NR548 EXAM 2 ACTUAL EXAM
PSYCHIATRIC ASSESSMENT FOR THE PSYCHIATRIC
MENTAL HEALTH NURSE PRACTITIONER REVIEW |
WEEK 3-4 | COMPLETE 80 QUESTIONS AND
DETAILED ANSWERS| LATEST UPDATE
Relative risk
compares the risk for people with such a family history against
the risk of people in the general population, who are assigned
a relative risk of 1.0.
-example, relative risk of developing bipolar disorder is 25;
patient's father is bipolar, she is 25 times more likely to
develop bipolar disorder than the average person
interview environment
-comfortable, clean space to put provider & 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
-a noise-canceling device for privacy
Psychiatric interview setting
typically in either the inpatient or outpatient setting
-inpatient interviews in the emergency department,
psychiatric unit, or any unit in the hospital, often serving in a
consultation-liaison role
-Outpatient care: clinics, community mental health centers,
residential care facilities, private practice, primary care,
homeless shelters, or homecare
• may self-refer or be referred by another provider for
support, guidance, and medication management, or court-
ordered therapy
The psychiatric history
-describes previous episodes of mental health symptoms
• whether treated or not
,-should detail the initial onset of symptoms and progress
chronologically to the current episode
• characteristics and progression should be described in detail
-distinguish chronic disorders from isolated episodes
-gather info on prior treatments
-note which drug(s) prescribed, dosage & length of tx, &
client's response to tx
-which meds therapeutic & if adverse effects
-if client received psychotherapy, note which modality was
used, frequency, length of therapy, any benefits
-hospitalizations
-suicide attempts, ideations, episodes of self-harm
-any emotions revealed through the inquiry
Medical diagnoses may present with psychiatric symptoms:
hyperthyroidism
anxiety, panic attacks, and mood swings
, Medical diagnoses may present with psychiatric symptoms:
hypothyroidism
depression, difficulty sleeping, and loss of appetite
Medical diagnoses may present with psychiatric symptoms:
diabetes
mood disturbances
Medical diagnoses may present with psychiatric symptoms:
chronic pain
depression, anxiety, poor sleep
Medical diagnoses may present with psychiatric symptoms:
serious or terminal illnesses such as cancer or chronic
autoimmune disorders
PSYCHIATRIC ASSESSMENT FOR THE PSYCHIATRIC
MENTAL HEALTH NURSE PRACTITIONER REVIEW |
WEEK 3-4 | COMPLETE 80 QUESTIONS AND
DETAILED ANSWERS| LATEST UPDATE
Relative risk
compares the risk for people with such a family history against
the risk of people in the general population, who are assigned
a relative risk of 1.0.
-example, relative risk of developing bipolar disorder is 25;
patient's father is bipolar, she is 25 times more likely to
develop bipolar disorder than the average person
interview environment
-comfortable, clean space to put provider & 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
-a noise-canceling device for privacy
Psychiatric interview setting
typically in either the inpatient or outpatient setting
-inpatient interviews in the emergency department,
psychiatric unit, or any unit in the hospital, often serving in a
consultation-liaison role
-Outpatient care: clinics, community mental health centers,
residential care facilities, private practice, primary care,
homeless shelters, or homecare
• may self-refer or be referred by another provider for
support, guidance, and medication management, or court-
ordered therapy
The psychiatric history
-describes previous episodes of mental health symptoms
• whether treated or not
,-should detail the initial onset of symptoms and progress
chronologically to the current episode
• characteristics and progression should be described in detail
-distinguish chronic disorders from isolated episodes
-gather info on prior treatments
-note which drug(s) prescribed, dosage & length of tx, &
client's response to tx
-which meds therapeutic & if adverse effects
-if client received psychotherapy, note which modality was
used, frequency, length of therapy, any benefits
-hospitalizations
-suicide attempts, ideations, episodes of self-harm
-any emotions revealed through the inquiry
Medical diagnoses may present with psychiatric symptoms:
hyperthyroidism
anxiety, panic attacks, and mood swings
, Medical diagnoses may present with psychiatric symptoms:
hypothyroidism
depression, difficulty sleeping, and loss of appetite
Medical diagnoses may present with psychiatric symptoms:
diabetes
mood disturbances
Medical diagnoses may present with psychiatric symptoms:
chronic pain
depression, anxiety, poor sleep
Medical diagnoses may present with psychiatric symptoms:
serious or terminal illnesses such as cancer or chronic
autoimmune disorders
