EXAM 2 NR 548 PSYCHIATRIC ASSESSMENT FINAL PAPER VERIFIED QUESTIONS
ACCURATE SOLUTIONS
Question:
MSE: Mood and Affect
Answer:
Mood client's state of mind or prevalent emotional state subjective typically self-reported Stable:
mood is appropriate to their current situation other: bright, happy, angry, agitated, irritable, labile,
anxious, depressed, or euphoric Affect physical manifestation of the client's emotional state as
observed by the provider normal, blunted, flat, bizarre, dysphoric, or euphoric Qualities of affect
stability (stable or labile) appropriateness range (does it change with diff. situations) intensity
Question:
MSE: Thought Process
Answer:
-rate of thoughts and how they flow and are connected coherent vs. incoherent Normal: linear &
goal-directed Other: loose, circumstantial, or tangential Clients may experience flight of ideas with
little connection between thoughts or words Assessment: questioning client, listening to responses
Question:
MSE: Suicidal and Homicidal Ideation
Answer:
-Direct terms should be used to assess suicide preoccupation and planning assess for homicidal
ideation, intent, attempts, and plans critical to determine whether a plan exists access to the
resources needed to execute the plan more detailed and thorough the plan, the higher the risk assess
if plan is composed of fleeting thoughts rather than action steps assess whether the client is angry
and lashing out or intending to bring actual harm SCREENING FOR SUICIDAL AND
HOMICIDAL IDEATIONS IS AN ETHICAL OBLIGATION OF THE PMHNP & IS ESSENTIAL
FOR PROTECTING ONESELF, THE CLIENT, & THE PUBLIC
, Question:
MSE: Cognitive Assessment
Answer:
-evaluation of a client's level of awareness, attention, concentration, and memory Awareness:
observation with emphasis on the client's eyes and speech alertness or wakefulness provides
information about cognitive function help rule out potential substance use or intoxication levels of
awareness: alert and oriented, somnolent, drowsy, or even comatose Attention and concentration:
observation of responses during the interview can they stay on topic? able to focus and respond to
Q's? can use standardized tools such as the Mini-Mental State Exam (MMSE), digit span test and
the SSST Memory assessment: immediate recall, short-term, and long-term memory particularly
important when ruling out dementia or Alzheimer's disease Stress, anxiety, and depression can also
impact memory orientation, three-object recall Mini-Cog exam is commonly used to help rule out
significant cognitive issues
Question:
Two attention and concentration assessments
Answer:
digit span test patient is given 5-7 numbers & asked to repeat them forward and backward SSST pt
asked to subtract 7 from 100 and to continue counting back by 7s until told to stop *research studies
have not endorsed them SSST given to 132 normal adults, only 42% with errorless performance 325
hospitalized psychiatric pts given SSST, no diff. in performance from 50 healthy control subjects
Digit span test among 60 elderly pts with memory impairment and 44 elderly who were healthy
found no difference
Question:
MMSE
Answer:
-Mini-Mental State Exam 30-point questionnaire measures cognitive impairment in the areas of
orientation, attention, memory, language, and visual-spatial skills method of monitoring
deterioration over time age, education, and visual or hearing impairment may impact scores Most
studies have defined poorly educated as 8 or fewer years of education-that is, no high school
sensitivity of the test is high, specificity is low
ACCURATE SOLUTIONS
Question:
MSE: Mood and Affect
Answer:
Mood client's state of mind or prevalent emotional state subjective typically self-reported Stable:
mood is appropriate to their current situation other: bright, happy, angry, agitated, irritable, labile,
anxious, depressed, or euphoric Affect physical manifestation of the client's emotional state as
observed by the provider normal, blunted, flat, bizarre, dysphoric, or euphoric Qualities of affect
stability (stable or labile) appropriateness range (does it change with diff. situations) intensity
Question:
MSE: Thought Process
Answer:
-rate of thoughts and how they flow and are connected coherent vs. incoherent Normal: linear &
goal-directed Other: loose, circumstantial, or tangential Clients may experience flight of ideas with
little connection between thoughts or words Assessment: questioning client, listening to responses
Question:
MSE: Suicidal and Homicidal Ideation
Answer:
-Direct terms should be used to assess suicide preoccupation and planning assess for homicidal
ideation, intent, attempts, and plans critical to determine whether a plan exists access to the
resources needed to execute the plan more detailed and thorough the plan, the higher the risk assess
if plan is composed of fleeting thoughts rather than action steps assess whether the client is angry
and lashing out or intending to bring actual harm SCREENING FOR SUICIDAL AND
HOMICIDAL IDEATIONS IS AN ETHICAL OBLIGATION OF THE PMHNP & IS ESSENTIAL
FOR PROTECTING ONESELF, THE CLIENT, & THE PUBLIC
, Question:
MSE: Cognitive Assessment
Answer:
-evaluation of a client's level of awareness, attention, concentration, and memory Awareness:
observation with emphasis on the client's eyes and speech alertness or wakefulness provides
information about cognitive function help rule out potential substance use or intoxication levels of
awareness: alert and oriented, somnolent, drowsy, or even comatose Attention and concentration:
observation of responses during the interview can they stay on topic? able to focus and respond to
Q's? can use standardized tools such as the Mini-Mental State Exam (MMSE), digit span test and
the SSST Memory assessment: immediate recall, short-term, and long-term memory particularly
important when ruling out dementia or Alzheimer's disease Stress, anxiety, and depression can also
impact memory orientation, three-object recall Mini-Cog exam is commonly used to help rule out
significant cognitive issues
Question:
Two attention and concentration assessments
Answer:
digit span test patient is given 5-7 numbers & asked to repeat them forward and backward SSST pt
asked to subtract 7 from 100 and to continue counting back by 7s until told to stop *research studies
have not endorsed them SSST given to 132 normal adults, only 42% with errorless performance 325
hospitalized psychiatric pts given SSST, no diff. in performance from 50 healthy control subjects
Digit span test among 60 elderly pts with memory impairment and 44 elderly who were healthy
found no difference
Question:
MMSE
Answer:
-Mini-Mental State Exam 30-point questionnaire measures cognitive impairment in the areas of
orientation, attention, memory, language, and visual-spatial skills method of monitoring
deterioration over time age, education, and visual or hearing impairment may impact scores Most
studies have defined poorly educated as 8 or fewer years of education-that is, no high school
sensitivity of the test is high, specificity is low
