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Exam 2: NR 548/ NR548 (Latest 2026/ 2027 Update) Psychiatric Assessment for Psychiatric-Mental Health Nurse Practitioner Review |Q/A | Grade A| 100% Correct (Verified Answers) -Chamberlain

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Exam 2: NR 548/ NR548 (Latest 2026/ 2027 Update) Psychiatric Assessment for Psychiatric-Mental Health Nurse Practitioner Review |Q/A | Grade A| 100% Correct (Verified Answers) -Chamberlain QUESTION Hospitalization history Answer: 1. prior psych hospitalization? *for multiple admissions, gather info on their first hospitalization, their last, and how many total. try to see if they are clustered around a specific few years. *think of hospitalizations as a marker of disease severity. -"when were you first hospitalized? -"how many hospitalizations have you had in your life?" -"how many have you had in the past year?" -"when was your last hospitalization?" -"what sort of things have caused you to need to be in the hospital?" QUESTION Medication Hx Answer: -document all the meds the patient has tried -how long did they take the meds? -antidepressants take 4 to 6 weeks to reach therapeutic effect -antipsychotics can take longer depending on the clinical situation -need to document how long patient tried the med for it to be deemed an adequate trial QUESTION psychotherapy history Answer: -"how you ever had counseling or therapy for your problem?" -"how often did you see your therapist?" -"How long did you see him/her? -"what sort of therapy did you have?" -"did it have a name, like "cognitive therapy, behavior therapy, or psychodynamic therapy?" can ask questions about the area of focus for various therapies if patient doesn't remember what the type of therapy was called -ask their thoughts and attitudes on therapy to see their suitability for therapy -ask "how did you leave treatment?" --> can tell you about how the patient viewed the treatment and help you decide how to proceed with your own treatment QUESTION the psychiatric interview versus the medical interview Answer: goal of psychiatric interview: collect info to establish a psychiatric history and inform the development of a diagnosis and treatment plan. Psych interview is the primary diagnostic tool in the psych interview unlike diagnostic process in physical medicine, psych dx are not established or validated by physical examinations, laboratory tests, or other diagnostic procedures, though such processes may be used to rule out physical causes for psychiatric symptoms the needs of the client inform the interview process; therefore, other needs may take priority in forming a diagnosis, making the formulation of a diagnosis occur over multiple visits. privacy and confidentiality are cornerstones in both psych and medical interviewing; however, the need for privacy and confidentiality may be heightened in psychiatric interviewing due to the sensitive nature of the information shared. Additionally, many mental health diagnoses are associated with stigma in certain cultures. safeguarding privacy is critical for building trust and protecting the client from adverse outcomes. QUESTION Interviewing Environment Clinical Pearls / safety measures during the interview Answer: environment must be adapted to meet the unique needs of the client and to ensure client and provider safety: -a comfortable, clean space to put the provider and client at ease -a visible clock to monitor time -access to alarms or other safety measures -provider access to the door for safe exiting -removal of sharp objects such as scissors or letter openers -noise-canceling device for privacy QUESTION Verbal therapeutic communication techniques Answer: Active listening: listen attentively to ensure understanding Broad openings - allow clients to take the initiative Accepting -indicate you heard the client without judgment Clarifying - make vague topics clear Exploring - examine topics deeper Focusing - putting attention into a single topic Reflecting - direct client's thoughts and feelings back to the patient Restating - repeat the client's words in a different way to make it more clear ** 2 As, B, C, E, F, 2 Rs ** QUESTION non-verbal therapeutic communication techniques: positive versus negative body language Answer: positive:

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Examl 2: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 Hospitalizationl history
Answer:
1.l priorl psychl hospitalization?
*forl multiplel admissions,l gatherl infol onl theirl firstl hospitalization,l theirl last,l andl howl
manyl total.l tryl tol seel ifl theyl arel clusteredl aroundl al specificl fewl years.l
*thinkl ofl hospitalizationsl asl al markerl ofl diseasel severity.l

-"whenl werel youl firstl hospitalized?l
-"howl manyl hospitalizationsl havel youl hadl inl yourl life?"
-"howl manyl havel youl hadl inl thel pastl year?"
-"whenl wasl yourl lastl hospitalization?"
-"whatl sortl ofl thingsl havel causedl youl tol needl tol bel inl thel hospital?"



Q:l Medicationl Hx
Answer:
-documentl alll thel medsl thel patientl hasl triedl
-howl longl didl theyl takel thel meds?
-antidepressantsl takel 4l tol 6l weeksl tol reachl therapeuticl effectl
-antipsychoticsl canl takel longerl dependingl onl thel clinicall situation
-needl tol documentl howl longl patientl triedl thel medl forl itl tol bel deemedl anl adequatel
trial

,Q:l psychotherapyl history
Answer:
-"howl youl everl hadl counselingl orl therapyl forl yourl problem?"
-"howl oftenl didl youl seel yourl therapist?"
-"Howl longl didl youl seel him/her?
-"whatl sortl ofl therapyl didl youl have?"
-"didl itl havel al name,l likel "cognitivel therapy,l behaviorl therapy,l orl psychodynamicl
therapy?"

canl askl questionsl aboutl thel areal ofl focusl forl variousl therapiesl ifl patientl doesn'tl
rememberl whatl thel typel ofl therapyl wasl called
-askl theirl thoughtsl andl attitudesl onl therapyl tol seel theirl suitabilityl forl therapy
-askl "howl didl youl leavel treatment?"l -->l canl telll youl aboutl howl thel patientl viewedl thel
treatmentl andl helpl youl decidel howl tol proceedl withl yourl ownl treatment



Q:l thel psychiatricl interviewl versusl thel medicall interview
Answer:
goall ofl psychiatricl interview:l collectl infol tol establishl al psychiatricl historyl andl informl
thel developmentl ofl al diagnosisl andl treatmentl plan.l

Psychl interviewl isl thel primaryl diagnosticl tooll inl thel psychl interviewl

unlikel diagnosticl processl inl physicall medicine,l psychl dxl arel notl establishedl orl
validatedl byl physicall examinations,l laboratoryl tests,l orl otherl diagnosticl procedures,l
thoughl suchl processesl mayl bel usedl tol rulel outl physicall causesl forl psychiatricl
symptomsl

thel needsl ofl thel clientl informl thel interviewl process;l therefore,l otherl needsl mayl takel
priorityl inl formingl al diagnosis,l makingl thel formulationl ofl al diagnosisl occurl overl
multiplel visits.l

privacyl andl confidentialityl arel cornerstonesl inl bothl psychl andl medicall interviewing;l
however,l thel needl forl privacyl andl confidentialityl mayl bel heightenedl inl psychiatricl
interviewingl duel tol thel sensitivel naturel ofl thel informationl shared.l Additionally,l manyl

, mentall healthl diagnosesl arel associatedl withl stigmal inl certainl cultures.l safeguardingl
privacyl isl criticall forl buildingl trustl andl protectingl thel clientl froml adversel outcomes.



Q:l Interviewingl Environmentl Clinicall Pearlsl /l safetyl measuresl duringl thel interview
Answer:
environmentl mustl bel adaptedl tol meetl thel uniquel needsl ofl thel clientl andl tol ensurel
clientl andl providerl safety:l

-al comfortable,l cleanl spacel tol putl thel providerl andl clientl atl easel
-al visiblel clockl tol monitorl time
-accessl tol alarmsl orl otherl safetyl measuresl
-providerl accessl tol thel doorl forl safel exitingl
-removall ofl sharpl objectsl suchl asl scissorsl orl letterl openersl
-noise-cancelingl devicel forl privacy



Q:l Verball therapeuticl communicationl techniques
Answer:
Activel listening:l listenl attentivelyl tol ensurel understandingl
Broadl openingsl -l allowl clientsl tol takel thel initiativel
Acceptingl -indicatel youl heardl thel clientl withoutl judgmentl
Clarifyingl -l makel vaguel topicsl clearl
Exploringl -l examinel topicsl deeperl
Focusingl -l puttingl attentionl intol al singlel topicl
Reflectingl -l directl client'sl thoughtsl andl feelingsl backl tol thel patientl
Restatingl -l repeatl thel client'sl wordsl inl al differentl wayl tol makel itl morel clearl

**l 2l As,l B,l C,l E,l F,l 2l Rsl **



Q:l non-verball therapeuticl communicationl techniques:l positivel versusl negativel bodyl
language

Answer:
positive:l

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