Exam 3: NR548/ NR 548 Psychiatric Assessment for the PMHNP Review- (Latest Update 2024/ 2025) - Questions and Verified Answers| 100% Correct- Chamberlain

Exam 3: NR548/ NR 548 Psychiatric Assessment for the PMHNP Review- (Latest Update 2024/ 2025) - Questions and Verified Answers| 100% Correct- Chamberlain Q: The mental status exam (MSE) Answer: is the best tool for establishing a psychiatric diagnosis. Q: The MSE includes Answer: a combination of observations, impressions, and the inter- pretation of client responses and is analogous to the physical exam in the formulation of an accurate diagnosis. Q: Components of the mental status exam include Answer: • appearance• behavior• speech• mood• affect• thought process• thought content• cognition• insight/judg- ment Q: appearance Answer: An individual's appearance provides important clues about their mental status. Assessment involves the observation and documentation of posture, dress, grooming, physical appearance (including distinguishable markings such as scars or tattoos), facial expressions, level of alertness, and attitudes. Q: Cultural Considerations Answer: A client's dress or tattoos can reflect culture. For example, in the Samoan and Hawaiian cultures, men sometimes wear a pareo which resembles a skirt. Tattoos may symbolize a client's cultural identity or beliefs Q: Behavior Answer: Behavior refers to how the client presents themselves during the examination. Assess eye contact, psychomotor activity (increased or decreased), movements, mannerisms, stereotypies, and posturing. Observe how the client re- sponds to the exam. Are their responses appropriate to the topics? Can they sit still through the exam? Observe the client's gait as they walk into the office. Are their movements coordinated, slowed, or excessive? Q: Speech Answer: Speech is an important diagnostic indicator. Assess general speech qualities including rate, rhythm, latency, volume, and content. Is the speech fast or slow? Is the rhythm monotone or slurred? Are there increased or decreased pauses between questions and answers? Is the speech volume soft, normal, or loud? Speech patterns can be diagnostic indicators of a mental health issue when considered in the context of other assessment findings. For example, an individual who presents with an extremely rapid and pressured speech with constant interrup- tions may be experiencing hypomania or mania. An absence of speech is seen with some diagnoses such as dementia, while non-sensical speech is often associated with psychotic disorders. Q: Mood and Affect Mood is the client's state of mind or prevalent emotional state. Mood is typically self-reported; often, the provider may ask the client to rate their mood on a scale of 1-10.Some clients will overtly state their mood; others may require questions to help elicit mood st