Exam 1: NR 548 / NR548 (Latest )
Psychiatric Assessment for Psychiatric-Mental Health
Nurse Practitioner | Weeks 1-2 Covered | Questions
with Verified Answers | 100% Correct – Chamberlain
1. A psychiatric-mental health nurse practitioner (PMHNP) is conducting an
initial psychiatric evaluation. Which component is essential to include in a
comprehensive psychiatric assessment?
• A) Medical history only
• B) Psychiatric history, mental status examination, and diagnostic
formulation
• C) Family history of medical illness only
• D) Social media usage assessment
Rationale: A comprehensive psychiatric evaluation includes psychiatric history,
mental status examination (MSE), medical history, family history, social history,
and diagnostic formulation. A holistic approach is essential for accurate diagnosis
and treatment planning.
2. The therapeutic alliance in psychiatric assessment is best described as:
• A) A one-way relationship where the provider directs all treatment
• B) A collaborative partnership between provider and patient focused on
treatment goals
• C) Strictly professional with no personal connection
• D) Based solely on medication management
Rationale: The therapeutic alliance is a collaborative, trusting relationship
between provider and patient that is essential for accurate assessment, information
gathering, and treatment adherence.
3. Which of the following is a key principle of trauma-informed care?
, • A) Focusing only on current symptoms
• B) Avoiding discussion of past trauma entirely
• C) Ensuring physical and emotional safety, trustworthiness, choice,
collaboration, and empowerment
• D) Requiring patients to disclose all traumatic experiences immediately
Rationale: Trauma-informed care principles include safety, trustworthiness,
choice, collaboration, and empowerment. The approach emphasizes avoiding
retraumatization and recognizing the widespread impact of trauma.
4. A patient presents for an initial psychiatric evaluation. The PMHNP should
FIRST:
• A) Prescribe medication
• B) Establish rapport and explain the purpose and process of the
evaluation
• C) Complete the mental status examination
• D) Review old records
Rationale: Establishing rapport and orienting the patient to the evaluation process
is essential before gathering detailed information. This builds trust and reduces
patient anxiety.
5. Which of the following is a component of informed consent for psychiatric
treatment?
• A) Discussing risks, benefits, and alternatives to treatment
• B) Telling the patient what they must do
• C) Withholding information to avoid distress
• D) Obtaining consent only once at the beginning of treatment
Rationale: Informed consent requires discussing the nature of treatment, risks,
benefits, alternatives, and the patient's right to refuse or withdraw consent at any
time.
,6. Who developed the first organized training school within a hospital for the
insane in 1882?
• A) Effie Jones
• B) Edward Cowles
• C) Dorothea Dix
• D) Loretta Ford
Rationale: Dr. Edward Cowles created the first organized training school within a
hospital for the insane in 1882 at McLean Hospital. This marked a significant shift
from restrictive custodial care to treatment-focused approaches in mental health
care.
7. Who developed the first nurse-organized training course for psychiatric
nursing at Johns Hopkins Hospital in 1913?
• A) Effie Jones
• B) Edward Cowles
• C) Dorothea Dix
• D) Loretta Ford
Rationale: Effie Jane Taylor (often referred to as Effie Jones) developed the first
nurse-organized training course for psychiatric nursing at Johns Hopkins Hospital
in 1913. Before this, early psychiatric nurses were trained by physicians rather than
by nursing educators.
8. Following World War I, what did the National League for Nursing
Education add to curriculum guides?
• A) "Pharmacology for Mental Health"
• B) "Nursing in nervous and mental diseases"
• C) "Advanced Psychiatric Assessment"
, • D) "Therapeutic Communication Skills"
Rationale: Following World War I, the National League for Nursing Education
added "nursing in nervous and mental diseases" to curriculum guides. This
expanded awareness of mental health disorders and the need for specialized
nursing care.
9. In what year was the nurse practitioner role introduced?
• A) 1954
• B) 1965
• C) 1973
• D) 1985
Rationale: Loretta Ford, RN, and Henry Silver, MD, introduced the nurse
practitioner role in 1965 at the University of Colorado. This expanded advanced
practice nursing beyond the clinical nurse specialist role into primary care.
10. The PMHNP role is grounded in which ethical framework?
• A) Utilitarianism
• B) The ANA Code of Ethics for Nurses
• C) Paternalism
• D) Beneficence only
Rationale: The PMHNP role is grounded in the ANA Code of Ethics for Nurses,
which provides ethical guidance for nursing practice, including principles of
autonomy, beneficence, nonmaleficence, justice, and fidelity.
11. Social determinants of health are defined as:
• A) The conditions in which people are born, grow, live, work, and age
• B) Genetic predispositions to illness
• C) Individual lifestyle choices only
Psychiatric Assessment for Psychiatric-Mental Health
Nurse Practitioner | Weeks 1-2 Covered | Questions
with Verified Answers | 100% Correct – Chamberlain
1. A psychiatric-mental health nurse practitioner (PMHNP) is conducting an
initial psychiatric evaluation. Which component is essential to include in a
comprehensive psychiatric assessment?
• A) Medical history only
• B) Psychiatric history, mental status examination, and diagnostic
formulation
• C) Family history of medical illness only
• D) Social media usage assessment
Rationale: A comprehensive psychiatric evaluation includes psychiatric history,
mental status examination (MSE), medical history, family history, social history,
and diagnostic formulation. A holistic approach is essential for accurate diagnosis
and treatment planning.
2. The therapeutic alliance in psychiatric assessment is best described as:
• A) A one-way relationship where the provider directs all treatment
• B) A collaborative partnership between provider and patient focused on
treatment goals
• C) Strictly professional with no personal connection
• D) Based solely on medication management
Rationale: The therapeutic alliance is a collaborative, trusting relationship
between provider and patient that is essential for accurate assessment, information
gathering, and treatment adherence.
3. Which of the following is a key principle of trauma-informed care?
, • A) Focusing only on current symptoms
• B) Avoiding discussion of past trauma entirely
• C) Ensuring physical and emotional safety, trustworthiness, choice,
collaboration, and empowerment
• D) Requiring patients to disclose all traumatic experiences immediately
Rationale: Trauma-informed care principles include safety, trustworthiness,
choice, collaboration, and empowerment. The approach emphasizes avoiding
retraumatization and recognizing the widespread impact of trauma.
4. A patient presents for an initial psychiatric evaluation. The PMHNP should
FIRST:
• A) Prescribe medication
• B) Establish rapport and explain the purpose and process of the
evaluation
• C) Complete the mental status examination
• D) Review old records
Rationale: Establishing rapport and orienting the patient to the evaluation process
is essential before gathering detailed information. This builds trust and reduces
patient anxiety.
5. Which of the following is a component of informed consent for psychiatric
treatment?
• A) Discussing risks, benefits, and alternatives to treatment
• B) Telling the patient what they must do
• C) Withholding information to avoid distress
• D) Obtaining consent only once at the beginning of treatment
Rationale: Informed consent requires discussing the nature of treatment, risks,
benefits, alternatives, and the patient's right to refuse or withdraw consent at any
time.
,6. Who developed the first organized training school within a hospital for the
insane in 1882?
• A) Effie Jones
• B) Edward Cowles
• C) Dorothea Dix
• D) Loretta Ford
Rationale: Dr. Edward Cowles created the first organized training school within a
hospital for the insane in 1882 at McLean Hospital. This marked a significant shift
from restrictive custodial care to treatment-focused approaches in mental health
care.
7. Who developed the first nurse-organized training course for psychiatric
nursing at Johns Hopkins Hospital in 1913?
• A) Effie Jones
• B) Edward Cowles
• C) Dorothea Dix
• D) Loretta Ford
Rationale: Effie Jane Taylor (often referred to as Effie Jones) developed the first
nurse-organized training course for psychiatric nursing at Johns Hopkins Hospital
in 1913. Before this, early psychiatric nurses were trained by physicians rather than
by nursing educators.
8. Following World War I, what did the National League for Nursing
Education add to curriculum guides?
• A) "Pharmacology for Mental Health"
• B) "Nursing in nervous and mental diseases"
• C) "Advanced Psychiatric Assessment"
, • D) "Therapeutic Communication Skills"
Rationale: Following World War I, the National League for Nursing Education
added "nursing in nervous and mental diseases" to curriculum guides. This
expanded awareness of mental health disorders and the need for specialized
nursing care.
9. In what year was the nurse practitioner role introduced?
• A) 1954
• B) 1965
• C) 1973
• D) 1985
Rationale: Loretta Ford, RN, and Henry Silver, MD, introduced the nurse
practitioner role in 1965 at the University of Colorado. This expanded advanced
practice nursing beyond the clinical nurse specialist role into primary care.
10. The PMHNP role is grounded in which ethical framework?
• A) Utilitarianism
• B) The ANA Code of Ethics for Nurses
• C) Paternalism
• D) Beneficence only
Rationale: The PMHNP role is grounded in the ANA Code of Ethics for Nurses,
which provides ethical guidance for nursing practice, including principles of
autonomy, beneficence, nonmaleficence, justice, and fidelity.
11. Social determinants of health are defined as:
• A) The conditions in which people are born, grow, live, work, and age
• B) Genetic predispositions to illness
• C) Individual lifestyle choices only
