2024 NR548 EXAM 2 / NR 548 EXAM 2 WITH 100% COMPLETE SOLUTIONS RATED A : PSYCHIATRIC ASSESSMENT FOR THE PSYCHIATRIC MENTAL HEALTH N URSE PRACTITIONER REVIEW WEEK 3 -4 EXAM (80 QUESTIONS AND CORRECT ANSWERS) | (EXPERT VERIFIED) Much of the information collected during the interview is obtained through ______________ & ______________ - ✔✔✔ Correct Answer > active listening & observation Non -verbal communication: - ✔✔✔ Correct Answer > Active listening Using touch Using silence Normalization - ✔✔✔ Correct Answer > Introducing Q with some type of normalizing statement -two principal ways to do this: 1. start the question by implying that the behavior is a normal or understandable response to a mood or situation • ex: Sometimes when p eople are very depressed, they think of hurting themselves. Has this been true for you? 2. Begin by describing another patient (or patients) who has engaged in the behavior, showing your patient that she is not alone • ex: I've talked to several patients who've said that their depression causes them to have strange experiences, like hearing voices or thinking that strangers are laughing at them. Has that been happening to you? Observation - ✔✔✔ Correct Answer > may include client presentation, grooming, and facial expressions -Observation skills are also used to collect objective data Obtain the Psychiatric Database - ✔✔✔ Correct Answer > Also known as the psychiatric history -includes historical information relevant to the current clinical presentation • history of present illness, psychiatric history, medical history, family psychiatric history, and aspects of the social and developmental history Obtaining the HPI - ✔✔✔ Correct Answer > Two approaches: -History of present crisis approach • Often, psychiat ric 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 cou ple 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? Opening phase - ✔✔✔ Correct 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?" Patient Handouts - ✔✔✔ Correct Answer > written information about disorder Advantages -increase patients' understanding of their diagnosis -sense that they are collaborating in their tx Disadvantages -may present more info than some patients can handle -Info may be misinterpreted Patient Questionnaire - ✔✔✔ Correct Answer > decrease the time needed to acquire basic information Advantages -allows more time during the first session to focus o n issues of immediate concern to the patient -may heighten patient's sense they're actively participating in their care Disadvantages -invalid information may be collected -Some patients may view filling out the questionnaire as a burden Personal and Soci al Hx - ✔✔✔ Correct Answer > Personal Hx: -personality and interests, sources of support, coping style, strengths, and concerns -sexual orientation and gender identification, occupation and education, relationships, safety, spirituality, and support system s -older adults/clients with diabilities: level of function and activities of daily living
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