NR 548 Exam 3:NR 548 WEEK 6 Exam Study Guide: Exam 3: NR548/ NR
548 Review for Psychiatric Assessment Week 5-6: Questions &
Answers
:
Questions and Answers
1. Rapid and Pressured Speech
Q: An individual who presents with extremely rapid and pressured speech
with constant interruptions may be experiencing ___ or ___.
A: Hypomania or Mania.
2. Absence of Speech
Q: An absence of speech is seen with some diagnoses such as ___.
A: Dementia.
3. Non-Sensical Speech
Q: Non-sensical speech is often associated with ___.
A: Psychotic disorders.
4. MSE: Mood and Affect Mood:
• Client’s state of mind or prevalent emotional state.
• Subjective: Typically, self-reported.
• Descriptors: Stable (appropriate to situation), bright, happy, angry, agitated,
irritable, labile, anxious, depressed, euphoric.
Affect:
, o
• Physical manifestation of the client’s emotional state as observed by the
provider.
• Descriptors: Normal, blunted, flat, bizarre, dysphoric, euphoric.
• Qualities: o Stability (stable or labile).
Appropriateness.
o Range (changes with situations). o
Intensity.
5. MSE: Thought Process
Q: Characteristics of thought process?
A:
• Rate and flow of thoughts and how they connect.
• Normal: Linear & goal-directed.
• Abnormal: Loose, circumstantial, tangential, flight of ideas.
• Assessment involves questioning and listening to client responses.
6. MSE: Suicidal and Homicidal Ideation
Q: Critical aspects of assessing suicidal and homicidal ideation?
A:
• Use direct terms to assess preoccupation and planning.
• Evaluate intent, attempts, and access to resources for plans.
• The more detailed the plan, the higher the risk.
• Differentiate fleeting thoughts from action-oriented steps.
, • Ethical obligation of PMHNP to screen and protect the client, public, and
self.
7. MSE: Cognitive Assessment
Q: What does the cognitive assessment evaluate?
A:
• Awareness: Observing client’s eyes and speech for alertness (e.g., oriented,
drowsy, comatose).
• Attention and Concentration: Can client stay on topic or respond
effectively? Tools like MMSE, digit span test, or SSST may be used.
• Memory: Immediate, short-term, and long-term recall (e.g., three-object
recall for dementia or Alzheimer's).
Tools: Mini-Cog exam is commonly used for significant cognitive issues.
8. Attention and Concentration Assessments
Q: Two common tests for attention and concentration?
A:
• Digit Span Test: Repeating 5-7 numbers forward and backward.
• Serial Seven Subtraction Test (SSST): Subtracting 7 from 100 repeatedly.
Research Findings: Limited endorsement for these tests in research studies.
9. Mini-Mental State Exam (MMSE)
Q: Key aspects of MMSE?
A:
548 Review for Psychiatric Assessment Week 5-6: Questions &
Answers
:
Questions and Answers
1. Rapid and Pressured Speech
Q: An individual who presents with extremely rapid and pressured speech
with constant interruptions may be experiencing ___ or ___.
A: Hypomania or Mania.
2. Absence of Speech
Q: An absence of speech is seen with some diagnoses such as ___.
A: Dementia.
3. Non-Sensical Speech
Q: Non-sensical speech is often associated with ___.
A: Psychotic disorders.
4. MSE: Mood and Affect Mood:
• Client’s state of mind or prevalent emotional state.
• Subjective: Typically, self-reported.
• Descriptors: Stable (appropriate to situation), bright, happy, angry, agitated,
irritable, labile, anxious, depressed, euphoric.
Affect:
, o
• Physical manifestation of the client’s emotional state as observed by the
provider.
• Descriptors: Normal, blunted, flat, bizarre, dysphoric, euphoric.
• Qualities: o Stability (stable or labile).
Appropriateness.
o Range (changes with situations). o
Intensity.
5. MSE: Thought Process
Q: Characteristics of thought process?
A:
• Rate and flow of thoughts and how they connect.
• Normal: Linear & goal-directed.
• Abnormal: Loose, circumstantial, tangential, flight of ideas.
• Assessment involves questioning and listening to client responses.
6. MSE: Suicidal and Homicidal Ideation
Q: Critical aspects of assessing suicidal and homicidal ideation?
A:
• Use direct terms to assess preoccupation and planning.
• Evaluate intent, attempts, and access to resources for plans.
• The more detailed the plan, the higher the risk.
• Differentiate fleeting thoughts from action-oriented steps.
, • Ethical obligation of PMHNP to screen and protect the client, public, and
self.
7. MSE: Cognitive Assessment
Q: What does the cognitive assessment evaluate?
A:
• Awareness: Observing client’s eyes and speech for alertness (e.g., oriented,
drowsy, comatose).
• Attention and Concentration: Can client stay on topic or respond
effectively? Tools like MMSE, digit span test, or SSST may be used.
• Memory: Immediate, short-term, and long-term recall (e.g., three-object
recall for dementia or Alzheimer's).
Tools: Mini-Cog exam is commonly used for significant cognitive issues.
8. Attention and Concentration Assessments
Q: Two common tests for attention and concentration?
A:
• Digit Span Test: Repeating 5-7 numbers forward and backward.
• Serial Seven Subtraction Test (SSST): Subtracting 7 from 100 repeatedly.
Research Findings: Limited endorsement for these tests in research studies.
9. Mini-Mental State Exam (MMSE)
Q: Key aspects of MMSE?
A:
