NR 572 CLINICAL INQUIRY CERTIFICATION
EVALUATION 2026 DETAILED SOLUTIONS
SCHOLARLY PRACTICE GUIDE
◉ Fluoxetine dose for OCD.
Answer: 5-60 mg/DAY
◉ Fluvoxamine dose for OCD.
Answer: 25-300 mg/DAY
◉ Paroxetine dose for OCD.
Answer: 40-50 mg/DAY
◉ Sertraline dose for OCD.
Answer: 50-150 mg/DAY
◉ Inpatient rehab facility.
Answer: Provides intensive rehabilitation to patients who can do >3
hours/day of PT or OT
◉ Qualifying conditions for inpatient rehab.
,Answer: CVA; congenital deformity; amputation; multiple trauma;
brain injury; severe arthritis; joint replacement; polyarticular
arthritis
◉ Skilled Nursing Facility (SNF).
Answer: Provides skilled care such as wound care and rehabilitation
◉ Long-term care hospital.
Answer: Provides care for ICUlevel patients requiring mechanical
ventilation, dialysis, trach care, etc.
◉ Hospice care.
Answer: Services for incurable/serious illness with life expectancy
<6 months; goal is to minimize pain and prepare for end of life
◉ Palliative care.
Answer: Teambased holistic care to relieve pain, stress; goal is
quality of life improvement
◉ Caregiver burden.
Answer: Stress during prolonged home care, often seen in chronic
illness like dementia; leads to physical and psychiatric illness in
caregivers
,◉ Common challenges for caregivers.
Answer: Memory loss/agitation; emotional stress; behavior changes;
medication management; appointments; healthcare coordination
◉ PSPIKES communication.
Answer: Preparation; Setting; Perception; Invitation; Knowledge;
Empathy; Summary
◉ PSPIKES: Preparation.
Answer: Mentally prepare; review information; plan emotional
support; rehearse phrases
◉ PSPIKES: Setting.
Answer: Ensure privacy; avoid interruptions; allocate time; bring
tissues
◉ PSPIKES: Invitation.
Answer: Ask what the patient/family wants to know; possible
questions to guide the conversation
◉ PSPIKES: Knowledge.
Answer: Deliver bad news sensitively; check understanding; use
gentle phrases
, ◉ PSPIKES: Empathy.
Answer: Identify cause of emotions; empathize with feelings
◉ PSPIKES: Summary.
Answer: Outline next steps and plans; help reduce uncertainty
◉ Contraindications to SSRIs.
Answer: MAOIs or TCAs; avoid alcohol; caution with liver/renal
dysfunction, seizures, GI bleed, prolonged QT, MI
◉ SSRI examples.
Answer: Fluoxetine, Sertraline, Fluvoxamine, Citalopram,
Escitalopram
◉ Tricyclic antidepressants examples.
Answer: Amitriptyline, nortriptyline, imipramine, desipramine,
clomipramine, doxepin, amoxapine
◉ MAOI examples.
Answer: Nardil, Parnate (require special diet, avoid cheese,
chocolate, fish, caffeine)
EVALUATION 2026 DETAILED SOLUTIONS
SCHOLARLY PRACTICE GUIDE
◉ Fluoxetine dose for OCD.
Answer: 5-60 mg/DAY
◉ Fluvoxamine dose for OCD.
Answer: 25-300 mg/DAY
◉ Paroxetine dose for OCD.
Answer: 40-50 mg/DAY
◉ Sertraline dose for OCD.
Answer: 50-150 mg/DAY
◉ Inpatient rehab facility.
Answer: Provides intensive rehabilitation to patients who can do >3
hours/day of PT or OT
◉ Qualifying conditions for inpatient rehab.
,Answer: CVA; congenital deformity; amputation; multiple trauma;
brain injury; severe arthritis; joint replacement; polyarticular
arthritis
◉ Skilled Nursing Facility (SNF).
Answer: Provides skilled care such as wound care and rehabilitation
◉ Long-term care hospital.
Answer: Provides care for ICUlevel patients requiring mechanical
ventilation, dialysis, trach care, etc.
◉ Hospice care.
Answer: Services for incurable/serious illness with life expectancy
<6 months; goal is to minimize pain and prepare for end of life
◉ Palliative care.
Answer: Teambased holistic care to relieve pain, stress; goal is
quality of life improvement
◉ Caregiver burden.
Answer: Stress during prolonged home care, often seen in chronic
illness like dementia; leads to physical and psychiatric illness in
caregivers
,◉ Common challenges for caregivers.
Answer: Memory loss/agitation; emotional stress; behavior changes;
medication management; appointments; healthcare coordination
◉ PSPIKES communication.
Answer: Preparation; Setting; Perception; Invitation; Knowledge;
Empathy; Summary
◉ PSPIKES: Preparation.
Answer: Mentally prepare; review information; plan emotional
support; rehearse phrases
◉ PSPIKES: Setting.
Answer: Ensure privacy; avoid interruptions; allocate time; bring
tissues
◉ PSPIKES: Invitation.
Answer: Ask what the patient/family wants to know; possible
questions to guide the conversation
◉ PSPIKES: Knowledge.
Answer: Deliver bad news sensitively; check understanding; use
gentle phrases
, ◉ PSPIKES: Empathy.
Answer: Identify cause of emotions; empathize with feelings
◉ PSPIKES: Summary.
Answer: Outline next steps and plans; help reduce uncertainty
◉ Contraindications to SSRIs.
Answer: MAOIs or TCAs; avoid alcohol; caution with liver/renal
dysfunction, seizures, GI bleed, prolonged QT, MI
◉ SSRI examples.
Answer: Fluoxetine, Sertraline, Fluvoxamine, Citalopram,
Escitalopram
◉ Tricyclic antidepressants examples.
Answer: Amitriptyline, nortriptyline, imipramine, desipramine,
clomipramine, doxepin, amoxapine
◉ MAOI examples.
Answer: Nardil, Parnate (require special diet, avoid cheese,
chocolate, fish, caffeine)
