Exam 2: NR548/ NR 548 (Latest Update 2024/ 2025) 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 seeks to directly reduce a patient's guilt about a specific behavio...
NR-548 Psychiatric Assessment for Psychiatric -Mental Health Nurse Practitioner Exam 2 Question: 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 i n 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 Question: 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 Question: 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 empath ic 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 Question: Three phases of the psychiatric interview Answer: 1. Opening phase 2. Body of the Interview 3. Closing the Interview Question: Opening phas e 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?" Question: 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 Question: Closing the Interview Answer: -5-10 minutes, f inal 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 workin g dx & recommended plan of tx • education about meds if recommended -Homework may be assigned • especially in CBT -Return visit agreed upon Question: Four Tasks of the Diagnostic Interview Answer: 1. Build a therapeutic alliance 2. Obtain the psychiatric database 3. Interview for diagnosis
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