Psychiatric Assessment for Psychiatric-
Mental Health Nurse Practitioner Questions
and Verified Answers 100% Correct [ score
A]- Chamberlain
Identifying Data - correct answer fairly long initial sentence that sets the stage for the
entire evaluation
-includes demographic descriptors of the client and the context of the referral
• age, sex, marital status, and source of referral at a minimum
• may include other information such as occupation, living situation, and presence of
other family.
Chief Complaint - correct answer reason client gives for presenting for treatment at
this time; typically, a direct quotation or subjective statement
History of Present Illness - correct answer -recent psychiatric symptoms, including
pertinent positives and negatives
-includes timeframe of recent onset or exacerbation, symptom triggers, or recent
treatment and treatment changes providing a snapshot of the onset and progression of
the current issue
Past Psychiatric History (PPH) - correct answer includes psychiatric hospitalizations,
outpatient treatments, current and past medications, types of psychotherapy, and any
suicide and/or violence history spanning early childhood to the present
-Can use mnemonic Go CHaMP for write-up
• General statement
• Caregivers
• Hospitalizations
• Medication trials
• past Psychotherapy (include if it was helpful, why/why not)
Substance Use History - correct answer -includes drug and alcohol use, when used,
consequences of use, the recent pattern of use, last use, and treatment
-also includes nicotine and caffeine usage
Review of Symptoms - correct answer -includes screening for present and past
symptoms related to the diagnostic category
-section assists in defending and confirming Diagnostic and Statistical Manual of
Mental Disorders, Fifth Edition (DSM 5-TR) diagnosis.
, NR548 Week 6 (Latest )
Psychiatric Assessment for Psychiatric-
Mental Health Nurse Practitioner Questions
and Verified Answers 100% Correct [ score
A]- Chamberlain
-go through the major diagnostic categories, indicating whether the patient met any of
the criteria and excluding those that you already mentioned in the HPI and in the
substance abuse section, if you have included one
Family History - correct answer -includes history of psychiatric disorders, substance
abuse, and suicide in the client's family
-provides an understanding of the client's home life, their childhood experiences,
education, and relationships
-genogram will suffice for family psychiatric hx
Social hx - correct answer At a minimum:
-Where your patient was born and raised
-Number of siblings
-Birth order of patient and siblings
-Who was present in the household during the formative years
-Educational level
-Work history
-Marital and parenting history of patient
-Typical daily activities other than work
Medical History - correct answer includes significant medical illnesses,
hospitalizations, surgeries, seizures, head injuries with loss of consciousness, and
prescribed medications and the primary care provider
-may use mnemonic MIDAS
-usually begin with general statement about pt's general health
Mental Status Exam - correct answer includes observational and direct inquiry
components and requires vivid description
-Describe your patient so well that a reader would be able to recognize him from your
description alone
Assessment - correct answer -includes the diagnosis
-concise and informative