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NR548 Week 6 Exam Guide

Which of the following questions could be used to assess for ideas of reference?

Answers: A – D

A Do you ever see things that others do not see?
B Does the TV or radio ever send you special messages? ✅
C Do you find it hard to fall asleep with your neighbor’s loud music?
D How do you feel when your mother ignores you?**

When assessing cognition, why is it important to assess the level of wakefulness?

Answers: A – D

A Level of wakefulness can impact the client’s likeliness to return for follow up.
B Level of wakefulness can provide insight into substance abuse.
C Level of wakefulness can identify schizophrenia.
D Level of wakefulness can be used as a test for delirium or confusion. ✅

A client reports a previous diagnosis of attention deficit hyperactivity disorder and previous use of amphetamine salts. This information is documented within which section of the clinical note?

Answers: A – D

A developmental history
B psychiatric history ✅
C general medical history
D social history

A 50-year-old client presents with concerns regarding attention and focus. Which simple test has the most research support?

Answers: A – D

A Wilson Rapid Approximate Intelligence Test
B the months backward test (MBT)
C the digit span test ✅
D the Serial Sevens Subtraction Test (SSST)**

A client presents looking disheveled with poor hygiene. This information is documented within which section of the clinical note?

Answers: A – D

A social history
B appearance ✅
C behavior
D review of systems

The PMHNP interviews a client who responds immediately to all questions without any latency of response. Which condition is most likely to be associated with this speech pattern?

Answers: A – D

A irritability
B depression
C mania ✅
D anxiety

During the closing of the interview, the PMHNP provides the client with education regarding follow-up to assess the tolerability and efficacy of a new medication in the treatment plan. The PMHNP would likely recommend which follow-up interval?

Answers: A – D

A four weeks
B 24 hours
C one week ✅
D two weeks

Which of the following clinical presentations is consistent with a labile affect?

Answers: A – D

A The client alternates between rapid speech and foot tapping.
B The client alternates between giggling and crying. ✅
C The client alternates between smiling and laughing.
D The client alternates between crying and quiet speech.

During the psychiatric interview, a client reports self-medicating daily with cocaine to treat depression. The client’s statement illustrates a concern with which of the following?

Answers: A – D

A insight
B judgement ✅
C orientation
D intelligence

When asking a client if they hear voices that others do not hear or see things that others do not see, the PMHNP is assessing which component of the mental status exam (MSE)?

Answers: A – D

A insight
B thought content ✅
C thought process
D affect

The birth order of the client and siblings is documented in which section of the clinical note?

Answers: A – D

A developmental history
B social history ✅
C family medical history
D family psychiatric history

The PMHNP student is conducting a Mini-Cog exam for the first time on a clinical client. Which of the following is the correct process?

Answers: A – D

A Tell the client three words. Show the patient two simple objects, such as a wristwatch and a pencil, and ask the patient to name them. Ask the client to draw clock hands to a specific time. Once completed, ask the client to repeat the three words.

B Tell the client three words. Ask the client to repeat the three words. Provide the client with a sheet of paper and ask the client to draw the face of a clock. Ask the client to draw clock hands to a specific time. Once completed, ask the client to repeat the three words. ✅

C Tell the client three words. Provide the client with a piece of paper containing the face of a clock. Ask the client to draw clock hands to a specific time. Once completed, ask the client to repeat the three words.

D Tell the client three words. Ask the client to count back from 100, subtracting 7 from each number. Provide the client with a sheet of paper and ask the client to draw the face of a clock. Ask the client to draw clock hands to a specific time. Once completed, ask the client to repeat the three words.

An 18-year-old client reveals they have smoked marijuana nightly for the past 3 years to help with falling asleep. This information is documented within which section of the clinical note?

Answers: A – D

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