NR548 Exam 2 2026 Exam
Questions with 100% Correct
Answers | Latest Update
psychiatric interview - 🧠 ANSWER ✔✔the process by which psychiatric
assessment is conducted
-primary tasks
• building a therapeutic alliance between the PMHNP & client
• obtaining a database of psychiatric info about the client
• establishing a dx
,• negotiating a tx plan
Therapeutic Alliance - 🧠 ANSWER ✔✔a feeling that you should create over
the course of the diagnostic interview, a sense of rapport, trust, and warmth
-most important goal of the interview process
-the cooperative working relationship between the therapist and client
• begins during the initial or opening phase of the interview
-fundamental component of successful therapy
• Without trust, adherence to treatment recommendations may be
compromised
• interview may not elicit the information needed to formulate an
appropriate dx & plan of care without rapport & trust
Creating rapport: tips - 🧠 ANSWER ✔✔-Be Yourself
-Be Warm, Courteous, and Emotionally Sensitive
-Actively Defuse the Strangeness of the Clinical Situation
-Give Your Patient the Opening Word
-Gain Your Patient's Trust by Projecting Competence
,How to approach threatening topics (sensitive/embarrassing material) - 🧠
ANSWER ✔✔-Normalization
-Symptom Expectation
-Symptom Exaggeration
-Reduction of Guilt
-Use Familiar Language When Asking about Behaviors
Normalization - 🧠 ANSWER ✔✔Introducing Q with some type of
normalizing statement
-two principal ways to do this:
1. start the question by implying that the behavior is a normal or
understandable response to a mood or situation
• ex: Sometimes when people are very depressed, they think of hurting
themselves. Has this been true for you?
2. Begin by describing another patient (or patients) who has engaged in the
behavior, showing your patient that she is not alone
COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
PRIVACY STATEMENT. ALL RIGHTS RESERVED
, • ex: I've talked to several patients who've said that their depression causes
them to have strange experiences, like hearing voices or thinking that
strangers are laughing at them. Has that been happening to you?
Symptom Expectation - 🧠 ANSWER ✔✔communicate that a behavior is in
some way normal or expected
-Phrase your Q's to imply that you already assume the patient has engaged
in some behavior and that you will not be offended by a positive response
-high index of suspicion of some self-destructive activity
-Ex: patient is profoundly depressed and has expressed feelings of
hopelessness. You suspect suicidality, but you sense that the patient may
be too ashamed to admit it. Rather than gingerly asking "Have you had any
thoughts that you'd be better off dead?" you might decide to use symptom
expectation. "What kinds of ways to hurt yourself have you thought about?"
*reserve this technique for situations in which it seems appropriate
Symptom Exaggeration - 🧠 ANSWER ✔✔suggesting a frequency of a
problematic behavior that is higher than your expectation, so that the
Questions with 100% Correct
Answers | Latest Update
psychiatric interview - 🧠 ANSWER ✔✔the process by which psychiatric
assessment is conducted
-primary tasks
• building a therapeutic alliance between the PMHNP & client
• obtaining a database of psychiatric info about the client
• establishing a dx
,• negotiating a tx plan
Therapeutic Alliance - 🧠 ANSWER ✔✔a feeling that you should create over
the course of the diagnostic interview, a sense of rapport, trust, and warmth
-most important goal of the interview process
-the cooperative working relationship between the therapist and client
• begins during the initial or opening phase of the interview
-fundamental component of successful therapy
• Without trust, adherence to treatment recommendations may be
compromised
• interview may not elicit the information needed to formulate an
appropriate dx & plan of care without rapport & trust
Creating rapport: tips - 🧠 ANSWER ✔✔-Be Yourself
-Be Warm, Courteous, and Emotionally Sensitive
-Actively Defuse the Strangeness of the Clinical Situation
-Give Your Patient the Opening Word
-Gain Your Patient's Trust by Projecting Competence
,How to approach threatening topics (sensitive/embarrassing material) - 🧠
ANSWER ✔✔-Normalization
-Symptom Expectation
-Symptom Exaggeration
-Reduction of Guilt
-Use Familiar Language When Asking about Behaviors
Normalization - 🧠 ANSWER ✔✔Introducing Q with some type of
normalizing statement
-two principal ways to do this:
1. start the question by implying that the behavior is a normal or
understandable response to a mood or situation
• ex: Sometimes when people are very depressed, they think of hurting
themselves. Has this been true for you?
2. Begin by describing another patient (or patients) who has engaged in the
behavior, showing your patient that she is not alone
COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
PRIVACY STATEMENT. ALL RIGHTS RESERVED
, • ex: I've talked to several patients who've said that their depression causes
them to have strange experiences, like hearing voices or thinking that
strangers are laughing at them. Has that been happening to you?
Symptom Expectation - 🧠 ANSWER ✔✔communicate that a behavior is in
some way normal or expected
-Phrase your Q's to imply that you already assume the patient has engaged
in some behavior and that you will not be offended by a positive response
-high index of suspicion of some self-destructive activity
-Ex: patient is profoundly depressed and has expressed feelings of
hopelessness. You suspect suicidality, but you sense that the patient may
be too ashamed to admit it. Rather than gingerly asking "Have you had any
thoughts that you'd be better off dead?" you might decide to use symptom
expectation. "What kinds of ways to hurt yourself have you thought about?"
*reserve this technique for situations in which it seems appropriate
Symptom Exaggeration - 🧠 ANSWER ✔✔suggesting a frequency of a
problematic behavior that is higher than your expectation, so that the
