NR 547 WEEK 1 2024/2025 QUIZ
QUESTIONS AND ANSWERS (VERIFIED)
100% CORRECT |RATED A+
Symptom-Directed Treatment Correct Answer Psychiatric
medication is generally prescribed in a transdiagnostic manner in
which symptoms rather than diagnoses guide clinical practice
Social Determinants of Health (SDOH) Correct Answer the
conditions in which individuals are "born, grow, live, work, and
age" that contribute to the development of both physical and
psychiatric pathology over the course of one's life"
SDOH: social and structural factors that impact mental health
Correct Answer • Discrimination, racism, social exclusion
• Adverse early life experiences
• Poor education
• Unemployment, underemployment, job insecurity
• Poverty
• Neighborhood deprivation
• Food insecurity
• Poor housing quality and housing instability
Legal and Ethical Considerations Correct Answer Protecting the
privacy and confidentiality of client records is a legal obligation
and may help reassure the client
The SNAPPS Method Correct Answer Summarize the history
and findings
Narrow the differential dx to 2-3 possibilities
,Analyze the differential by comparing & contrasting the
possibilities
Probe the preceptor by asking questions about alternative
approaches or uncertainties
Plan the management of the client's health issues
Select an issue from the case for self-directed learning
Prioritizing Client Complaints and Questions Correct Answer Use
client-centered communication techniques
-Strategies
• Acknowledge the client's list of questions and concerns and
review the list with the client with a statement such as, "I see you
have a list of concerns; let's look at it together."
• Mutually negotiate what to cover during the visit, use of positive
language
• Be honest about the time allotted for the visit while planning
jointly how to use that time
• Plan for follow-up, Set a mutual agenda and time frame for the
next visit, Review which issues have been addressed, and which
ones will be addressed at the next visit. Document this plan as a
reminder for the next visit
Parts of the Initial Psychiatric Interview Correct Answer
Identifying data
Source and reliability
Chief complaint
Present illness
Past psychiatric history
Substance use/abuse
Past medical history
Family history
Developmental and social history
, Review of systems
Mental status examination
Physical examination
Formulation
DSM-5 diagnoses
Treatment plan
Psychiatric Review of Systems Correct Answer Mood
-Depression: Sadness, tearfulness, sleep, appetite, energy,
concentration, sexual function, guilt, psychomotor agitation or
slowing, interest. A common pneumonic used to remember the
symptoms of major depression is SIGECAPS (Sleep, Interest,
Guilt, Energy, Concentration, Appetite, Psychomotor agitation or
slowing, Suicidality).
-Mania: Impulsivity, grandiosity, recklessness, excessive energy,
decreased need for sleep, increased spending beyond means,
talkativeness, racing thoughts, hypersexuality.
-Mixed/Other: Irritability, liability.
Anxiety
-Generalized anxiety symptoms: Where, when, who, how long,
how frequent.
-Panic disorder symptoms: How long until peak, somatic
symptoms including racing heart, sweating, shortness of breath,
trouble swallowing, sense of doom, fear of recurrence,
agoraphobia.
-Obsessive-compulsive symptoms: Checking, cleaning,
organizing, rituals, hang-ups, obsessive thinking, counting,
rational vs. irrational beliefs.
-Posttraumatic stress disorder: Nightmares, flashbacks, startle
response, avoidance.
-Social anxiety symptoms
-Simple phobias, for example, heights, planes, spiders, etc.
Psychosis
QUESTIONS AND ANSWERS (VERIFIED)
100% CORRECT |RATED A+
Symptom-Directed Treatment Correct Answer Psychiatric
medication is generally prescribed in a transdiagnostic manner in
which symptoms rather than diagnoses guide clinical practice
Social Determinants of Health (SDOH) Correct Answer the
conditions in which individuals are "born, grow, live, work, and
age" that contribute to the development of both physical and
psychiatric pathology over the course of one's life"
SDOH: social and structural factors that impact mental health
Correct Answer • Discrimination, racism, social exclusion
• Adverse early life experiences
• Poor education
• Unemployment, underemployment, job insecurity
• Poverty
• Neighborhood deprivation
• Food insecurity
• Poor housing quality and housing instability
Legal and Ethical Considerations Correct Answer Protecting the
privacy and confidentiality of client records is a legal obligation
and may help reassure the client
The SNAPPS Method Correct Answer Summarize the history
and findings
Narrow the differential dx to 2-3 possibilities
,Analyze the differential by comparing & contrasting the
possibilities
Probe the preceptor by asking questions about alternative
approaches or uncertainties
Plan the management of the client's health issues
Select an issue from the case for self-directed learning
Prioritizing Client Complaints and Questions Correct Answer Use
client-centered communication techniques
-Strategies
• Acknowledge the client's list of questions and concerns and
review the list with the client with a statement such as, "I see you
have a list of concerns; let's look at it together."
• Mutually negotiate what to cover during the visit, use of positive
language
• Be honest about the time allotted for the visit while planning
jointly how to use that time
• Plan for follow-up, Set a mutual agenda and time frame for the
next visit, Review which issues have been addressed, and which
ones will be addressed at the next visit. Document this plan as a
reminder for the next visit
Parts of the Initial Psychiatric Interview Correct Answer
Identifying data
Source and reliability
Chief complaint
Present illness
Past psychiatric history
Substance use/abuse
Past medical history
Family history
Developmental and social history
, Review of systems
Mental status examination
Physical examination
Formulation
DSM-5 diagnoses
Treatment plan
Psychiatric Review of Systems Correct Answer Mood
-Depression: Sadness, tearfulness, sleep, appetite, energy,
concentration, sexual function, guilt, psychomotor agitation or
slowing, interest. A common pneumonic used to remember the
symptoms of major depression is SIGECAPS (Sleep, Interest,
Guilt, Energy, Concentration, Appetite, Psychomotor agitation or
slowing, Suicidality).
-Mania: Impulsivity, grandiosity, recklessness, excessive energy,
decreased need for sleep, increased spending beyond means,
talkativeness, racing thoughts, hypersexuality.
-Mixed/Other: Irritability, liability.
Anxiety
-Generalized anxiety symptoms: Where, when, who, how long,
how frequent.
-Panic disorder symptoms: How long until peak, somatic
symptoms including racing heart, sweating, shortness of breath,
trouble swallowing, sense of doom, fear of recurrence,
agoraphobia.
-Obsessive-compulsive symptoms: Checking, cleaning,
organizing, rituals, hang-ups, obsessive thinking, counting,
rational vs. irrational beliefs.
-Posttraumatic stress disorder: Nightmares, flashbacks, startle
response, avoidance.
-Social anxiety symptoms
-Simple phobias, for example, heights, planes, spiders, etc.
Psychosis
