Examl 3:l NRl 548/l NR548l (Latestl 2026/l
2027l Update)l Psychiatricl Assessmentl forl
Psychiatric-Mentall Healthl Nursel
Practitionerl Reviewl |Q/Al |l Gradel A|l
100%l Correctl (Verifiedl Answers)l -
Chamberlain
Q:l Faithl andl Delusions:l Culturall Considerations
Answer:
-l Inl somel religiousl traditions,l individualsl believel themselvesl tol havel al personall
relationshipl withl al higherl powerl orl deityl tol whoml theyl speakl andl froml whoml theyl
receivel messages.l
-l Somel culturesl speakl with,l prayl for,l orl veneratel theirl dead.l
-l Carefull elicitationl ofl informationl aboutl culturall orl religiousl practicesl isl essentiall tol
differentiatel betweenl al client'sl faithl andl delusionsl thatl mayl bel ofl concern.
Q:l Suicidall andl Homicidall Ideation
Answer:
-l Assessingl forl suicidall orl homicidall ideationsl orl intentl isl al vitall componentl ofl thel
mentall statusl exam.l
-l Suicidel riskl assessmentl isl essentiall tol evaluatel thel likelihoodl ofl al clientl attemptingl
suicidel orl self-harm.l
-l Directl termsl shouldl bel usedl tol assessl suicidel preoccupationl andl planning.l Thel
providerl shouldl alsol assessl forl homicidall ideation,l intent,l attempts,l andl plans.l
-l Whenl assessingl forl suicidall orl homicidall ideations,l itl isl criticall tol determinel whetherl
al planl existsl andl ifl thel clientl hasl accessl tol thel resourcesl neededl tol executel thel plan.l
-l Thel morel detailedl andl thoroughl thel plan,l thel higherl thel risk.l
,-l Itl isl importantl tol assessl whetherl thel planl isl composedl ofl fleetingl thoughtsl ratherl
thanl actionl stepsl andl whetherl thel clientl isl angryl andl lashingl outl orl intendingl tol bringl
actuall harm.
Q:l Truel orl False:l Screeningl forl suicidall andl homicidall ideationsl isl anl ethicall
obligation.
Answer:
Truel
Screeningl forl suicidall andl homicidall ideationsl isl anl ethicall obligationl ofl thel PMHNPl
andl isl essentiall forl protectingl oneself,l thel client,l andl thel public.
Q:l Screeningl forl Suicidall andl Homicidall Ideationsl Examplel Scenario
Answer:
-l Q:l "Havel youl everl hadl anyl thoughtsl ofl hurtingl yourselfl orl suicide?"l A:l "Yes,l Il dol
havel thoughtsl likel thatl sometimes."
-l Q:l "Telll mel morel aboutl thosel thoughts.l Dol youl havel al specificl planl inl mindl forl
whatl youl wouldl do?"l A:l "Well,l Il havel thoughtl aboutl justl endingl itl alll byl shootingl
myself."l
-l Q:l "Howl easyl wouldl itl bel forl youl tol dol this?l Dol youl havel accessl tol al gunl tol
followl throughl withl yourl plan?"l A:l "No,l Il don't.l It'sl justl somethingl thatl I'vel thoughtl
aboutl froml timel tol time."l
-l Q:l "Whatl isl itl thatl holdsl youl backl froml actuallyl doingl this?l Whatl arel thel reasonsl
thatl youl stopl froml tryingl tol hurtl yourself?"
Therel arel manyl differentl turnsl thisl scenariol canl take.
Actionl plansl varyl accordingl tol thel uniquel needsl ofl thel client.l Ifl thel clientl statesl thatl
theyl havel accessl tol al gunl andl al planl forl usingl it,l thel planl ofl actionl forl thel safetyl ofl
thel clientl willl varyl accordingl tol thel setting.l Ifl thel clientl isl inl anl outpatientl setting,l
hospitalizationl isl likely.l Ifl thel clientl isl inl anl inpatientl setting,l theyl arel notl readyl forl
discharge.
, Q:l Cognitivel Assessment
Answer:
-l Cognitivel assessmentl involvesl thel evaluationl ofl al client'sl levell ofl awareness,l
attention,l concentration,l andl memory.l
-l Awarenessl isl assessedl throughl observationl withl emphasisl onl thel client'sl eyesl andl
speech.l
-l Observationl ofl alertnessl orl wakefulnessl providesl informationl aboutl cognitivel functionl
andl canl alsol helpl rulel outl potentiall substancel usel orl intoxication.l
-l Documentationl usedl tol describel levelsl ofl awarenessl includesl termsl suchl asl alertl andl
oriented,l somnolent,l drowsy,l orl evenl comatose.
-l Attentionl andl concentrationl arel measuredl throughl observationl ofl responsesl duringl thel
interview.l
-l Canl thel clientl stayl onl topic?l Arel theyl ablel tol focusl andl respondl tol questions?l
-l Ifl furtherl assessmentl isl needed,l thel providerl canl usel standardizedl toolsl suchl asl thel
Mini-Mentall Statel Exam.
Q:l Mini-Mentall Statel Examl (MMSE)
Answer:
-l Thel Mini-Mentall Statel Examl (MMSE)l isl al 30-pointl questionnairel thatl measuresl
cognitivel impairmentl inl thel areasl ofl orientation,l attention,l memory,l language,l andl visual-
spatiall skills.l
-l Itl isl easyl tol administer,l isl availablel inl al varietyl ofl languages,l requiresl nol equipment,l
andl canl bel usedl tol detectl deteriorationl inl functioningl overl time.l
-l However,l age,l education,l andl visuall orl hearingl impairmentl mayl impactl scores.
Q:l Howl mightl educationall levelsl impactl thel resultsl ofl thel Mini-Mentall Statel Examl
(MMSE)?
Answer:
Askingl someonel tol spelll al wordl backwardl orl completel complicatedl mathl questionsl mayl
bel easierl forl someonel whol completedl highl schooll orl post-secondaryl education.
Q:l Memoryl Assessment
2027l Update)l Psychiatricl Assessmentl forl
Psychiatric-Mentall Healthl Nursel
Practitionerl Reviewl |Q/Al |l Gradel A|l
100%l Correctl (Verifiedl Answers)l -
Chamberlain
Q:l Faithl andl Delusions:l Culturall Considerations
Answer:
-l Inl somel religiousl traditions,l individualsl believel themselvesl tol havel al personall
relationshipl withl al higherl powerl orl deityl tol whoml theyl speakl andl froml whoml theyl
receivel messages.l
-l Somel culturesl speakl with,l prayl for,l orl veneratel theirl dead.l
-l Carefull elicitationl ofl informationl aboutl culturall orl religiousl practicesl isl essentiall tol
differentiatel betweenl al client'sl faithl andl delusionsl thatl mayl bel ofl concern.
Q:l Suicidall andl Homicidall Ideation
Answer:
-l Assessingl forl suicidall orl homicidall ideationsl orl intentl isl al vitall componentl ofl thel
mentall statusl exam.l
-l Suicidel riskl assessmentl isl essentiall tol evaluatel thel likelihoodl ofl al clientl attemptingl
suicidel orl self-harm.l
-l Directl termsl shouldl bel usedl tol assessl suicidel preoccupationl andl planning.l Thel
providerl shouldl alsol assessl forl homicidall ideation,l intent,l attempts,l andl plans.l
-l Whenl assessingl forl suicidall orl homicidall ideations,l itl isl criticall tol determinel whetherl
al planl existsl andl ifl thel clientl hasl accessl tol thel resourcesl neededl tol executel thel plan.l
-l Thel morel detailedl andl thoroughl thel plan,l thel higherl thel risk.l
,-l Itl isl importantl tol assessl whetherl thel planl isl composedl ofl fleetingl thoughtsl ratherl
thanl actionl stepsl andl whetherl thel clientl isl angryl andl lashingl outl orl intendingl tol bringl
actuall harm.
Q:l Truel orl False:l Screeningl forl suicidall andl homicidall ideationsl isl anl ethicall
obligation.
Answer:
Truel
Screeningl forl suicidall andl homicidall ideationsl isl anl ethicall obligationl ofl thel PMHNPl
andl isl essentiall forl protectingl oneself,l thel client,l andl thel public.
Q:l Screeningl forl Suicidall andl Homicidall Ideationsl Examplel Scenario
Answer:
-l Q:l "Havel youl everl hadl anyl thoughtsl ofl hurtingl yourselfl orl suicide?"l A:l "Yes,l Il dol
havel thoughtsl likel thatl sometimes."
-l Q:l "Telll mel morel aboutl thosel thoughts.l Dol youl havel al specificl planl inl mindl forl
whatl youl wouldl do?"l A:l "Well,l Il havel thoughtl aboutl justl endingl itl alll byl shootingl
myself."l
-l Q:l "Howl easyl wouldl itl bel forl youl tol dol this?l Dol youl havel accessl tol al gunl tol
followl throughl withl yourl plan?"l A:l "No,l Il don't.l It'sl justl somethingl thatl I'vel thoughtl
aboutl froml timel tol time."l
-l Q:l "Whatl isl itl thatl holdsl youl backl froml actuallyl doingl this?l Whatl arel thel reasonsl
thatl youl stopl froml tryingl tol hurtl yourself?"
Therel arel manyl differentl turnsl thisl scenariol canl take.
Actionl plansl varyl accordingl tol thel uniquel needsl ofl thel client.l Ifl thel clientl statesl thatl
theyl havel accessl tol al gunl andl al planl forl usingl it,l thel planl ofl actionl forl thel safetyl ofl
thel clientl willl varyl accordingl tol thel setting.l Ifl thel clientl isl inl anl outpatientl setting,l
hospitalizationl isl likely.l Ifl thel clientl isl inl anl inpatientl setting,l theyl arel notl readyl forl
discharge.
, Q:l Cognitivel Assessment
Answer:
-l Cognitivel assessmentl involvesl thel evaluationl ofl al client'sl levell ofl awareness,l
attention,l concentration,l andl memory.l
-l Awarenessl isl assessedl throughl observationl withl emphasisl onl thel client'sl eyesl andl
speech.l
-l Observationl ofl alertnessl orl wakefulnessl providesl informationl aboutl cognitivel functionl
andl canl alsol helpl rulel outl potentiall substancel usel orl intoxication.l
-l Documentationl usedl tol describel levelsl ofl awarenessl includesl termsl suchl asl alertl andl
oriented,l somnolent,l drowsy,l orl evenl comatose.
-l Attentionl andl concentrationl arel measuredl throughl observationl ofl responsesl duringl thel
interview.l
-l Canl thel clientl stayl onl topic?l Arel theyl ablel tol focusl andl respondl tol questions?l
-l Ifl furtherl assessmentl isl needed,l thel providerl canl usel standardizedl toolsl suchl asl thel
Mini-Mentall Statel Exam.
Q:l Mini-Mentall Statel Examl (MMSE)
Answer:
-l Thel Mini-Mentall Statel Examl (MMSE)l isl al 30-pointl questionnairel thatl measuresl
cognitivel impairmentl inl thel areasl ofl orientation,l attention,l memory,l language,l andl visual-
spatiall skills.l
-l Itl isl easyl tol administer,l isl availablel inl al varietyl ofl languages,l requiresl nol equipment,l
andl canl bel usedl tol detectl deteriorationl inl functioningl overl time.l
-l However,l age,l education,l andl visuall orl hearingl impairmentl mayl impactl scores.
Q:l Howl mightl educationall levelsl impactl thel resultsl ofl thel Mini-Mentall Statel Examl
(MMSE)?
Answer:
Askingl someonel tol spelll al wordl backwardl orl completel complicatedl mathl questionsl mayl
bel easierl forl someonel whol completedl highl schooll orl post-secondaryl education.
Q:l Memoryl Assessment
