Examl 3:l NRl 548/l NR548l (Latestl 2026/l
2027l Update)l Psychiatricl Assessmentl forl
Psychiatric-Mentall Healthl Nursel
Practitionerl Guidel |Q/Al |l Gradel A|l
100%l Correctl (Verifiedl Answers)l -
Chamberlain
Q:l Behavior
Answer:
refersl tol howl thel clientl presentsl themselvesl duringl thel examination
-friendlyl andl cooperativel towardsl you?l
-indifferentl andl apathetic?l
-sitl downl andl facel you?l agitatedl andl pacing?l
-contextl helps:l scheduled,l orl ER?
Assess:l eyel contact,l psychomotorl activityl (increasedl orl decreased),l movements,l
mannerisms,l stereotypes,l posturingl
Observel howl clientl respondsl tol thel exam:l arel responsesl appropriate?l canl theyl sitl stilll
throughl thel exam?l howl isl theirl gaitl whenl theyl walkedl intol thel office?l arel movementsl
coordinated,l slowed,l orl excessive?
Culturall considerations:l sensitivel tol culturall variationsl inl behavior.l Forl example,l inl
somel cultures,l directl eyel contactl isl al signl ofl disrespectl andl isl notl encouraged.l Physicall
contactl betweenl gendersl mayl bel taboo.l Manifestationsl ofl griefl varyl widelyl acrossl
cultures.l Inl culturesl wherel significantl mentall healthl stigmasl exist,l psychiatricl symptomsl
mayl bel somaticizedl andl describedl inl termsl ofl physicall sensations.l Behaviorl thatl differsl
froml thel culturall normsl ofl thel providerl mayl inadvertentlyl bel assessedl asl representingl al
psychiatricl diagnosisl ifl thel providerl isl unawarel ofl thel influencel ofl culture.
,Q:l Affectl vsl mood
Answer:
Mood:l client'sl statel ofl mindl orl prevalentl emotionall state;l self-reportedl (1l tol 10)l Stablel
describesl al moodl thatl isl appropriatel tol someone'sl currentl situation.l
otherl descriptors:l bright,l happy,l angry,l agitated,l irritable,l labile,l anxious,l depressed,l
euphoricl
Affect:l thel physicall manifestationl ofl thel client'sl emotionall statel asl observedl byl thel
provider
Descriptors:l normal,l blunted,l flat,l bizarre,l dysphoric,l orl euphoric
Q:l Affectl descriptors
Answer:
, Q:l Speech
Answer:
assessl rate,l rhythm,l latency,l volume,l andl contentl
-fastl orl slow?l
-rhythml monotonel orl slurred?
-increasedl orl decreasedl pausesl betweenl questionsl andl answers?l =l latency.l manicl
patientsl =l quickl response;l depressedl =l slow;l catatonicl =l takesl 20l tol 30l secondsl beforel
respondingl
-volumel soft,l normal,l orl loud?l loudl usuallyl indicatesl manic,l irritable,l anxiety.l lowl =l
depression/shyness.l
*speechl patternsl canl bel diagnosticl indicatorsl ofl al mentall healthl issuesl whenl consideredl
inl thel contextl ofl otherl assessmentl findings.l
-
Ex:l
-individuall presentsl withl extremelyl rapidl andl pressuredl speechl withl constantl
interruptionsl mayl bel experiencingl hypomanial orl mania
-absencel ofl speechl commonl inl dementiall
-non-sensicall speechl inl psychoticl disordersl
rapidl speechl canl alsol bel signl ofl anxietyl orl normal
Q:l 4l qualitiesl ofl affect
Answer:
1.l Stability:l refersl tol al continuuml froml stablel affectl (normal)l tol labilel affectl
(abnormal).l markedl labilityl ofl affectl (ex:l whenl al patientl alternatesl betweenl gigglingl
andl uncontrollablel sobbing)l isl usuallyl al markerl ofl eitherl manial orl acutel psychosis;l canl
alsol bel seenl inl demential
2.l Appropriateness:l ptl whol laughsl uncontrollablyl whilel talkingl aboutl herl mother'sl deathl
isl exhibitingl inappropriatel affect,l whichl isl oftenl seenl inl psychosisl orl mania.l carefull notl
tol overpathologize;l manyl intactl peoplel smilel al bitl whenl talkingl aboutl sadl things.l Thisl
mayl reflectl al defensel mechanisml suchl asl deniall ratherl thanl psychosis.
2027l Update)l Psychiatricl Assessmentl forl
Psychiatric-Mentall Healthl Nursel
Practitionerl Guidel |Q/Al |l Gradel A|l
100%l Correctl (Verifiedl Answers)l -
Chamberlain
Q:l Behavior
Answer:
refersl tol howl thel clientl presentsl themselvesl duringl thel examination
-friendlyl andl cooperativel towardsl you?l
-indifferentl andl apathetic?l
-sitl downl andl facel you?l agitatedl andl pacing?l
-contextl helps:l scheduled,l orl ER?
Assess:l eyel contact,l psychomotorl activityl (increasedl orl decreased),l movements,l
mannerisms,l stereotypes,l posturingl
Observel howl clientl respondsl tol thel exam:l arel responsesl appropriate?l canl theyl sitl stilll
throughl thel exam?l howl isl theirl gaitl whenl theyl walkedl intol thel office?l arel movementsl
coordinated,l slowed,l orl excessive?
Culturall considerations:l sensitivel tol culturall variationsl inl behavior.l Forl example,l inl
somel cultures,l directl eyel contactl isl al signl ofl disrespectl andl isl notl encouraged.l Physicall
contactl betweenl gendersl mayl bel taboo.l Manifestationsl ofl griefl varyl widelyl acrossl
cultures.l Inl culturesl wherel significantl mentall healthl stigmasl exist,l psychiatricl symptomsl
mayl bel somaticizedl andl describedl inl termsl ofl physicall sensations.l Behaviorl thatl differsl
froml thel culturall normsl ofl thel providerl mayl inadvertentlyl bel assessedl asl representingl al
psychiatricl diagnosisl ifl thel providerl isl unawarel ofl thel influencel ofl culture.
,Q:l Affectl vsl mood
Answer:
Mood:l client'sl statel ofl mindl orl prevalentl emotionall state;l self-reportedl (1l tol 10)l Stablel
describesl al moodl thatl isl appropriatel tol someone'sl currentl situation.l
otherl descriptors:l bright,l happy,l angry,l agitated,l irritable,l labile,l anxious,l depressed,l
euphoricl
Affect:l thel physicall manifestationl ofl thel client'sl emotionall statel asl observedl byl thel
provider
Descriptors:l normal,l blunted,l flat,l bizarre,l dysphoric,l orl euphoric
Q:l Affectl descriptors
Answer:
, Q:l Speech
Answer:
assessl rate,l rhythm,l latency,l volume,l andl contentl
-fastl orl slow?l
-rhythml monotonel orl slurred?
-increasedl orl decreasedl pausesl betweenl questionsl andl answers?l =l latency.l manicl
patientsl =l quickl response;l depressedl =l slow;l catatonicl =l takesl 20l tol 30l secondsl beforel
respondingl
-volumel soft,l normal,l orl loud?l loudl usuallyl indicatesl manic,l irritable,l anxiety.l lowl =l
depression/shyness.l
*speechl patternsl canl bel diagnosticl indicatorsl ofl al mentall healthl issuesl whenl consideredl
inl thel contextl ofl otherl assessmentl findings.l
-
Ex:l
-individuall presentsl withl extremelyl rapidl andl pressuredl speechl withl constantl
interruptionsl mayl bel experiencingl hypomanial orl mania
-absencel ofl speechl commonl inl dementiall
-non-sensicall speechl inl psychoticl disordersl
rapidl speechl canl alsol bel signl ofl anxietyl orl normal
Q:l 4l qualitiesl ofl affect
Answer:
1.l Stability:l refersl tol al continuuml froml stablel affectl (normal)l tol labilel affectl
(abnormal).l markedl labilityl ofl affectl (ex:l whenl al patientl alternatesl betweenl gigglingl
andl uncontrollablel sobbing)l isl usuallyl al markerl ofl eitherl manial orl acutel psychosis;l canl
alsol bel seenl inl demential
2.l Appropriateness:l ptl whol laughsl uncontrollablyl whilel talkingl aboutl herl mother'sl deathl
isl exhibitingl inappropriatel affect,l whichl isl oftenl seenl inl psychosisl orl mania.l carefull notl
tol overpathologize;l manyl intactl peoplel smilel al bitl whenl talkingl aboutl sadl things.l Thisl
mayl reflectl al defensel mechanisml suchl asl deniall ratherl thanl psychosis.
