NR548 Week 4 Exam UPDATED ACTUAL
QUESTIONS AND CORRECT ANSWERS
Initial assessment: the psychiatric history - CORRECT ANSWER -chief complaint
-history of present illness (HPI)
-psychiatric hx
-medical hx
-family hx
-social & developmental hx
Comprehensive Health History - CORRECT ANSWER -Chief Complaint
-History of Present Illness
-Past Medical History
-Medications and Allergies
-Family History
-Personal and Social History
-Review of Systems
chief complaint - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT ANSWER Document info about the client's parents, grandparents,
siblings, children, and grandchildren
-regarding age, health, & cause of death.
-Include whether they have conditions such as hypertension, coronary artery disease, stroke, diabetes,
or cancer.
-Many psychiatric disorders have a genetic component
• info about family psych hx including tx that was successful/unsuccessful may help form dx/tx plan,
can help ID those available for support, ID stresses/contributing factors to clients condition
Personal and Social Hx - CORRECT ANSWER Personal Hx:
-personality and interests, sources of support, coping style, strengths, and concerns
QUESTIONS AND CORRECT ANSWERS
Initial assessment: the psychiatric history - CORRECT ANSWER -chief complaint
-history of present illness (HPI)
-psychiatric hx
-medical hx
-family hx
-social & developmental hx
Comprehensive Health History - CORRECT ANSWER -Chief Complaint
-History of Present Illness
-Past Medical History
-Medications and Allergies
-Family History
-Personal and Social History
-Review of Systems
chief complaint - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT ANSWER Document info about the client's parents, grandparents,
siblings, children, and grandchildren
-regarding age, health, & cause of death.
-Include whether they have conditions such as hypertension, coronary artery disease, stroke, diabetes,
or cancer.
-Many psychiatric disorders have a genetic component
• info about family psych hx including tx that was successful/unsuccessful may help form dx/tx plan,
can help ID those available for support, ID stresses/contributing factors to clients condition
Personal and Social Hx - CORRECT ANSWER Personal Hx:
-personality and interests, sources of support, coping style, strengths, and concerns
