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PMH Exam 2 Questions And Answers |Latest
2025 | Guaranteed Pass.
Mental Status Examination (MSE) - Answer✔• Mental status examination is KEY to our
assessment whether it's the admission or we're checking in with someone during the course of
a shift
• Observation is an important part of that.
Psychiatric Mental Health Nursing Assessment - Answer✔• Gathering data
o Review of systems
o Laboratory data
o MSE [box 7.4]
o Psychosocial assessment [Box 7.5]
o Spiritual/religious assessment
o Cultural and social assessment
o Validating the assessment
o Using rating scales
• Primary source-patient self-report
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• Secondary sources-other people (family, partner, teacher, EMS, police, records/other
healthcare personnel
Components of MSE regularly collected by nursing (RN level) - Answer✔• Appearance
o Grooming/dress
o Hygiene
o Facial expression
• Behavior [all]
• Speech
o Rate
o Volume
• Mood (Always come from pt report)
o Affect^ (shouldn't use "flat" b/c this is diagnostic, beyond our scope)
o Mood
o Congruence
• Thought Form
o Content
• Perceptual Disturbance
o Hallucinations (report of and evidence of)
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• Cognition
o Orientation
o LOC
o Insight (when relevant)
• Thoughts of Harm to Self/Others
o Suicidal or homicidal ideation
o Presence of plan
o Means to carry out plan
o Opportunity to carry out plan
Standard 2-Diagnosis - Answer✔• FIRST-- Make a List of Diagnoses [3 types]
o 1. Problem + Related factors + Defining Characteristics (r/t and AEB)
o 2. Risk for Problem + Defining Characteristics (risk for and AEB/defining characteristics)
o 3. Health Promotion 'problem' + Defining Characteristics (ready for X)
• THEN-- Prioritize Diagnoses
o Actual > At Risk For (with the exception of risk for injury)
Standard 3-Outcome Identifications - Answer✔• IDEAL OUTCOMES
3|Page
PMH Exam 2 Questions And Answers |Latest
2025 | Guaranteed Pass.
Mental Status Examination (MSE) - Answer✔• Mental status examination is KEY to our
assessment whether it's the admission or we're checking in with someone during the course of
a shift
• Observation is an important part of that.
Psychiatric Mental Health Nursing Assessment - Answer✔• Gathering data
o Review of systems
o Laboratory data
o MSE [box 7.4]
o Psychosocial assessment [Box 7.5]
o Spiritual/religious assessment
o Cultural and social assessment
o Validating the assessment
o Using rating scales
• Primary source-patient self-report
1|Page
, ©THESTAR 2025 ALL RIGHTS RESERVED 11:41 AM A+
• Secondary sources-other people (family, partner, teacher, EMS, police, records/other
healthcare personnel
Components of MSE regularly collected by nursing (RN level) - Answer✔• Appearance
o Grooming/dress
o Hygiene
o Facial expression
• Behavior [all]
• Speech
o Rate
o Volume
• Mood (Always come from pt report)
o Affect^ (shouldn't use "flat" b/c this is diagnostic, beyond our scope)
o Mood
o Congruence
• Thought Form
o Content
• Perceptual Disturbance
o Hallucinations (report of and evidence of)
2|Page
, ©THESTAR 2025 ALL RIGHTS RESERVED 11:41 AM A+
• Cognition
o Orientation
o LOC
o Insight (when relevant)
• Thoughts of Harm to Self/Others
o Suicidal or homicidal ideation
o Presence of plan
o Means to carry out plan
o Opportunity to carry out plan
Standard 2-Diagnosis - Answer✔• FIRST-- Make a List of Diagnoses [3 types]
o 1. Problem + Related factors + Defining Characteristics (r/t and AEB)
o 2. Risk for Problem + Defining Characteristics (risk for and AEB/defining characteristics)
o 3. Health Promotion 'problem' + Defining Characteristics (ready for X)
• THEN-- Prioritize Diagnoses
o Actual > At Risk For (with the exception of risk for injury)
Standard 3-Outcome Identifications - Answer✔• IDEAL OUTCOMES
3|Page
