EXAM 3: NR548/ NR 548 2025/2026/2027
PSYCHIATRIC ASSESSMENT FOR THE
PSYCHIATRIC-MENTAL HEALTH NURSE
PRACTITIONER REVIEW |WEEKS 5-6 COVERED
WITH VERIFIED SOLUTIONS GRADED A+
individual who presents with an hypomania or mania
extremely rapid and pressured
speech with constant
interruptions may be experiencing
__________ or __________
An absence of speech is seen dementia
with some diagnoses such as
___________
non-sensical speech is often psychotic disorders
associated with _______________
,MSE: Mood and Affect Mood
-client's state of mind or prevalent emotional
state
-subjective
-typically self-reported
-Stable: mood is appropriate to their current
situation
-other: bright, happy, angry, agitated, irritable,
labile, anxious, depressed, or euphoric
Affect
-physical manifestation of the client's emotional
state as observed by the provider
-normal, blunted, flat, bizarre, dysphoric, or
euphoric
-Qualities of affect
• stability (stable or labile)
• appropriateness
• range (does it change with diff. situations)
• intensity
MSE: Thought Process -rate of thoughts and how they flow and are
connected
-coherent vs. incoherent
-Normal: linear & goal-directed
-Other: loose, circumstantial, or tangential
-Clients may experience flight of ideas with
, little connection between thoughts or words
-Assessment: questioning client, listening to
responses
MSE: Suicidal and Homicidal -Direct terms should be used to assess suicide
Ideation preoccupation and planning
-assess for homicidal ideation, intent, attempts,
and plans
-critical to determine whether a plan exists
• access to the resources needed to execute
the plan
• more detailed and thorough the plan, the
higher the risk
• assess if plan is composed of fleeting
thoughts rather than action steps
• assess whether the client is angry and
lashing out or intending to bring actual
harm
-SCREENING FOR SUICIDAL AND HOMICIDAL
IDEATIONS IS AN ETHICAL
OBLIGATION OF THE PMHNP & IS ESSENTIAL
FOR PROTECTING ONESELF, THE CLIENT, &
THE PUBLIC
MSE: Cognitive Assessment -evaluation of a client's level of awareness,
attention, concentration, and memory
-Awareness: observation with emphasis on the
client's eyes and speech
-alertness or wakefulness provides information
about cognitive function
PSYCHIATRIC ASSESSMENT FOR THE
PSYCHIATRIC-MENTAL HEALTH NURSE
PRACTITIONER REVIEW |WEEKS 5-6 COVERED
WITH VERIFIED SOLUTIONS GRADED A+
individual who presents with an hypomania or mania
extremely rapid and pressured
speech with constant
interruptions may be experiencing
__________ or __________
An absence of speech is seen dementia
with some diagnoses such as
___________
non-sensical speech is often psychotic disorders
associated with _______________
,MSE: Mood and Affect Mood
-client's state of mind or prevalent emotional
state
-subjective
-typically self-reported
-Stable: mood is appropriate to their current
situation
-other: bright, happy, angry, agitated, irritable,
labile, anxious, depressed, or euphoric
Affect
-physical manifestation of the client's emotional
state as observed by the provider
-normal, blunted, flat, bizarre, dysphoric, or
euphoric
-Qualities of affect
• stability (stable or labile)
• appropriateness
• range (does it change with diff. situations)
• intensity
MSE: Thought Process -rate of thoughts and how they flow and are
connected
-coherent vs. incoherent
-Normal: linear & goal-directed
-Other: loose, circumstantial, or tangential
-Clients may experience flight of ideas with
, little connection between thoughts or words
-Assessment: questioning client, listening to
responses
MSE: Suicidal and Homicidal -Direct terms should be used to assess suicide
Ideation preoccupation and planning
-assess for homicidal ideation, intent, attempts,
and plans
-critical to determine whether a plan exists
• access to the resources needed to execute
the plan
• more detailed and thorough the plan, the
higher the risk
• assess if plan is composed of fleeting
thoughts rather than action steps
• assess whether the client is angry and
lashing out or intending to bring actual
harm
-SCREENING FOR SUICIDAL AND HOMICIDAL
IDEATIONS IS AN ETHICAL
OBLIGATION OF THE PMHNP & IS ESSENTIAL
FOR PROTECTING ONESELF, THE CLIENT, &
THE PUBLIC
MSE: Cognitive Assessment -evaluation of a client's level of awareness,
attention, concentration, and memory
-Awareness: observation with emphasis on the
client's eyes and speech
-alertness or wakefulness provides information
about cognitive function
