2024 NR548 WEEK 4 EXAM WITH
100% CORRECT ANSWERS
Initial assessment: the psychiatric history - CORRECT ANSWERS- -chief complaint
-history of present illness (HPI)
-psychiatric hx
-medical hx
-family hx
-social & developmental hx
PMH - CORRECT ANSWERS- -past medical history includes all current and old
medical problems
• childhood illness
• adult illness
• surgical
• obstetric/gynecologic
• psychiatric
• health maintenance
-major medical illness or surgery may precipitate a psychiatric disturbance
-name and dosing schedule for all currently meds to avoid risk of adverse
interactions with new psychiatric prescriptions
Comprehensive Health History - CORRECT ANSWERS- -Chief Complaint
-History of Present Illness
, -Past Medical History
-Medications and Allergies
-Family History
-Personal and Social History
-Review of Systems
chief complaint - CORRECT ANSWERS- client'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.
HPI - CORRECT ANSWERS- history of the present illness
-concise, clear, and chronological description of the chief complaint which prompted
the client's visit
• details what the client believes to be causing the present symptoms
-guided by the mnemonic "OLDCARTS"
-gather information about the timeframe of symptom onset or exacerbation,
triggers or stressful life events, and recent treatment and treatment changes
-nature of the symptoms, when they emerged, and how they have progressed
-Documentation:
• opening statement
• characterization of the chief complaint in chronological order
• pertinent positive symptoms
• pertinent negative symptoms
• other relevant info. from the hx
symptom characteristics should be described in detail
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