NRl 548/l NR548l Examl 2:l Psychiatricl
Assessmentl forl Psychiatric-Mentall Healthl
Nursel Practitionerl Guidel (Latestl 2026/l
2027l Update)l |l Qsl &l As|l Gradel A|l
100%l Correctl (Verifiedl Answers)-l
Chamberlain
QUESTION
Transference
Answer:
-l Transferencel isl al client'sl displacementl orl projectionl ofl feelingsl orl wishesl towardsl
importantl individualsl inl thel client'sl past,l suchl asl parents,l ontol thel therapist.l
-l Transferencel isl notl alwaysl negative.l Transferencel providesl anl opportunityl tol bringl
repressedl feelingsl tol thel surfacel tol bel addressed.l
-l Ifl thel clientl isl remindedl ofl someonel forl whoml theyl havel fondl memories,l itl mayl
allowl forl al positivel experiencel duringl thel initiall interview.l
-l Ifl thel feelingsl invokedl arel negative,l however,l thel clientl mayl appearl angryl orl makel
provocativel statements.l Althoughl itl mayl bel distractingl orl challenging,l transferencel
shouldl notl bel takenl personally,l norl shouldl itl preventl thel developmentl ofl thel therapeuticl
alliance.
QUESTION
Countertransference
Answer:
-l Countertransferencel isl al therapist'sl consciousl orl unconsciousl reactionsl tol al clientl
basedl onl thel therapist'sl psychologicall needsl orl conflicts.l
-l Likel transference,l countertransferencel mayl bel positivel orl negative.l
,-l Countertransferencel canl havel al negativel impactl onl thel therapeuticl alliancel ifl
boundariesl betweenl thel providerl andl thel clientl arel blurred
QUESTION
Pastl Medicall History
Answer:
Thel pastl medicall historyl includesl alll currentl andl oldl medicall problems.l Itl shouldl
includel childhoodl andl adultl medical,l surgical,l psychiatric,l andl obstetric/gynecologicl
healthl information,l asl welll asl healthl maintenancel information.
-l Childhoodl illnesses:l Inquirel aboutl childhoodl illnessesl suchl asl measles,l chickenpox,l orl
scarletl feverl andl chronicl childhoodl illnessesl suchl asl diabetesl orl asthma.
-l Obstetric/Gynecologic:l Documentl thel numberl ofl pregnanciesl (gravida),l numberl ofl
deliveriesl (para-term,l preterm,l abortions,l andl livingl children),l menstruall history,l methodsl
ofl contraception,l andl sexuall function.
-l Adultl illnesses:l Inquirel aboutl illnessesl suchl asl diabetes,l hypertension,l orl asthmal andl
hospitalizations.
-l Psychiatric:l Documentl diagnoses,l hospitalizations,l treatments,l andl thel timel frame.
-l Surgical:l Documentl dates,l indications,l andl typesl ofl surgicall procedures.
-l Healthl maintenance:l Documentl immunizationsl andl screeningl testsl suchl asl papl smears,l
mammograms,l orl colonoscopies.l Includel thel resultsl andl datesl ofl screeningl tests.
QUESTION
Medicationsl andl Allergies
Answer:
Documentl thel name,l dose,l route,l andl frequencyl ofl usel ofl alll medications.l Listl homel
remedies,l nonprescriptionl drugs,l vitamins,l minerall orl herball supplements,l orall
contraceptives,l andl medicationsl borrowedl froml familyl membersl orl friends.l Documentl
specificl reactionsl tol medications,l suchl asl al rashl orl nausea,l asl welll asl allergiesl tol
foods,l insects,l orl environmentall factors.l Differentiatel betweenl adversel drugl reactions,l
allergicl reactions,l andl medicationl sidel effects.
QUESTION
Familyl History
, Answer:
Documentl informationl aboutl thel client'sl parents,l grandparents,l siblings,l children,l andl
grandchildrenl regardingl theirl age,l health,l andl causel ofl death.l Includel whetherl theyl havel
conditionsl suchl asl hypertension,l coronaryl arteryl disease,l stroke,l diabetes,l orl cancer.
QUESTION
Personall andl Sociall History
Answer:
Thel client'sl personall historyl includesl personalityl andl interests,l sourcesl ofl support,l
copingl style,l strengths,l andl concerns.l Thel personall historyl alsol includesl informationl
suchl asl sexuall orientationl andl genderl identification,l occupationl andl education,l
relationships,l safety,l spirituality,l andl supportl systems.l Forl olderl adultsl orl clientsl withl
disabilities,l itl isl importantl tol inquirel aboutl thel levell ofl functionl andl activitiesl ofl dailyl
living.
Thel sociall historyl includesl informationl aboutl thel client'sl tobaccol productl (i.e.,l
cigarettes,l chewingl tobacco,l e-cigarettes,l hookah,l cigars),l illicitl drug,l andl alcoholl use.l
Thel providerl shouldl alsol inquirel aboutl sexualityl andl risk-takingl sexuall practices.l Thel
mnemonicl Fivel Ps+l canl bel usedl tol guidel anl assessmentl ofl sexuall history.
QUESTION
Reviewl ofl Systems
Answer:
Thel reviewl ofl systemsl isl usedl tol obtainl additionall informationl aboutl thel client'sl chiefl
complaintl andl historyl ofl presentl illnessl andl tol uncoverl anyl additionall symptomsl relatedl
tol potentiall problemsl inl systemsl unrelatedl tol thel chiefl complaint.l Thel mostl effectivel
wayl tol completel thel reviewl ofl systemsl isl tol followl al head-to-toel approachl withl yesl orl
nol questionsl andl thenl followl upl whenl therel isl al responsel thatl indicatesl anl abnormalityl
withl open-endedl questions.l Thisl methodl requiresl thatl thel providerl havel al strongl
understandingl ofl normall expectationsl withinl thel reviewl ofl systems,l asl welll asl thel
abilityl tol formulatel appropriatel questionsl tol focusl onl abnormalitiesl discovered.l Datal
obtainedl inl thel reviewl ofl systemsl isl subjective.l Objectivel datal collectedl duringl thel
physicall examinationl shouldl bel documentedl separatelyl inl thel healthl record.
QUESTION
Psychiatricl Historyl componentsl include:
Assessmentl forl Psychiatric-Mentall Healthl
Nursel Practitionerl Guidel (Latestl 2026/l
2027l Update)l |l Qsl &l As|l Gradel A|l
100%l Correctl (Verifiedl Answers)-l
Chamberlain
QUESTION
Transference
Answer:
-l Transferencel isl al client'sl displacementl orl projectionl ofl feelingsl orl wishesl towardsl
importantl individualsl inl thel client'sl past,l suchl asl parents,l ontol thel therapist.l
-l Transferencel isl notl alwaysl negative.l Transferencel providesl anl opportunityl tol bringl
repressedl feelingsl tol thel surfacel tol bel addressed.l
-l Ifl thel clientl isl remindedl ofl someonel forl whoml theyl havel fondl memories,l itl mayl
allowl forl al positivel experiencel duringl thel initiall interview.l
-l Ifl thel feelingsl invokedl arel negative,l however,l thel clientl mayl appearl angryl orl makel
provocativel statements.l Althoughl itl mayl bel distractingl orl challenging,l transferencel
shouldl notl bel takenl personally,l norl shouldl itl preventl thel developmentl ofl thel therapeuticl
alliance.
QUESTION
Countertransference
Answer:
-l Countertransferencel isl al therapist'sl consciousl orl unconsciousl reactionsl tol al clientl
basedl onl thel therapist'sl psychologicall needsl orl conflicts.l
-l Likel transference,l countertransferencel mayl bel positivel orl negative.l
,-l Countertransferencel canl havel al negativel impactl onl thel therapeuticl alliancel ifl
boundariesl betweenl thel providerl andl thel clientl arel blurred
QUESTION
Pastl Medicall History
Answer:
Thel pastl medicall historyl includesl alll currentl andl oldl medicall problems.l Itl shouldl
includel childhoodl andl adultl medical,l surgical,l psychiatric,l andl obstetric/gynecologicl
healthl information,l asl welll asl healthl maintenancel information.
-l Childhoodl illnesses:l Inquirel aboutl childhoodl illnessesl suchl asl measles,l chickenpox,l orl
scarletl feverl andl chronicl childhoodl illnessesl suchl asl diabetesl orl asthma.
-l Obstetric/Gynecologic:l Documentl thel numberl ofl pregnanciesl (gravida),l numberl ofl
deliveriesl (para-term,l preterm,l abortions,l andl livingl children),l menstruall history,l methodsl
ofl contraception,l andl sexuall function.
-l Adultl illnesses:l Inquirel aboutl illnessesl suchl asl diabetes,l hypertension,l orl asthmal andl
hospitalizations.
-l Psychiatric:l Documentl diagnoses,l hospitalizations,l treatments,l andl thel timel frame.
-l Surgical:l Documentl dates,l indications,l andl typesl ofl surgicall procedures.
-l Healthl maintenance:l Documentl immunizationsl andl screeningl testsl suchl asl papl smears,l
mammograms,l orl colonoscopies.l Includel thel resultsl andl datesl ofl screeningl tests.
QUESTION
Medicationsl andl Allergies
Answer:
Documentl thel name,l dose,l route,l andl frequencyl ofl usel ofl alll medications.l Listl homel
remedies,l nonprescriptionl drugs,l vitamins,l minerall orl herball supplements,l orall
contraceptives,l andl medicationsl borrowedl froml familyl membersl orl friends.l Documentl
specificl reactionsl tol medications,l suchl asl al rashl orl nausea,l asl welll asl allergiesl tol
foods,l insects,l orl environmentall factors.l Differentiatel betweenl adversel drugl reactions,l
allergicl reactions,l andl medicationl sidel effects.
QUESTION
Familyl History
, Answer:
Documentl informationl aboutl thel client'sl parents,l grandparents,l siblings,l children,l andl
grandchildrenl regardingl theirl age,l health,l andl causel ofl death.l Includel whetherl theyl havel
conditionsl suchl asl hypertension,l coronaryl arteryl disease,l stroke,l diabetes,l orl cancer.
QUESTION
Personall andl Sociall History
Answer:
Thel client'sl personall historyl includesl personalityl andl interests,l sourcesl ofl support,l
copingl style,l strengths,l andl concerns.l Thel personall historyl alsol includesl informationl
suchl asl sexuall orientationl andl genderl identification,l occupationl andl education,l
relationships,l safety,l spirituality,l andl supportl systems.l Forl olderl adultsl orl clientsl withl
disabilities,l itl isl importantl tol inquirel aboutl thel levell ofl functionl andl activitiesl ofl dailyl
living.
Thel sociall historyl includesl informationl aboutl thel client'sl tobaccol productl (i.e.,l
cigarettes,l chewingl tobacco,l e-cigarettes,l hookah,l cigars),l illicitl drug,l andl alcoholl use.l
Thel providerl shouldl alsol inquirel aboutl sexualityl andl risk-takingl sexuall practices.l Thel
mnemonicl Fivel Ps+l canl bel usedl tol guidel anl assessmentl ofl sexuall history.
QUESTION
Reviewl ofl Systems
Answer:
Thel reviewl ofl systemsl isl usedl tol obtainl additionall informationl aboutl thel client'sl chiefl
complaintl andl historyl ofl presentl illnessl andl tol uncoverl anyl additionall symptomsl relatedl
tol potentiall problemsl inl systemsl unrelatedl tol thel chiefl complaint.l Thel mostl effectivel
wayl tol completel thel reviewl ofl systemsl isl tol followl al head-to-toel approachl withl yesl orl
nol questionsl andl thenl followl upl whenl therel isl al responsel thatl indicatesl anl abnormalityl
withl open-endedl questions.l Thisl methodl requiresl thatl thel providerl havel al strongl
understandingl ofl normall expectationsl withinl thel reviewl ofl systems,l asl welll asl thel
abilityl tol formulatel appropriatel questionsl tol focusl onl abnormalitiesl discovered.l Datal
obtainedl inl thel reviewl ofl systemsl isl subjective.l Objectivel datal collectedl duringl thel
physicall examinationl shouldl bel documentedl separatelyl inl thel healthl record.
QUESTION
Psychiatricl Historyl componentsl include:
