Exam (elaborations)
NR 548 Exam 2 (Latest 2024 / 2025): |Questions and Verified Answers| 100% Correct - Chamberlain
- Course
- Institution
NR 548 Exam 2 (Latest 2024 / 2025): |Questions and Verified Answers| 100% Correct - Chamberlain
[Show more]
Content preview
NR 548 Exam 2 (Latest ): |Questions andVerified Answers| 100% Correct - Chamberlain
According to Peplau's Theory of Interpersonal Relations, establishing early rapport
allows the role of the nurse to evolve from stranger to: - ANSWERresource person,
teacher, leader, surrogate, technical expert, and counselor
Active Listening - ANSWERinvolves preparing to be fully attentive to the interaction
-note verbal and non-verbal cues
• including what is said and how it is said
-indicate attentiveness through their feedback and body language
Advanced communication skills - ANSWERcritical listening
critical questioning
critical thinking
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
chief complaint - ANSWERclient'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.
Client Considerations: mute or catatonic clients - ANSWERuse of observation
techniques will help in formulating a potential diagnosis.
Closing the Interview - ANSWER-5-10 minutes, final 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 working dx & recommended plan of tx
• education about meds if recommended
-Homework may be assigned
• especially in CBT
-Return visit agreed upon
Common precipitants of psychiatric syndromes - ANSWER-arguments with friends or
relatives
-rejection or abandonment
-death or major illness of loved ones
,-anniversary of a negative event, such as a death or divorce
-major medical illness or age-related deterioration in functioning
-stressful events at work or school
-mental health clinician going on vacation
-medication noncompliance
-substance abuse
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
Creating rapport: tips - ANSWER-Be Yourself
-Be Warm, Courteous, and Emotionally Sensitive
-Actively Defuse the Strangeness of the Clinical Situation
-Give Your Patient the Opening Word
-Gain Your Patient's Trust by Projecting Competence
Delusional clients require: - ANSWERpatience and understanding during the psychiatric
interview
-Avoid disagreeing with them or denying the reality of their delusions
essential questions: Syndromal history - ANSWERHow old were you when you first had
these symptoms?
How many episodes have you had?
When was the last episode?
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 empathic 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
Family Hx - ANSWERDocument info about the client's parents, grandparents, siblings,
children, and grandchildren
-regarding age, health, & cause of death.
-Include whether they have conditions such as hypertension, coronary artery disease,
stroke, diabetes, or cancer.
-Many psychiatric disorders have a genetic component
, • info about family psych hx including tx that was successful/unsuccessful may help
form dx/tx plan, can help ID those available for support, ID stresses/contributing factors
to clients condition
Focused Questions for The Psychiatric Assessment: Family Psychiatric History -
ANSWER-Has any relative of yours ever been hospitalized for a mental health issue?
-Has any blood relative of yours ever been diagnosed with a mental health issue?
-Has any blood relative of yours had a history of seizures or dementia/Alzheimer's?
Focused Questions for The Psychiatric Assessment: History of Present Illness -
ANSWER-How long have you been feeling this way?
-Did something happen in your life that may have triggered these emotions?
-How is this current situation impacting your life?
Focused Questions for The Psychiatric Assessment: Medical History/Screening for
General Medical Conditions - ANSWER-Do you have a primary care provider?
-Do you have any medical illnesses?
-Are you currently taking any medications or herbal supplements?
-Do you have any allergies to medications?
-Have you ever been hospitalized for any reason?
-Have you ever had surgery?
Focused Questions for The Psychiatric Assessment: Social and Developmental History
- ANSWER-Tell me a little bit about your childhood and how you grew up.
-How was your experience in school when you were younger? Did you enjoy school?
-How do you support yourself with your finances?
-Do you have a good support system? Are you currently in a relationship? Where do
you live? Who do you live with?
-What do you do in your free time? What activities do you enjoy?
Focused Questions for The Psychiatric Assessment: The Psychiatric History -
ANSWER-Have you ever been hospitalized for any mental health issues?
-Have you ever had counseling or psychotherapy?
-Have you ever taken medications for your mental health in the past?
-Are you currently on any medications for mental health or sleep?
Four Tasks of the Diagnostic Interview - ANSWER1. Build a therapeutic alliance
2. Obtain the psychiatric database
3. Interview for diagnosis
4. Negotiate a tx plan with your patient
Go CHaMP - ANSWERMnemonic for tx hx:
General questions
Current caregivers
Hospitalization history
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 or Stuvia-credit 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 Americannursingaassociation. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $17.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
81113 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now