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

Exam 2: NR 548/ NR548 (Latest 2026/ 2027 Update) Psychiatric Assessment for Psychiatric-Mental Health Nurse Practitioner Guide |Q/A | Grade A| 100% Correct (Verified Answers) -Chamberlain QUESTION Establishing a Relationship Answer: - The PMHNP should take time to make introductions and ensure the client is comfortable. - Ask general questions to arrive at an empathic understanding of how the client feels. - Listen carefully and communicate an appreciation for the client's concerns, which will foster a sense of being understood. - Building a trusting relationship based on respect, kindness, and acceptance will break down barriers and allow for client needs to be the center of the plan of care. - Being present and openly engaged will enhance the communication experience. QUESTION True or False: the most notable difference between medical and psychiatric diagnostic processes is that the psychiatric interview is the primary diagnostic tool used to identify psychiatric conditions. Answer: True Unlike the diagnostic process in physical medicine, psychiatric diagnoses are not generally 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. While eliciting information to formulate a diagnosis is an early goal of interviewing, the needs of the client inform the interview process. Other needs may take priority and formulating a diagnosis may require more than one visit. QUESTION Privacy and Confidentiality in Psychiatric and Medical Interviews Answer: - Privacy and confidentiality are cornerstones in both psychiatric 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. - Also, 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 Setting Answer: - PMHNPs may conduct inpatient interviews in the emergency department, psychiatric unit, or any hospital unit, often serving in a consultation-liaison role. - Outpatient care is provided in a variety of settings, including clinics, community mental health centers, residential care facilities, private practice, primary care, homeless shelters, and home care. - PMHNPs may also provide care to clients referred for court-ordered therapy. QUESTION Interview Environment: Clinical Pearls Answer: The interview environment must be adapted to meet the unique needs of the client and to ensure client and provider safety. The following provisions can help to create a therapeutic environment: - a comfortable, clean space to put the provider and client at ease - a visible clock to monitor the 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 - a noise-canceling device for privacy QUESTION Time Considerations Answer: - Be on time. Don't be late! - Remember, the most important goal is to establish that therapeutic alliance. - Schedule appointments thoughtfully to ensure promptness. - Stay on time. This builds trust and communicates that respect for the client. - Discuss follow-up visits in the closure phase of the interview. - The timing of subsequent visits is informed by the client's unique circumstances, diagnosis and treatment, and medication regimens. QUESTION Therapeutic Communication Answer: - During the interview, the PMHNP utilizes therapeutic communication techniques and clinical reasoning to build rapport with the client, formulate a diagnosis, and negotiate a treatment plan. - The skilled interviewer uses a variety of approaches when interacting with the client. Attention to verbal and nonverbal communication and the use of observation will help the PMHNP gather information and establish a trusting relationship with the client. - These skills are especially important during the initial interview when providers typically have only 50-90 minutes to establish a connection with the client that will ensure that they return for subsequent visits. QUESTION Verbal Communication Answer: - Providers should use clear verbal communication applying a professional and respectful tone. - Asking open-ended questions helps elicit more detailed, nuanced responses.