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Examl 3:l NRl 548/l NR548l (Latestl 2026/l
2027l Update)l Psychiatricl Assessmentl forl Psychiatric-Mentall Healthl Nursel Practitionerl Guidel |Q/Al |l Gradel A|l 100%l Correctl (Verifiedl Answers)l - Chamberlain
Q:l Behavior
Answer:
refersl tol howl thel clientl presentsl themselvesl duringl thel examination -friendlyl andl cooperativel towardsl you?l -indifferentl andl apathetic?l -sitl downl andl facel you?l agitatedl andl pacing?l
-contextl helps:l scheduled,l orl ER?
Assess:l eyel contact,l psychomotorl activityl (increasedl orl decreased),l movements,l mannerisms,l stereotypes,l posturingl
Observel howl clientl respondsl tol thel exam:l arel responsesl appropriate?l canl theyl sitl stilll throughl thel exam?l howl isl theirl gaitl whenl theyl walkedl intol thel office?l arel movementsl coordinated,l slowed,l orl excessive?
Culturall considerations:l sensitivel tol culturall variationsl inl behavior.l Forl example,l inl somel cultures,l directl eyel contactl isl al signl ofl disrespectl andl isl notl encouraged.l Physicall contactl betweenl gendersl mayl bel taboo.l Manifestationsl ofl griefl varyl widelyl acrossl cultures.l Inl culturesl wherel significantl mentall healthl stigmasl exist,l psychiatricl symptomsl mayl bel somaticizedl andl describedl inl termsl ofl physicall sensations.l Behaviorl thatl differsl froml thel culturall normsl ofl thel providerl mayl inadvertentlyl bel assessedl asl representingl al psychiatricl diagnosisl ifl thel providerl isl unawarel ofl thel influencel ofl culture.
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Q:l Affectl vsl mood
Answer:
Mood:l client'sl statel ofl mindl orl prevalentl emotionall state;l self-reportedl (1l tol 10)l Stablel describesl al moodl thatl isl appropriatel tol someone'sl currentl situation.l otherl descriptors:l bright,l happy,l angry,l agitated,l irritable,l labile,l anxious,l depressed,l euphoricl
Affect:l thel physicall manifestationl ofl thel client'sl emotionall statel asl observedl byl thel provider
Descriptors:l normal,l blunted,l flat,l bizarre,l dysphoric,l orl euphoric
Q:l Affectl descriptors
Answer:
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Q:l Speech
Answer:
assessl rate,l rhythm,l latency,l volume,l andl contentl -fastl orl slow?l -rhythml monotonel orl slurred?-increasedl orl decreasedl pausesl betweenl questionsl andl answers?l =l latency.l manicl patientsl =l quickl response;l depressedl =l slow;l catatonicl =l takesl 20l tol 30l secondsl beforel respondingl -volumel soft,l normal,l orl loud?l loudl usuallyl indicatesl manic,l irritable,l anxiety.l lowl =l depression/shyness.l *speechl patternsl canl bel diagnosticl indicatorsl ofl al mentall healthl issuesl whenl consideredl inl thel contextl ofl otherl assessmentl findings.l -
Ex:l
-individuall presentsl withl extremelyl rapidl andl pressuredl speechl withl constantl interruptionsl mayl bel experiencingl hypomanial orl mania -absencel ofl speechl commonl inl dementiall -non-sensicall speechl inl psychoticl disordersl
rapidl speechl canl alsol bel signl ofl anxietyl orl normal
Q:l 4l qualitiesl ofl affect
Answer:
1.l Stability:l refersl tol al continuuml froml stablel affectl (normal)l tol labilel affectl (abnormal).l markedl labilityl ofl affectl (ex:l whenl al patientl alternatesl betweenl gigglingl andl uncontrollablel sobbing)l isl usuallyl al markerl ofl eitherl manial orl acutel psychosis;l canl alsol bel seenl inl demential 2.l Appropriateness:l ptl whol laughsl uncontrollablyl whilel talkingl aboutl herl mother'sl deathl isl exhibitingl inappropriatel affect,l whichl isl oftenl seenl inl psychosisl orl mania.l carefull notl tol overpathologize;l manyl intactl peoplel smilel al bitl whenl talkingl aboutl sadl things.l Thisl mayl reflectl al defensel mechanisml suchl asl deniall ratherl thanl psychosis.
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