NR548 – PSYCHIATRIC-MENTAL HEALTH ADVANCED
EXAM 2 – 2025–2026 – PSYCHIATRIC INTERVIEW
TECHNIQUES, THERAPEUTIC ALLIANCE, AND SENSITIVE
TOPIC APPROACHES – CHAMBERLAIN UNIVERSITY.
PMH ✔✔CORRECT ANSWERS✔✔-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 ANSWERS✔✔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 ANSWERS✔✔Personal Hx:
-personality and interests, sources of support, coping style, strengths,
and concerns
-sexual orientation and gender identification, occupation and
education, relationships, safety, spirituality, and support systems
-older adults/clients with diabilities: level of function and activities of
daily living
Social Hx:
-tobacco, illicit drug, and alcohol use
-sexuality & risk-taking sexual practices
-Five Ps+
• Partners (gender & # of partners)
• Practices (oral, vaginal, anal)
• Protection from STIs
• Past hx of STIs
,• Pregnancy plans
• +Plus (assess for trauma, violence, sexual health concerns & provide
support for sexual orientation and gender identity)
ROS ✔✔CORRECT ANSWERS✔✔review of systems used to obtain
additional info about client's CC & HPI & to uncover any additional
symptoms r/t potential problems in systems unrelated to the CC
-follow a head-to-toe approach with yes or no questions
• follow up when there is a response that indicates an abnormality with
open-ended questions
-subjective
• constitutional
• skin
• head
• eyes
• ears
• nose/sinuses
• allergies
• mouth/throat
• neck
• breast
• respiratory/cardiac
, • gastrointestinal
• urinary
• peripheral vascular
• musculoskeletal
• neurological
• hematologic
• endocrine
• psychiatric
Psychiatric interview ✔✔CORRECT ANSWERS✔✔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 ✔✔CORRECT ANSWERS✔✔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
EXAM 2 – 2025–2026 – PSYCHIATRIC INTERVIEW
TECHNIQUES, THERAPEUTIC ALLIANCE, AND SENSITIVE
TOPIC APPROACHES – CHAMBERLAIN UNIVERSITY.
PMH ✔✔CORRECT ANSWERS✔✔-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 ANSWERS✔✔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 ANSWERS✔✔Personal Hx:
-personality and interests, sources of support, coping style, strengths,
and concerns
-sexual orientation and gender identification, occupation and
education, relationships, safety, spirituality, and support systems
-older adults/clients with diabilities: level of function and activities of
daily living
Social Hx:
-tobacco, illicit drug, and alcohol use
-sexuality & risk-taking sexual practices
-Five Ps+
• Partners (gender & # of partners)
• Practices (oral, vaginal, anal)
• Protection from STIs
• Past hx of STIs
,• Pregnancy plans
• +Plus (assess for trauma, violence, sexual health concerns & provide
support for sexual orientation and gender identity)
ROS ✔✔CORRECT ANSWERS✔✔review of systems used to obtain
additional info about client's CC & HPI & to uncover any additional
symptoms r/t potential problems in systems unrelated to the CC
-follow a head-to-toe approach with yes or no questions
• follow up when there is a response that indicates an abnormality with
open-ended questions
-subjective
• constitutional
• skin
• head
• eyes
• ears
• nose/sinuses
• allergies
• mouth/throat
• neck
• breast
• respiratory/cardiac
, • gastrointestinal
• urinary
• peripheral vascular
• musculoskeletal
• neurological
• hematologic
• endocrine
• psychiatric
Psychiatric interview ✔✔CORRECT ANSWERS✔✔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 ✔✔CORRECT ANSWERS✔✔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
