NR548 OR NR 548 EXAM 3 PSYCHIATRIC
ASSESSMENT FOR THE PSYCHIATRIC-MENTAL
HEALTH NURSE PRACTITIONER ACTUAL EXAM
GUIDE WITH UPDATED QUESTION AND
ANSWERS (VERIFIED ANSWERS) [ALREADY
GRADED A+]
Factors that affect the interpretation of the MSE - culture
native language
educational level
literacy
social factors
Family History - -includes history of psychiatric disorders,
substance abuse, and suicide in the client's family
2 | P a g e
-provides an understanding of the client's home life, their
childhood experiences, education, and relationships
-genogram will suffice for family psychiatric hx
final step of the psychiatric interview - documentation
-Thorough, accurate documentation is necessary for clinical and
legal purposes
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
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-Scheduling future visits is important as noncompliance is
common in mental health
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
General Cultural Knowledge - Inability to recall at least half of
these items is presumptive evidence of long-term memory
impairment.
-Last three presidents
-famous figures
• George Washington, first president
• Abraham Lincoln, freed the slaves
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• Martin Luther King, Jr., civil rights leader
• Princess Diana, British princess killed in car accident
• William Shakespeare, writer
• Christopher Columbus, discovered America
-Famous dates
• When did World War II happen? (Any time in the 1930s or
1940s is adequate.)
• When was John F. Kennedy assassinated? (Sometime in the
1960s.)
-Lists of information
• screening for dementia is the set test: patient to name as many
items (up to ten) as he can recall in each of four categories:
colors, animals, fruits, and towns; max of 40, score of 25 or above
excludes dx of dementia
History of Present Illness - -recent psychiatric symptoms,
including pertinent positives and negatives
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