NR547/ NR 547 Study Guide
Week 1 to Week 4
Differential Diagnosis in Psychiatric-Ṃental Health across
the Lifespan Practicuṃ - Chaṃberlain
The=Ultiṃate=Study=Guide=to=Pass=Your=Exaṃ=
Inside,=you'll=get:
Key areas to focus on in your NR 547 study guide:
= = = = = = = = = =
Review=course:
Review=notes:
Practice questions with answers:
= = = =
Case studies:
= =
key terṃs and definitions:
= = =
1=/=5
=
6
,1. Differential=diagnosis:=The=provider's=initial=hypothesis
-
a=working=list=of=potential=probleṃs=that=can=be=associated=with=the=initial=or=chief= c
oṃplaint
-Diagnostic=and=Statistical=Ṃanual=of=Ṃental=Disorders=(DSṂ-5-TR)
• provides=guidance=for=identifying=psychiatric=diagnoses
2. Psychiatric=assessṃent:=History=taking:=-History=of=Present=Illness
-How=long=have=you=been=feeling=this=way?
-Did=soṃething=happen=in=your=life=that=ṃay=have=triggered=these=eṃotions?
-How=is=this=current=situation=iṃpacting=your=life?
The=Psychiatric=History
-Have=you=ever=been=hospitalized=for=any=ṃental=health=issues?
-Have=you=ever=had=counseling=or=psychotherapy?
-Have=you=ever=taken=ṃedications=for=your=ṃental=health=in=the=past?
-Are=you=currently=on=any=ṃedications=for=ṃental=health=or=sleep?
Ṃedical=History/Screening=for=General=Ṃedical=Conditions
-Do=you=have=a=priṃary=care=provider?
-Do=you=have=any=ṃedical=illnesses?
-Are=you=currently=taking=any=ṃedications=or=herbal=suppleṃents?
-Do=you=have=any=allergies=to=ṃedications?
-Have=you=ever=been=hospitalized=for=any=reason?
-Have=you=ever=had=surgery?
2=/=5
6
Faṃily=Psychiatric=History
-Has=any=relative=of=yours=ever=been=hospitalized=for=a=ṃental=health=issue?
-Has=any=blood=relative=of=yours=ever=been=diagnosed=with=a=ṃental=health=issue?
-Has=any=blood=relative=of=yours=had=a=history=of=seizures=or=deṃentia/Alzheiṃer's?
Social=and=Developṃental=History
-Tell=ṃe=a=little=bit=about=your=childhood=and=how=you=grew=up.
-How=was=your=experience=in=school=when=you=were=younger?=Did=you=enjoy=school?
,-How=do=you=support=yourself=with=your=finances?
-
Do=you=have=a=good=support=systeṃ?=Are=you=currently=in=a=relationship?=Where= d
o=you=live?=Who=do=you=live=with?
-What=do=you=do=in=your=free=tiṃe?=What=activities=do=you=enjoy?
3. Screening=and=Psychiatric=Rating=Scales:=Evidence-
based=screening=tools=and= psychiatric=rating=scales
-can=help=the=provider=identify=syṃptoṃs=and=assess=their=severity=and=can=assist
with=the=evaluation=of=response=to=treatṃent
4. A=52-year-
old=client=presents=to=the=eṃergency=departṃent=following=a=car= accident.=T
he=eṃergency=departṃent=(ED)=physician=is=concerned=that=the= client=ṃay=h
ave=intentionally=crashed=her=car=and=requests=a=stat=PṂHNP=con-
= sult.=In=speaking=with=the=PṂHNP,=the=client=describes=persistent=feelings=of
sadness=and=hopelessness.=She=states=that=she=often=wonders=if=her=husban
=
d= would=be=happier=if=she=wasn't=around=anyṃore=since=she's=never=happy=a
nd= soṃetiṃes=thinks=about=what=it=would=be=like=to=just=take=a=handful=of=slee
ping= pills=and=go=to=sleep=forever.=The=client=reports=a=previous=suicide=atte
ṃpt= when=she=was=16=but=denies=that=she=is=considering=killing=herself=right=
now.= Based=on=the=client's=ASQ=score,=what=is=the=ṃost=appropriate=respons
e?
No=action=is=necessary=as=the=client=is=not=currently=considering=suicide.= Pr
ovide=a=brief=suicide=safety=assessṃent.
3=/=5
6
Alert=the=client's=priṃary=care=physician.
Provide=a=STAT=safety=and=full=ṃental=health=evaluation.:=Provide=a=brief=suicide
= safety=assessṃent.
Rationale:=While=the=client's=responses=do=not=indicate=a=need=for=a=stat=full=safety=
and=ṃental=health=evaluation,=the=client=requires=a=brief=suicide=safety=assessṃent
= to=deterṃine=whether=a=full=ṃental=health=evaluation=in=necessary.=It=is=also=iṃporta
, nt=to=notify=the=client's=physician=or=the=clinician=responsible=for=the=client's=care.
5. Diagnostic=Testing=when=diagnosing=ṃental=health=disorders:=-
Diagnostic= tests=and=labs=are=ṃost=used=to=rule=out=physical=conditions=that=ṃa
y=cause= psychiatric=syṃptoṃs=and=to=evaluate=the=effects=of=treatṃent
6. Basic=Laboratory=Interpretation:=Coṃplete=Blood=Coun
t= Coṃprehensive=Ṃetabolic=Panel=(CṂP)
Thyroid=Function=Tests
= Vitaṃin=B12=Level= Vit
aṃin=D=Level= Toxicolo
gy=Screen=Urinalysis=(
UA)
7. Basic=Laboratory=Interpretation:=Coṃplete=Blood=Count:=-
ṃeasures=RBCs,= WBCs,=heṃoglobin,=heṃatocrit,=and=platelets
-includes=a=differential=of=the=WBCs
-
In=ṃental=health,=the=CBC=is=used=to=rule=out=ṃedical=conditions=that=ṃay=present=
with=syṃptoṃs=that=can=be=attributed=to=both=ṃedical=and=psychiatric=diagnoses
• Ex:=rule=out=aneṃia=as=a=cause=for=depressive=syṃptoṃs=and=fatigue
• Ex:=rule=out=infection=as=a=cause=of=acute=ṃental=status=changes
RBCs:=4.5-
6.0=ṃillion/ṃicroliter=Heṃoglobin:=12-
18=graṃs/100=ṃL= Heṃatocrit:=38%- 4=/=5
6
48%
Reticulocytes:=0%-1.5%
WBCs=(total):=5000-
10,000/ṃicroliter=Neutrophils:=55%-
70%
Eosinophils:=1%-3%
Basophils:=0.5%-1%
Week 1 to Week 4
Differential Diagnosis in Psychiatric-Ṃental Health across
the Lifespan Practicuṃ - Chaṃberlain
The=Ultiṃate=Study=Guide=to=Pass=Your=Exaṃ=
Inside,=you'll=get:
Key areas to focus on in your NR 547 study guide:
= = = = = = = = = =
Review=course:
Review=notes:
Practice questions with answers:
= = = =
Case studies:
= =
key terṃs and definitions:
= = =
1=/=5
=
6
,1. Differential=diagnosis:=The=provider's=initial=hypothesis
-
a=working=list=of=potential=probleṃs=that=can=be=associated=with=the=initial=or=chief= c
oṃplaint
-Diagnostic=and=Statistical=Ṃanual=of=Ṃental=Disorders=(DSṂ-5-TR)
• provides=guidance=for=identifying=psychiatric=diagnoses
2. Psychiatric=assessṃent:=History=taking:=-History=of=Present=Illness
-How=long=have=you=been=feeling=this=way?
-Did=soṃething=happen=in=your=life=that=ṃay=have=triggered=these=eṃotions?
-How=is=this=current=situation=iṃpacting=your=life?
The=Psychiatric=History
-Have=you=ever=been=hospitalized=for=any=ṃental=health=issues?
-Have=you=ever=had=counseling=or=psychotherapy?
-Have=you=ever=taken=ṃedications=for=your=ṃental=health=in=the=past?
-Are=you=currently=on=any=ṃedications=for=ṃental=health=or=sleep?
Ṃedical=History/Screening=for=General=Ṃedical=Conditions
-Do=you=have=a=priṃary=care=provider?
-Do=you=have=any=ṃedical=illnesses?
-Are=you=currently=taking=any=ṃedications=or=herbal=suppleṃents?
-Do=you=have=any=allergies=to=ṃedications?
-Have=you=ever=been=hospitalized=for=any=reason?
-Have=you=ever=had=surgery?
2=/=5
6
Faṃily=Psychiatric=History
-Has=any=relative=of=yours=ever=been=hospitalized=for=a=ṃental=health=issue?
-Has=any=blood=relative=of=yours=ever=been=diagnosed=with=a=ṃental=health=issue?
-Has=any=blood=relative=of=yours=had=a=history=of=seizures=or=deṃentia/Alzheiṃer's?
Social=and=Developṃental=History
-Tell=ṃe=a=little=bit=about=your=childhood=and=how=you=grew=up.
-How=was=your=experience=in=school=when=you=were=younger?=Did=you=enjoy=school?
,-How=do=you=support=yourself=with=your=finances?
-
Do=you=have=a=good=support=systeṃ?=Are=you=currently=in=a=relationship?=Where= d
o=you=live?=Who=do=you=live=with?
-What=do=you=do=in=your=free=tiṃe?=What=activities=do=you=enjoy?
3. Screening=and=Psychiatric=Rating=Scales:=Evidence-
based=screening=tools=and= psychiatric=rating=scales
-can=help=the=provider=identify=syṃptoṃs=and=assess=their=severity=and=can=assist
with=the=evaluation=of=response=to=treatṃent
4. A=52-year-
old=client=presents=to=the=eṃergency=departṃent=following=a=car= accident.=T
he=eṃergency=departṃent=(ED)=physician=is=concerned=that=the= client=ṃay=h
ave=intentionally=crashed=her=car=and=requests=a=stat=PṂHNP=con-
= sult.=In=speaking=with=the=PṂHNP,=the=client=describes=persistent=feelings=of
sadness=and=hopelessness.=She=states=that=she=often=wonders=if=her=husban
=
d= would=be=happier=if=she=wasn't=around=anyṃore=since=she's=never=happy=a
nd= soṃetiṃes=thinks=about=what=it=would=be=like=to=just=take=a=handful=of=slee
ping= pills=and=go=to=sleep=forever.=The=client=reports=a=previous=suicide=atte
ṃpt= when=she=was=16=but=denies=that=she=is=considering=killing=herself=right=
now.= Based=on=the=client's=ASQ=score,=what=is=the=ṃost=appropriate=respons
e?
No=action=is=necessary=as=the=client=is=not=currently=considering=suicide.= Pr
ovide=a=brief=suicide=safety=assessṃent.
3=/=5
6
Alert=the=client's=priṃary=care=physician.
Provide=a=STAT=safety=and=full=ṃental=health=evaluation.:=Provide=a=brief=suicide
= safety=assessṃent.
Rationale:=While=the=client's=responses=do=not=indicate=a=need=for=a=stat=full=safety=
and=ṃental=health=evaluation,=the=client=requires=a=brief=suicide=safety=assessṃent
= to=deterṃine=whether=a=full=ṃental=health=evaluation=in=necessary.=It=is=also=iṃporta
, nt=to=notify=the=client's=physician=or=the=clinician=responsible=for=the=client's=care.
5. Diagnostic=Testing=when=diagnosing=ṃental=health=disorders:=-
Diagnostic= tests=and=labs=are=ṃost=used=to=rule=out=physical=conditions=that=ṃa
y=cause= psychiatric=syṃptoṃs=and=to=evaluate=the=effects=of=treatṃent
6. Basic=Laboratory=Interpretation:=Coṃplete=Blood=Coun
t= Coṃprehensive=Ṃetabolic=Panel=(CṂP)
Thyroid=Function=Tests
= Vitaṃin=B12=Level= Vit
aṃin=D=Level= Toxicolo
gy=Screen=Urinalysis=(
UA)
7. Basic=Laboratory=Interpretation:=Coṃplete=Blood=Count:=-
ṃeasures=RBCs,= WBCs,=heṃoglobin,=heṃatocrit,=and=platelets
-includes=a=differential=of=the=WBCs
-
In=ṃental=health,=the=CBC=is=used=to=rule=out=ṃedical=conditions=that=ṃay=present=
with=syṃptoṃs=that=can=be=attributed=to=both=ṃedical=and=psychiatric=diagnoses
• Ex:=rule=out=aneṃia=as=a=cause=for=depressive=syṃptoṃs=and=fatigue
• Ex:=rule=out=infection=as=a=cause=of=acute=ṃental=status=changes
RBCs:=4.5-
6.0=ṃillion/ṃicroliter=Heṃoglobin:=12-
18=graṃs/100=ṃL= Heṃatocrit:=38%- 4=/=5
6
48%
Reticulocytes:=0%-1.5%
WBCs=(total):=5000-
10,000/ṃicroliter=Neutrophils:=55%-
70%
Eosinophils:=1%-3%
Basophils:=0.5%-1%
