AGNP BOARD EXAM QUESTION AND ANSWERS – PSYCHIATRY ASSESSMENT

AGNP BOARD EXAM QUESTION AND ANSWERS – PSYCHIATRY ASSESSMENT (40 Questions) Question: A 48-year-old woman states that she began smoking about 10 cigarettes per day at 20 years of age. How should this subjective history be documented? 10 pack year history 14 pack year history Correct 18 pack year history 20 pack year history Explanation: The pack year history is calculated by the number of pack years = (number of cigarettes smoked per day/20, the number of cigarettes in a pack) × number of years smoked. This patient smokes 10 cigarettes per day / 20 x 28 years smoked = 14 pack year history. Question: An example of an alcohol assessment screening tool is the: Kessler 6. PHQ-9. CAGE. Correct A-SSRS. Explanation: The CAGE Assessment is a quick questionnaire to help determine if an alcohol assessment is needed. If a person answers yes to two or more questions, a complete assessment is advised. The Kessler 6 & Kessler 10 are mental health screening tools used with a general adult population. Patient Health Questionnaire (PHQ-9) is the most common screening tool to identify depression. The Columbia-Suicide Severity Rating Scale (C-SSRS) is a questionnaire used for suicide assessment. Question: A seven- year -old is suspected of having conduct disorder. Which one of the following topics should the nurse practitioner include in the assessment history? Stuttering Animal abuse Correct Worrying excessively about mother Refusing to perform chores Explanation: Animal abuse is often seen in children who display conduct disorder behaviors and would be a topic of concern if the child was abusing animals. Stuttering, worrying excessively about mother, and refusing to perform chores fall into other behavioral disorders.