ANSWERS
closure
-final phase of the psychiatric interview process
-provides the client with a summary and findings of the interview and allows for
discussion of future plans
-PMHNP may provide education during this phase
final step of the psychiatric interview
documentation
-Thorough, accurate documentation is necessary for clinical and legal purposes
Closing the Interview
PMHNP explains the diagnosis and treatment options to the client
-offers an opportunity for the client to ask questions and give input
-discussion includes recommendations for any additional psychological assessments
and laboratory testing needed
-education regarding recommended medications and therapies
-If a need to collaborate with other providers for information or treatment, the PMHNP
should seek permission from the client at this time to do so
-opportunity to address any client concerns about stigma
-discuss need for F/U care
Which of the following should be included when providing client education about
medication regimens? Select all that apply.
explain how the medication targets the symptoms, specific benefits, and
expected time course.
identify potential side effects, duration of side effects, and adverse effects.
explain the instructions, dosing, and special requirements.
use teach-back methods to ensure client understanding.
explain how the medication targets the symptoms, specific benefits, and expected time
course.
identify potential side effects, duration of side effects, and adverse effects.
, explain the instructions, dosing, and special requirements.
use teach-back methods to ensure client understanding.
Follow-Up homework
PMHNP may assign homework to the client
-especially when tx plan includes cognitive-behavioral or family therapy
-explain the purpose and goal of the assignment
-explain whether the client will be expected to report on the homework at the next
appointment
Follow-Up care
PMHNP should discuss the need for follow-up care with the client during the closure of
the interview
-include clients in determining the need for and frequency of follow-up visits
• promote adherence
-Two-week intervals are common when starting new medications
• assess for tolerability, efficacy, and the need for dose adjustment
-four-week intervals (or longer) are typical for stable clients
-Scheduling future visits is important as noncompliance is common in mental health
Documentation
Use the ten minutes following the 50-minute interview to record clinical findings
-facilitates communication with other members of the healthcare team
-provides information to insurance companies and third parties for billing and
reimbursement
-required to satisfy legal requirements and mitigate risk
• Careful and thorough record-keeping is imperative in the event of litigation
All components of a clinical encounter should be documented including:
• chief complaint
• referral source
• history of present illness
• current treatments including medications and therapies