Questions and Answers
1. Interview Closure: - Closure is the final phase of the psychiatric interview process.
-Closure provides an opportunity to summarize impressions from the mental status exam and to discuss
diagnostic
conclusions and next steps.
-The psychiatric mental health nurse practitioner (PMHNP) may also provide client education during
this phase.
-The PMHNP will typically allow five to 10 minutes for the interview closure.
2. Closing the Interview: - During the interview closure, the PMHNP explains the diagnosis and
treatment options to the client and otters an opportunity for the client to ask questions and give input.
The discussion includes recommendations for any additional psychological assessments and laboratory
testing needed.
-The PMHNP also provides education regarding recommended medications and therapies during the
interview closure. Education helps build rapport, trust, and adherence.
-If the PMHNP identifies a need to collaborate with other providers for information or treatment, the
PMHNP should seek permission from the client at this time to do so.
-Closure also provides an opportunity to address any client concerns about stigma.
3. Which of the following should be included when providing client
education about medication regimens? Select all that apply.
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, a. Use teach-back methods to ensure client understanding.
b. Explain how the medication targets the symptoms, specific benefits,
and expected time course.
c. Identify potential side effects, duration of side effects, and adverse
effects.
d. Explain the instructions, dosing, and special requirements.: (all of the above)
a. Use teach-back methods to ensure client understanding.
b. Explain how the medication targets the symptoms, specific benefits, and expected time course.
c. Identify potential side ettects, duration of side ettects, and adverse ettects.
d. Explain the instructions, dosing, and special requirements.
4. Follow-Up: - The PMHNP may assign homework to the client, especially when the treatment
plan includes cognitive-behavioral or family therapy. The provider should explain the purpose and
goal of the assignment and whether the client will be expected to report on the homework at the
next appointment.
-The PMHNP should discuss the need for follow-up care with the client during the closure of the
interview. Clients should be included in determining the need for and frequency of follow-up visits to
promote adherence. Scheduling future visits is important as noncompliance is common in mental
health.
5. What are the typical follow-up time intervals?: - Two-week intervals are common when
starting new medications to assess for tolerability, efficacy, and the need for dose adjustment.
-Four-week intervals (or longer) are typical for stable clients.
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