Chapter 5 Psychiatric Assessment
24 questions in this chapter
Chapter notesQ1Assessment of the optic disc is a component of evaluation of cranial nerve
Q2A 27-year-old ex-Marine is evaluated during a follow-up visit for post-traumatic stress disorder. He has been taking an SSRI for the past three weeks but reports no improvement in symptoms. During the evaluation, he mentions thoughts of suicide and specifically reports having a firearm in his house. The appropriate next course of action is
Q3Chan, a 19-year-old college sophomore, is seen by the PMHNP in follow-up one week after discharge from a hospitalization for a psychotic episode. Chan's parents live in Taiwan, and he resides in an apartment with his brother, a PhD student. Chan is polite, well-groomed, and quiet. He answers questions about his sleep and medication with one-word responses and cannot provide further detail. He sits on the edge of the couch, maintains minimal eye contact, and looks frequently at the floor and the door. The PMHNP's next best option is
Q4The PMHNP is called by a group home about Edna, a 72-year-old woman with stable bipolar disorder who was found by the Direct Service Professional in her nightgown talking to no one in particular. The Direct Service Professional reports he works in the home four days per week, has known Edna for months, and has never seen any unusual behavior in the past. He last worked two days ago, and Edna was her regular self. What is the most appropriate response by the PMHNP?
Q5When evaluating a patient with schizophrenia, which statement provides an indication of intact judgment?
Q6A 45-year-old man was brought to the emergency department by police after being called by neighbors due to loud shouting. The patient and his wife engaged in a physical altercation, and both were treated for minor injuries. The PMHNP is called to perform an evaluation. A review of the emergency department records reveals a 20-year history of bipolar disorder, with his last hospitalization 5 years ago, and full adherence to his current regimen of lithium and risperidone. Upon entering the exam room, the PMHNP observes that the patient is red-faced, sitting cross-legged, and refusing to answer questions. The best approach to this patient begins with
Q7The patient has passive suicidal ideation with no plan or intent. Which element of the mental status exam matches this finding?
Q8No spontaneous questions, provides one-word answers to questions. Which element of the mental status exam matches this finding?