Psychiatric Assessment and Diagnosis Flashcards
6 cards from real Psychiatric-Mental Health Nurse Practitioner Exam practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 Psychiatric Assessment and Diagnosis flashcards as text
Which DSM-5 specifier distinguishes a manic episode with flight of ideas, decreased need for sleep, and grandiosity lasting 4 days without hospitalization?
Answer: Hypomanic episode
Hypomanic episodes last at least 4 days, are not severe enough to require hospitalization, and do not cause marked functional impairment.
The Mini-Mental State Examination (MMSE) is used primarily to assess which domain?
Answer: Cognitive functioning
The MMSE screens for cognitive impairment across orientation, memory, attention, language, and visuospatial domains.
A PMHNP is conducting a Mental Status Examination (MSE). 'Affect' refers to:
Answer: The observed external expression of emotion
Affect is the clinician-observed emotional expression, while mood is the patient's subjective report of their internal emotional state.
Which axis of the former DSM-IV multiaxial system was designated for personality disorders and intellectual disabilities?
Answer: Axis II
DSM-IV Axis II was designated for personality disorders and intellectual developmental disorders, distinguishing them from Axis I clinical syndromes.
A patient reports hearing voices that tell them they are worthless. This auditory hallucination is best characterized as:
Answer: Derogatory hallucinations
Derogatory hallucinations involve voices that insult or demean the patient, often worsening self-esteem and depression.
The Montreal Cognitive Assessment (MoCA) differs from the MMSE in that it:
Answer: Is more sensitive to mild cognitive impairment (MCI)
The MoCA has greater sensitivity than the MMSE for detecting mild cognitive impairment, particularly in executive functioning and attention.