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Exam (elaborations)

NR548 Exam 2 - Complete Study Guide with Verified Answers

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Ace your NR548 psychiatric-mental health nursing exam with this comprehensive study guide featuring verified answers and clinical rationales. This complete resource covers psychiatric interview techniques, therapeutic communication, Peplau's Interpersonal Relations Theory, HPI documentation, mental status assessment, and diagnostic interviewing skills. Essential for PMHNP students preparing for advanced practice and certification success.

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NR548 EXAM 2 QUESTIONS
AND VERIFIED ANSWERS;
100% CORRECT; GRADE A

According to Peplau's Theory of Interpersonal Relations,
establishing early rapport allows the role of the nurse to
evolve from stranger to: - correct answer-
resource person, teacher, leader, surrogate, technical
expert, and counselor


Active Listening - correct answer- involves
preparing to be fully attentive to the interaction
-note verbal and non-verbal cues
• including what is said and how it is said
-indicate attentiveness through their feedback and body
language


Advanced communication skills - correct answer-
critical listening
critical questioning

,critical thinking


Body of the Interview - correct answer- -30-40
minutes
-Chief Complaint Established
• additional Q's asked to elicit info r/t the complaint
-ask about HPI, family hx, social/developmental hx,
medical hx, psychiatric ROS
-basis for dx and tx formulation


Client Considerations: mute or catatonic clients -
correct answer- use of observation techniques
will help in formulating a potential diagnosis.


Closing the Interview - correct answer- -5-10
minutes, final phase
Should include 2 components: discussion of your
assessment using patient education techniques &
negotiated agreement about tx or f/u plans
-wrap-up statement and inquiry about missing info that
may be of value

,-Patient education regarding working dx & recommended
plan of tx
• education about meds if recommended
-Homework may be assigned
• especially in CBT
-Return visit agreed upon


Common precipitants of psychiatric syndromes -
correct answer- -arguments with friends or
relatives
-rejection or abandonment
-death or major illness of loved ones
-anniversary of a negative event, such as a death or
divorce
-major medical illness or age-related deterioration in
functioning
-stressful events at work or school
-mental health clinician going on vacation
-medication noncompliance
-substance abuse

, Creating rapport: tips - correct answer- -Be
Yourself
-Be Warm, Courteous, and Emotionally Sensitive
-Actively Defuse the Strangeness of the Clinical Situation
-Give Your Patient the Opening Word
-Gain Your Patient's Trust by Projecting Competence


Delusional clients require: - correct answer-
patience and understanding during the psychiatric
interview
-Avoid disagreeing with them or denying the reality of
their delusions


essential questions: Syndromal history - correct
answer- How old were you when you first had these
symptoms?
How many episodes have you had?
When was the last episode?

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