Exam 2: NR548/ NR 548 (Latest Update) Psychiatric Assessment for the Psychiatric-Mental Health Nurse Practitioner Review |Weeks 3-4 Covered| Questions and Verified Answers| 100% Correct- Chamberlain

Exam 2: NR548/ NR 548 (Latest Update) 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
Answer:
seeks to directly reduce a patient's guilt about a specific behavior in order to discover what they
have been doing
-useful in 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
Q: 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
Q: 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
Q: three phases of the psychiatric interview
Answer:
1. Opening phase
2. Body of the Interview
3. Closing the Interview
Q: Opening phase
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?"
Q: 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
Q: 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
Q: Four Tasks of the Diagnostic Interview
Answer:
1. Build a therapeutic alliance
2. Obtain the psychiatric database
3. Interview for diagnosis
4. Negotiate a tx plan with your patient
Q: Obtain the Psychiatric Database
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
Q: Tricks for Improving Patient Recall
Answer:
-Anchor Questions to Memorable Events
• major transitions (graduations and birthdays), holidays, accidents or illnesses, major purchases
(a house or a car), seasonal events ("hurricane Katrina"), or public events (such as 9/11 or
President Obama's election)
-Tag Questions with Specific Examples

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