Exam 2: NR548 / NR 548 (Latest
Update ) Psychiatric
Assessment for Psychiatric-Mental
Health Nurse Practitioner |
Questions & Answers | 100%
Correct | Grade A - Chamberlain
Question:
Initial assessment: the psychiatric history
Answer:
-chief complaint
-history of present illness (HPI)
-psychiatric hx
-medical hx
-family hx
-social & developmental hx
,Question:
Comprehensive Health History
Answer:
-Chief Complaint
-History of Present Illness
-Past Medical History
-Medications and Allergies
-Family History
-Personal and Social History
-Review of Systems
Question:
chief complaint
Answer:
client's reason for seeking treatment or evaluation
-Using the client's own words
• even if improbable or nonsensical, conveys valuable information about the
client's capacity for self-observation and insight.
Question:
HPI
Answer:
history of the present illness
,-concise, clear, and chronological description of the chief complaint which
prompted the client's visit
• details what the client believes to be causing the present symptoms
-guided by the mnemonic "OLDCARTS"
-gather information about the timeframe of symptom onset or exacerbation,
triggers or stressful life events, and recent treatment and treatment changes
-nature of the symptoms, when they emerged, and how they have progressed
-Documentation:
• opening statement
• characterization of the chief complaint in chronological order
• pertinent positive symptoms
• pertinent negative symptoms
• other relevant info. from the hx
symptom characteristics should be described in detail
Question:
Obtaining the HPI
Answer:
Two approaches:
-History of present crisis approach
• Often, psychiatric crises occur over a 1- to 4-week period, so focus your initial
questions on this period.
, • What has been happening over the past week or two that has brought you
into the clinic?
• Tell me about some of the stressors you've dealt with over the past couple of
weeks.
-History of the syndrome approach
• ascertaining when the patient first remembers signs of the illness.
• When did you first begin having these kinds of problems?
• When was the last time you remember feeling perfectly well?
Question:
PMH
Answer:
-past medical history includes all current and old medical problems
• childhood illness
• adult illness
• surgical
• obstetric/gynecologic
• psychiatric
• health maintenance
-major medical illness or surgery may precipitate a psychiatric disturbance
-name and dosing schedule for all currently meds to avoid risk of adverse
interactions with new psychiatric prescriptions
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