Exam 2: NR548 / NR 548 (Latest
Update 2024 / 2025) Psychiatric Assessment for Psychiatric-Mental Health Nurse Practitioner | Questions & Answers | 100% Correct | Grade A - Chamberlain
Question:
Initial assessment: the psychiatric history
Answer:
-chief complaint -history of present illness (HPI) -psychiatric hx -medical hx -family hx -social & developmental hx
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Question:
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
Question:
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.
Question:
HPI
Answer:
history of the present illness 2 / 4
-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
Question:
Obtaining the HPI
Answer:
Two approaches:
-History of present crisis approach • Often, psychiatric crises occur over a 1- to 4-week period, so focus your initial questions on this period. 3 / 4
• What has been happening over the past week or two that has brought you into the clinic?• Tell me about some of the stressors you've dealt with over the past couple of weeks.
-History of the syndrome approach • ascertaining when the patient first remembers signs of the illness.• When did you first begin having these kinds of problems?• When was the last time you remember feeling perfectly well?
Question:
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
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