NR 547 – UPDATED Questions with 100% Verified Answers
NR 547
NR 547
Study Questions and Answers
Q1 Name the 6 of a differential diagnosis
A 1.) RULE OUT Malingering or Factitous disorder 2.)Ruling out substance etiology 3.) ruling out a medical etiology 4.)
Determining the specific primary disorder 5.) Differentiating adjustment disorder from the residual "other specified"
and "unspecified" conditions 6.) Establishing the boundary with no mental disorder
Q2 The PMHNP wants to rule out anemia as a cause for a patients fatigue and lack of motivation. What lab
should she order?
A a CBC with iron studies hg-12-18 hematocrit: 38-48%
Q3 What is normal creat/BUN level?
A BUN: 7-18 creat: 0.6-1.2
Q4 A patient presents with brain fog, lack of focus, insomnia & mood swing, lack of mental alertness. What lab
should the PMHNP order?
A THYROID FUNCTION TSH: 0.4-4.5 T3: 100-200 T4: 5-11
Q5 The patient has a b12 level of 126 picograms/mL. what symptoms may the patient experience?
A normal B12: 190-950 picograms/mL but borderline is 200-300 & will need additional testing. depression, mania,
psychotic symptoms, cognitive impairment
Q6 Name the normal vitamin D levels:
A 20-50 ng/ML
Q7 Tell me about the HAM-A
A This is the Hamilton Anxiety Scale, creates to assess somatic/cognitive anxiety symptoms. MAINLY TO ASSESS
ANXIETY. It does not help to assess the worry aspect usually found with GAD. less than 17- mild 18-23- mod 25-30
mod-severe
Q8 _____ shows there is an INCREASE activation of the amygdala which is an increase in the fear response.
There is a decreased activation of the pre- frontal cortex which results in lessened reasoning.
A Generalized Anxiety Disorder
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, Q9 Explain GAD
A This is characterized when a person WORRY about ORDINARY, everyday situations. These patients have a hard
time getting over the what ifs and hyperfixate. Due to this they are unable to get more of their pressing tasks done
Q10 What is the DSM criteria for GAD?
A WORRY about everyday tasks, sleep disturbance, restlessness, fatigue and immanent fear, muscle tension or
difficulty concentrating has to be persistent for six months or GREATER
Q11 Name the first line treatment for GAD.
A SSRIs
Q12 What are some s/e of SSRIS?
A hyponatremia, weight loss, weight gain, anxiety in the initial stages.
Q13 What is another adjunct treatment or PRN medication used as a treatment for GAD?
A Buspirone- This is an anxiolytic with decreased adverse effects & drug interactions. It can take about 2-4 weeks to
work and it is pretty weak however effective when used as an adjunct.
Q14 What is the GAD-7 screening tool?
A This is a rapid screening for the presence of clinically significant anxiety disorders such as: GAD, Panic disorders,
PTSD, & social phobias. 5-9- mild 10-14- moderate over 15- severe & active treatment is warranted
Q15 Name the DSM for panic disorder
A Panic disorder is a MARKED PERSISTENT reoccurimg panic attacks associated with worry or concern of a
negative outcome. These attacks are usually UNPROVOKED & can happen in familiar places like home or school.
The panic attacks can peak from 10-20 minutes but some can last for hours. 1 month of worry after 1 panic attack 1
plus panic attack plus 4 of the somatic symptoms Avoidant behavior/anticipatory anxiety for one month
Q16 What are some s/s that patients may complain of when having a panic attack or if they are diagnosed with
panic disorder?
A Palpitations, feeling of choking, smothering sensation, nausea, abd stress, derealization, dizziness, paresthesia,
trembling
Q17 What is the first line treatment for Panic disorder?
A SSRI plus CBT therapy
Q18 Tell me about agoraphobia
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NR 547
NR 547
Study Questions and Answers
Q1 Name the 6 of a differential diagnosis
A 1.) RULE OUT Malingering or Factitous disorder 2.)Ruling out substance etiology 3.) ruling out a medical etiology 4.)
Determining the specific primary disorder 5.) Differentiating adjustment disorder from the residual "other specified"
and "unspecified" conditions 6.) Establishing the boundary with no mental disorder
Q2 The PMHNP wants to rule out anemia as a cause for a patients fatigue and lack of motivation. What lab
should she order?
A a CBC with iron studies hg-12-18 hematocrit: 38-48%
Q3 What is normal creat/BUN level?
A BUN: 7-18 creat: 0.6-1.2
Q4 A patient presents with brain fog, lack of focus, insomnia & mood swing, lack of mental alertness. What lab
should the PMHNP order?
A THYROID FUNCTION TSH: 0.4-4.5 T3: 100-200 T4: 5-11
Q5 The patient has a b12 level of 126 picograms/mL. what symptoms may the patient experience?
A normal B12: 190-950 picograms/mL but borderline is 200-300 & will need additional testing. depression, mania,
psychotic symptoms, cognitive impairment
Q6 Name the normal vitamin D levels:
A 20-50 ng/ML
Q7 Tell me about the HAM-A
A This is the Hamilton Anxiety Scale, creates to assess somatic/cognitive anxiety symptoms. MAINLY TO ASSESS
ANXIETY. It does not help to assess the worry aspect usually found with GAD. less than 17- mild 18-23- mod 25-30
mod-severe
Q8 _____ shows there is an INCREASE activation of the amygdala which is an increase in the fear response.
There is a decreased activation of the pre- frontal cortex which results in lessened reasoning.
A Generalized Anxiety Disorder
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, Q9 Explain GAD
A This is characterized when a person WORRY about ORDINARY, everyday situations. These patients have a hard
time getting over the what ifs and hyperfixate. Due to this they are unable to get more of their pressing tasks done
Q10 What is the DSM criteria for GAD?
A WORRY about everyday tasks, sleep disturbance, restlessness, fatigue and immanent fear, muscle tension or
difficulty concentrating has to be persistent for six months or GREATER
Q11 Name the first line treatment for GAD.
A SSRIs
Q12 What are some s/e of SSRIS?
A hyponatremia, weight loss, weight gain, anxiety in the initial stages.
Q13 What is another adjunct treatment or PRN medication used as a treatment for GAD?
A Buspirone- This is an anxiolytic with decreased adverse effects & drug interactions. It can take about 2-4 weeks to
work and it is pretty weak however effective when used as an adjunct.
Q14 What is the GAD-7 screening tool?
A This is a rapid screening for the presence of clinically significant anxiety disorders such as: GAD, Panic disorders,
PTSD, & social phobias. 5-9- mild 10-14- moderate over 15- severe & active treatment is warranted
Q15 Name the DSM for panic disorder
A Panic disorder is a MARKED PERSISTENT reoccurimg panic attacks associated with worry or concern of a
negative outcome. These attacks are usually UNPROVOKED & can happen in familiar places like home or school.
The panic attacks can peak from 10-20 minutes but some can last for hours. 1 month of worry after 1 panic attack 1
plus panic attack plus 4 of the somatic symptoms Avoidant behavior/anticipatory anxiety for one month
Q16 What are some s/s that patients may complain of when having a panic attack or if they are diagnosed with
panic disorder?
A Palpitations, feeling of choking, smothering sensation, nausea, abd stress, derealization, dizziness, paresthesia,
trembling
Q17 What is the first line treatment for Panic disorder?
A SSRI plus CBT therapy
Q18 Tell me about agoraphobia
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