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Exam 2: NR 548- Psychiatric Assessment for the Psychiatric-Mental Health Questions with Verified Answers | Latest 2024/2025 – Chamberlain.

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How to approach threatening topics (sensitive/embarrassing material) -Normalization -Symptom Expectation -Symptom Exaggeration -Reduction of Guilt -Use Familiar Language When Asking about Behaviors According to Peplau's Theory of Interpersonal Relations, establishing early rapport allows t...

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  • October 10, 2024
  • 32
  • 2024/2025
  • Exam (elaborations)
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  • exam 2 nr 548
  • exam 2 nr 548 psychiatric assessment
  • nr 548 psychiatric assessment for the psy

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Exam 2: NR 548- Psychiatric Assessment for the
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Psychiatric-Mental Health Questions with Verified i- i- i- i- i-




Answers | Latest 2024/2025 – Chamberlain. i- i- i- i- i- i-




How to approach threatening topics (sensitive/embarrassing material)
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-Normalization
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-Symptom Expectation i-




-Symptom Exaggeration i-




-Reduction of Guilt i- i-




-Use Familiar Language When Asking about Behaviors
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According to Peplau's Theory of Interpersonal Relations, establishing
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early rapport allows the role of the nurse to evolve from stranger to:
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resource person, teacher, leader, surrogate, technical expert, and
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counselor


Active Listening i- i-i- i- involves preparing to be fully attentive to the
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interaction
-note verbal and non-verbal cues
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• including what is said and how it is said
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-indicate attentiveness through their feedback and body language
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,Delusional clients require: i- i- i-i- i- patience and understanding during the i- i- i- i- i-



psychiatric interview i-




-Avoid disagreeing with them or denying the reality of their delusions
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Normalization i-i- i- Introducing Q with some type of normalizing i- i- i- i- i- i- i-



statement
-two principal ways to do this:
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1. start the question by implying that the behavior is a normal or
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understandable response to a mood or situation i- i- i- i- i- i-




• ex: Sometimes when people are very depressed, they think of hurting
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themselves. Has this been true for you? i- i- i- i- i- i-




2. Begin by describing another patient (or patients) who has engaged in
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the behavior, showing your patient that she is not alone
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• ex: I've talked to several patients who've said that their depression
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causes them to have strange experiences, like hearing voices or thinking
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that strangers are laughing at them. Has that been happening to you?
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Symptom Expectation i- i-i- i- communicate that a behavior is in some way i- i- i- i- i- i- i- i-



normal or expected i- i-




-Phrase your Q's to imply that you already assume the patient has
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engaged in some behavior and that you will not be offended by a positive
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response
-high index of suspicion of some self-destructive activity
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,-Ex: patient is profoundly depressed and has expressed feelings of
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hopelessness. You suspect suicidality, but you sense that the patient mayi- i- i- i- i- i- i- i- i- i- i-



be too ashamed to admit it. Rather than gingerly asking "Have you had
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any thoughts that you'd be better off dead?" you might decide to use
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symptom expectation. "What kinds of ways to hurt yourself have you
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thought about?" i-




*reserve this technique for situations in which it seems appropriate
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Symptom Exaggeration suggesting a frequency of a problematic
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behavior that is higher than your expectation, so that the patient feels
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that their actual, lower frequency of the behavior will not be perceived
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by you as being "bad."
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-helpful in clarifying the severity of symptoms
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*reserve this technique for situations in which it seems appropriate
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Reduction of guilt seeks to directly reduce a patient's guilt about a
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specific behavior in order to discover what they have been doing
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-useful in obtaining a hx of domestic violence & other antisocial behavior
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Domestic Violence i-




-"Have you ever been in situations where fights occurred and you were
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affected?"

, • If patient answers "yes," you can flesh out whether role was being a
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witness, victim, or perpetrator
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Psychiatric interview i- i-i- i- the process by which psychiatric assessment is
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conducted
-primary tasks i-




• building a therapeutic alliance between the PMHNP & client
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• obtaining a database of psychiatric info about the client
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• establishing a dx
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• negotiating a tx plan
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Therapeutic Alliance a feeling that you should create over the course
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of the diagnostic interview, a sense of rapport, trust, and warmth
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-most important goal of the interview process
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-the cooperative working relationship between the therapist and client
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• begins during the initial or opening phase of the interview
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-fundamental component of successful therapy i- i- i- i-




• Without trust, adherence to treatment recommendations may be
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compromised
• interview may not elicit the information needed to formulate an
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appropriate dx & plan of care without rapport & trusti- i- i- i- i- i- i- i- i-




Creating rapport: tips i- i- i-i- -Be Yourself
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