NR 548 | NR548 Week 3 - 4 Practice Exam | Psychiatric Assessment for the Psychiatric-Mental Health Latest 2024
NR 548 | NR548 Week 3 - 4 Practice Exam | Psychiatric Assessment for the Psychiatric-Mental Health Latest 2024
NR 548 | NR548 Week 3 - 4 Practice Exam | Psychiatric Assessment for ...
NR 548 | NR548 Week 3 - 4 Practice
Exam | Psychiatric Assessment for
the Psychiatric-Mental Health Latest
2024 What is the first phase of the psychiatric interview?
Opening phase, the first five to ten minutes of the interview are used to establish rapport and therapeutic alliance. This is often the most important phase of the interview as it establishes the foundation for the remainder of the interview. The interview often begins with a PMHNP asking the question, what brought you in to
see me today? This question helps the client begin to share what is on their mind.
What is the second phase of the psychiatric interview?
Body of the interview. This stage of the interview is about 30 to 40
minutes, at which time the chief complaint is established and additional questions are asked to elicit information related to the complaint. It serves as the basis for diagnosis and treatment formulation. The questioning process is often directed by responses to initial questions asked in phase one.
What is the third phase of the psychiatric interview?
Closing the interview. This is the final phase of the interview. Five to ten minutes are needed to adequately complete this phase. Closing the interview entails a wrap-up statement and inquiry about missing information that may be of value. Patient education is provided regarding the working diagnosis and recommended plan of treatment. Medications may be recommended to target symptoms. Education about the rationale for the medication regimen and expected benefits, timeframe for efficacy and possible side effects should be included. Homework maybe assigned, especially in cognitive behavioral therapy. A return visit is agreed upon, including the client in decision-making when possible.
The PMHNP may find it helpful
to describe the client's comfort in sharing the information in the psychiatric history and any emotions revealed through the inquiry. A major medical illness or surgery
may precipitate a psychiatric disturbance, while underlying medical conditions will inform diagnosis and treatment decisions.
Why should the PMHNP conduct a brief review of systems?
the provider may ask focused questions to determine the need for
a medical referral or diagnostic testing; therefore, the PMHNP should conduct a brief review of systems (ROS).
Medical diagnoses may present with psychiatric symptoms, including but not limited to:
hyperthyroidism: anxiety, panic attacks, and mood swings
hypothyroidism: depression, difficulty sleeping, and loss of appetite
diabetes: mood disturbances
chronic pain: depression, anxiety, poor sleep
serious or terminal illnesses such as cancer or chronic autoimmune disorders: anxiety and depression
Medical History/Screening for General Medical Conditions
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