A+ GRADED
NR548 Psychiatric
Assessment for the PMHNP
Exam 3 Review –
Chamberlain 2025/2026 |
Weeks 5–6 | Verified
Questions with 100%
Correct Answers
Student Instructions
•Read each scenario carefully and identify the most accurate answer.
• Only one answer is correct unless otherwise specified.
• Display the correct answer in blue.
• Provide a detailed rationale with clinical reasoning and psychiatric
knowledge.
• Use this review as a guide for NR548 assessments and professional PMHNP
practice.
, Question 1
A PMHNP is conducting a mental status exam (MSE) on a 30-year-old
male reporting low mood. Which observation best indicates impaired
affect?
A. Patient maintains eye contact and smiles appropriately.
B. Patient describes sadness but displays a flat facial expression.
C. Patient speaks rapidly about multiple topics.
D. Patient reports suicidal ideation with a clear plan.
B. Patient describes sadness but displays a flat facial expression.
Rationale: Affect is assessed by observing emotional expression
during the MSE. A flat affect, incongruent with reported sadness,
indicates blunted emotional reactivity, common in depression or
schizophrenia (DSM-5-TR). Option A shows normal affect, C
suggests thought process issues (flight of ideas), and D indicates
suicidal risk requiring safety assessment but not affect impairment.
Question 2
During a psychiatric interview, a 25-year-old female reports hearing
voices commenting on her actions. Which follow-up question best
assesses the nature of these hallucinations?
A. “Are you feeling sad or hopeless today?”
B. “When did you first hear the voices, and what do they say?”
C. “Have you been sleeping well at night?”
D. “Do you feel safe at home?”
B. “When did you first hear the voices, and what do they say?”
Rationale: Assessing auditory hallucinations requires exploring
onset, frequency, content, and impact to differentiate psychosis (e.g.,
schizophrenia) from other causes (e.g., substance use, PTSD) per
2025 APA guidelines. Open-ended questions elicit detailed responses
NR548 Psychiatric
Assessment for the PMHNP
Exam 3 Review –
Chamberlain 2025/2026 |
Weeks 5–6 | Verified
Questions with 100%
Correct Answers
Student Instructions
•Read each scenario carefully and identify the most accurate answer.
• Only one answer is correct unless otherwise specified.
• Display the correct answer in blue.
• Provide a detailed rationale with clinical reasoning and psychiatric
knowledge.
• Use this review as a guide for NR548 assessments and professional PMHNP
practice.
, Question 1
A PMHNP is conducting a mental status exam (MSE) on a 30-year-old
male reporting low mood. Which observation best indicates impaired
affect?
A. Patient maintains eye contact and smiles appropriately.
B. Patient describes sadness but displays a flat facial expression.
C. Patient speaks rapidly about multiple topics.
D. Patient reports suicidal ideation with a clear plan.
B. Patient describes sadness but displays a flat facial expression.
Rationale: Affect is assessed by observing emotional expression
during the MSE. A flat affect, incongruent with reported sadness,
indicates blunted emotional reactivity, common in depression or
schizophrenia (DSM-5-TR). Option A shows normal affect, C
suggests thought process issues (flight of ideas), and D indicates
suicidal risk requiring safety assessment but not affect impairment.
Question 2
During a psychiatric interview, a 25-year-old female reports hearing
voices commenting on her actions. Which follow-up question best
assesses the nature of these hallucinations?
A. “Are you feeling sad or hopeless today?”
B. “When did you first hear the voices, and what do they say?”
C. “Have you been sleeping well at night?”
D. “Do you feel safe at home?”
B. “When did you first hear the voices, and what do they say?”
Rationale: Assessing auditory hallucinations requires exploring
onset, frequency, content, and impact to differentiate psychosis (e.g.,
schizophrenia) from other causes (e.g., substance use, PTSD) per
2025 APA guidelines. Open-ended questions elicit detailed responses
