NR547 MIDTERM EXAM COMPLETE WITH
ANSWERS 2026
Differential diagnosis - ANSWER -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 taking - ANSWER --
History of Present Illness
-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 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 Scales - ANSWER -
Evidence-based screening tools and psychiatric 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 emergency
department following a car accident. The emergency
department (ED) physician is concerned that the client
may have intentionally crashed her car and requests a
stat PMHNP consult. In speaking with the PMHNP, the
client describes persistent feelings of 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
ANSWERS 2026
Differential diagnosis - ANSWER -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 taking - ANSWER --
History of Present Illness
-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 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 Scales - ANSWER -
Evidence-based screening tools and psychiatric 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 emergency
department following a car accident. The emergency
department (ED) physician is concerned that the client
may have intentionally crashed her car and requests a
stat PMHNP consult. In speaking with the PMHNP, the
client describes persistent feelings of 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
