicit info r/t the complaint -ask about HPI, family hx, social/developmental hx, medical hx, psychiatric ROS -basis for dx and tx formulation Question: Closing the Interview Answer: -5-10 minutes, f inal phase Should include 2 components: discussion of your assessment using patient education techniques & negotiated agreement about tx or f/u plans -wrap -up statement and inquiry about missing info that may be of value -Patient education regarding workin g dx & recommended plan of tx • education about meds if recommended -Homework may be assigned • especially in CBT -Return visit agreed upon Question: Four Tasks of the Diagnostic Interview Answer: 1. Build a therapeutic alliance 2. Obtain the psychiatric database 3. Interview for diagnosis
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 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 quiz_bit. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for £7.35. You're not tied to anything after your purchase.
