NR548 Week 4 Exam
Questions and Complete
Solutions Graded A+
Initial assessment: the psychiatric history - Answer: -chief complaint
-history of present illness (HPI)
-psychiatric hx
-medical hx
-family hx
-social & developmental hx
Comprehensive Health History - Answer: -Chief Complaint
-History of Present Illness
-Past Medical History
-Medications and Allergies
-Family History
-Personal and Social History
-Review of Systems
chief complaint - Answer: client's reason for seeking treatment or evaluation
-Using the client's own words
• even if improbable or nonsensical, conveys valuable information about the client's capacity for self-
observation and insight.
HPI - Answer: history of the present illness
-concise, clear, and chronological description of the chief complaint which prompted the client's visit
, • details what the client believes to be causing the present symptoms
-guided by the mnemonic "OLDCARTS"
-gather information about the timeframe of symptom onset or exacerbation, triggers or stressful life
events, and recent treatment and treatment changes
-nature of the symptoms, when they emerged, and how they have progressed
-Documentation:
• opening statement
• characterization of the chief complaint in chronological order
• pertinent positive symptoms
• pertinent negative symptoms
• other relevant info. from the hx
symptom characteristics should be described in detail
PMH - Answer: -past medical history includes all current and old medical problems
• childhood illness
• adult illness
• surgical
• obstetric/gynecologic
• psychiatric
• health maintenance
-major medical illness or surgery may precipitate a psychiatric disturbance
-name and dosing schedule for all currently meds to avoid risk of adverse interactions with new
psychiatric prescriptions
Family Hx - Answer: Document info about the client's parents, grandparents, siblings, children, and
grandchildren
-regarding age, health, & cause of death.
Questions and Complete
Solutions Graded A+
Initial assessment: the psychiatric history - Answer: -chief complaint
-history of present illness (HPI)
-psychiatric hx
-medical hx
-family hx
-social & developmental hx
Comprehensive Health History - Answer: -Chief Complaint
-History of Present Illness
-Past Medical History
-Medications and Allergies
-Family History
-Personal and Social History
-Review of Systems
chief complaint - Answer: client's reason for seeking treatment or evaluation
-Using the client's own words
• even if improbable or nonsensical, conveys valuable information about the client's capacity for self-
observation and insight.
HPI - Answer: history of the present illness
-concise, clear, and chronological description of the chief complaint which prompted the client's visit
, • details what the client believes to be causing the present symptoms
-guided by the mnemonic "OLDCARTS"
-gather information about the timeframe of symptom onset or exacerbation, triggers or stressful life
events, and recent treatment and treatment changes
-nature of the symptoms, when they emerged, and how they have progressed
-Documentation:
• opening statement
• characterization of the chief complaint in chronological order
• pertinent positive symptoms
• pertinent negative symptoms
• other relevant info. from the hx
symptom characteristics should be described in detail
PMH - Answer: -past medical history includes all current and old medical problems
• childhood illness
• adult illness
• surgical
• obstetric/gynecologic
• psychiatric
• health maintenance
-major medical illness or surgery may precipitate a psychiatric disturbance
-name and dosing schedule for all currently meds to avoid risk of adverse interactions with new
psychiatric prescriptions
Family Hx - Answer: Document info about the client's parents, grandparents, siblings, children, and
grandchildren
-regarding age, health, & cause of death.
