NR 547 MIDTERM EXAM || Exam Questions and
Answers (Verified Answers) ||ACTUAL EXAM 2026
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Terms in this set (224)
differential diagnosis The provider's initial hypothesis
-a working list of potential problems that can be
associated with the initial or chief complaint
-Diagnostic and Statistical Manual of Mental
Disorders (DSM-5-TR)
• provides guidance for identifying psychiatric
diagnoses
,Psychiatric assessment: History -History of Present Illness
taking -How long have you been feeling this way?
-Did something happen in your life that may have
triggered these emotions?
-How is this current situation impacting your life?
The Psychiatric History
-Have you ever been hospitalized for any mental
health issues?
-Have you ever had counseling or psychotherapy?
-Have you ever taken medications for your mental
health in the past?
-Are you currently on any medications for mental
health or sleep?
Medical History/Screening for General Medical
Conditions
-Do you have a primary care provider?
-Do you have any medical illnesses?
-Are you currently taking any medications or herbal
supplements?
-Do you have any allergies to medications?
-Have you ever been hospitalized for any reason?
-Have you ever had surgery?
Family Psychiatric History
-Has any relative of yours ever been hospitalized
for a mental health issue?
-Has any blood relative of yours ever been
diagnosed with a mental health issue?
-Has any blood relative of yours had a history of
seizures or dementia/Alzheimer's?
Social and Developmental History
-Tell me a little bit about your childhood and how
you grew up.
-How was your experience in school when you
, y p y
were younger? Did you enjoy school?
-How do you support yourself with your finances?
-Do you have a good support system? Are you
currently in a relationship? Where do you live?
Who do you live with?
-What do you do in your free time? What activities
do you enjoy?
Screening and Psychiatric Rating Evidence-based screening tools and psychiatric
Scales rating scales
-can help the provider identify symptoms and
assess their severity and can assist with the
evaluation of response to treatment
, A 52-year-old client presents to the Provide a brief suicide safety assessment.
emergency department following a
car accident. The emergency Rationale: While the client's responses do not
department (ED) physician is indicate a need for a stat full safety and mental
concerned that the client may have health evaluation, the client requires a brief suicide
intentionally crashed her car and safety assessment to determine whether a full
requests a stat PMHNP consult. In mental health evaluation in necessary. It is also
speaking with the PMHNP, the client important to notify the client's physician or the
describes persistent feelings of clinician responsible for the client's care.
sadness and hopelessness. She
states that she often wonders if her
husband would be happier if she
wasn't around anymore since she's
never happy and sometimes thinks
about what it would be like to just
take a handful of sleeping pills and
go to sleep forever. The client
reports a previous suicide attempt
when she was 16 but denies that she
is considering killing herself right
now.
Based on the client's ASQ score,
what is the most appropriate
response?
No action is necessary as the client is
not currently considering suicide.
Provide a brief suicide safety
assessment.
Alert the client's primary care
physician.
Provide a ST
Diagnostic Testing when diagnosing -Diagnostic tests and labs are most used to rule
mental health disorders out physical conditions that may cause psychiatric
symptoms and to evaluate the effects of treatment
Answers (Verified Answers) ||ACTUAL EXAM 2026
TEST!! Graded A+ | 2025|2026 EXAM UPDATE
Save
Terms in this set (224)
differential diagnosis The provider's initial hypothesis
-a working list of potential problems that can be
associated with the initial or chief complaint
-Diagnostic and Statistical Manual of Mental
Disorders (DSM-5-TR)
• provides guidance for identifying psychiatric
diagnoses
,Psychiatric assessment: History -History of Present Illness
taking -How long have you been feeling this way?
-Did something happen in your life that may have
triggered these emotions?
-How is this current situation impacting your life?
The Psychiatric History
-Have you ever been hospitalized for any mental
health issues?
-Have you ever had counseling or psychotherapy?
-Have you ever taken medications for your mental
health in the past?
-Are you currently on any medications for mental
health or sleep?
Medical History/Screening for General Medical
Conditions
-Do you have a primary care provider?
-Do you have any medical illnesses?
-Are you currently taking any medications or herbal
supplements?
-Do you have any allergies to medications?
-Have you ever been hospitalized for any reason?
-Have you ever had surgery?
Family Psychiatric History
-Has any relative of yours ever been hospitalized
for a mental health issue?
-Has any blood relative of yours ever been
diagnosed with a mental health issue?
-Has any blood relative of yours had a history of
seizures or dementia/Alzheimer's?
Social and Developmental History
-Tell me a little bit about your childhood and how
you grew up.
-How was your experience in school when you
, y p y
were younger? Did you enjoy school?
-How do you support yourself with your finances?
-Do you have a good support system? Are you
currently in a relationship? Where do you live?
Who do you live with?
-What do you do in your free time? What activities
do you enjoy?
Screening and Psychiatric Rating Evidence-based screening tools and psychiatric
Scales rating scales
-can help the provider identify symptoms and
assess their severity and can assist with the
evaluation of response to treatment
, A 52-year-old client presents to the Provide a brief suicide safety assessment.
emergency department following a
car accident. The emergency Rationale: While the client's responses do not
department (ED) physician is indicate a need for a stat full safety and mental
concerned that the client may have health evaluation, the client requires a brief suicide
intentionally crashed her car and safety assessment to determine whether a full
requests a stat PMHNP consult. In mental health evaluation in necessary. It is also
speaking with the PMHNP, the client important to notify the client's physician or the
describes persistent feelings of clinician responsible for the client's care.
sadness and hopelessness. She
states that she often wonders if her
husband would be happier if she
wasn't around anymore since she's
never happy and sometimes thinks
about what it would be like to just
take a handful of sleeping pills and
go to sleep forever. The client
reports a previous suicide attempt
when she was 16 but denies that she
is considering killing herself right
now.
Based on the client's ASQ score,
what is the most appropriate
response?
No action is necessary as the client is
not currently considering suicide.
Provide a brief suicide safety
assessment.
Alert the client's primary care
physician.
Provide a ST
Diagnostic Testing when diagnosing -Diagnostic tests and labs are most used to rule
mental health disorders out physical conditions that may cause psychiatric
symptoms and to evaluate the effects of treatment
