NR548/ NR 548 EXAM 1: PSYCHIATRIC ASSESSMENT Exam || Most
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Duty to Warn -ANSWER-exception to requirements for confidentiality-
Most states have laws that allow mental health professionals to share
information about clients who may become violent-several states, it is
even mandatory for providers to report when clients may pose a
danger to themselves or others
Psychotherapy notes, or process notes -ANSWER-are treated differently
than other types of mental health information and receive special
protections under HIPAA
psychotherapy notes definition -ANSWER-"notes recorded (in any
medium) by a health care provider who is a mental health professional
documenting or analyzing the contents of conversation during a private
counseling session or a group, joint, or family counseling session and
that are separated from the rest of the individual's medical record"
Must the PMHNP release a client's medical record to a client's insurer?
-ANSWER-Yes
Must the PMHNP release psychotherapy notes to the client? -ANSWER-
No
,Must the PMHNP release medical records to the court with a
subpoena? -ANSWER-Yes with client authorization
Types of development the PMHNP should consider include: -ANSWER-
cognitive and psychosocial development
Abraham Maslow's -ANSWER-theory regarding human needs may also
inform the PMHNP's approach to psychiatric interviewing.
Piaget's cognitive stage: Sensorimotor -ANSWER-0-2 years of age•
cognitive abilities based on reflexes• children master object
permanence and causality
Cognitive Development: Piaget's cognitive stages -ANSWER--
Sensorimotor -Preoperational -Concrete Operational -Formal
Operational
Piaget's cognitive stage: Preoperational -ANSWER-2-7 years of age
child can use mental representations, symbolic thought, and language •
thinking is egocentric
Piaget's cognitive stage: Concrete Operational -ANSWER-7-11 years of
age
child uses logical operations when thinking and solving problems
, thinking is concrete
Formal Operational -ANSWER-12 years and older•
adolescent can use abstract reasoning in addition to logical operations
can understand theories, hypothesize, and comprehend abstract ideas
such as love and justice
Psychosocial Development: Erikson's developmental theory -ANSWER-
individuals go through a series of eight stages of psychosocial
development from birth to death -each stage, individuals must resolve
a psychosocial crisis to move to the next stage• Unsuccessful resolution
could impair the development of a healthy personality and sense of
self, which could negatively impact mental health and relationships
Erikson's psychosocial stages -ANSWER--Infancy: Trust vs. Mistrust
(birth-18 months)
-Early Childhood: Autonomy vs. Shame and Doubt (ages 18 months-2 to
3 years)
-Preschool: Initiative vs. Guilt (ages 3-5)
-School Age: Industry vs. Inferiority (ages 6-11)
-Adolescence: Identity vs. Role Confusion (ages 12-18)
-Young Adulthood: Intimacy vs. Isolation (ages 19-40)
-Middle Adulthood: Generativity vs. Stagnation (ages 40-65)
-Maturity: Integrity vs. Despair (ages 65-death)
Recent Exam 2026|2027 Actual Complete Real Exam Questions And
Correct Answers (Verified Answers) Already Graded A+ | Guaranteed
Success! Newest Exam | Just Released!!
Duty to Warn -ANSWER-exception to requirements for confidentiality-
Most states have laws that allow mental health professionals to share
information about clients who may become violent-several states, it is
even mandatory for providers to report when clients may pose a
danger to themselves or others
Psychotherapy notes, or process notes -ANSWER-are treated differently
than other types of mental health information and receive special
protections under HIPAA
psychotherapy notes definition -ANSWER-"notes recorded (in any
medium) by a health care provider who is a mental health professional
documenting or analyzing the contents of conversation during a private
counseling session or a group, joint, or family counseling session and
that are separated from the rest of the individual's medical record"
Must the PMHNP release a client's medical record to a client's insurer?
-ANSWER-Yes
Must the PMHNP release psychotherapy notes to the client? -ANSWER-
No
,Must the PMHNP release medical records to the court with a
subpoena? -ANSWER-Yes with client authorization
Types of development the PMHNP should consider include: -ANSWER-
cognitive and psychosocial development
Abraham Maslow's -ANSWER-theory regarding human needs may also
inform the PMHNP's approach to psychiatric interviewing.
Piaget's cognitive stage: Sensorimotor -ANSWER-0-2 years of age•
cognitive abilities based on reflexes• children master object
permanence and causality
Cognitive Development: Piaget's cognitive stages -ANSWER--
Sensorimotor -Preoperational -Concrete Operational -Formal
Operational
Piaget's cognitive stage: Preoperational -ANSWER-2-7 years of age
child can use mental representations, symbolic thought, and language •
thinking is egocentric
Piaget's cognitive stage: Concrete Operational -ANSWER-7-11 years of
age
child uses logical operations when thinking and solving problems
, thinking is concrete
Formal Operational -ANSWER-12 years and older•
adolescent can use abstract reasoning in addition to logical operations
can understand theories, hypothesize, and comprehend abstract ideas
such as love and justice
Psychosocial Development: Erikson's developmental theory -ANSWER-
individuals go through a series of eight stages of psychosocial
development from birth to death -each stage, individuals must resolve
a psychosocial crisis to move to the next stage• Unsuccessful resolution
could impair the development of a healthy personality and sense of
self, which could negatively impact mental health and relationships
Erikson's psychosocial stages -ANSWER--Infancy: Trust vs. Mistrust
(birth-18 months)
-Early Childhood: Autonomy vs. Shame and Doubt (ages 18 months-2 to
3 years)
-Preschool: Initiative vs. Guilt (ages 3-5)
-School Age: Industry vs. Inferiority (ages 6-11)
-Adolescence: Identity vs. Role Confusion (ages 12-18)
-Young Adulthood: Intimacy vs. Isolation (ages 19-40)
-Middle Adulthood: Generativity vs. Stagnation (ages 40-65)
-Maturity: Integrity vs. Despair (ages 65-death)
