NR 547 MIDTERM EXAM 2024-2025
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
ACTUAL EXAM TEST BANK 200 ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
QUESTIONS AND CORRECT DETAILED ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
ANSWERS WITH RATIONALES (VERIFIED ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
ANSWERS
differential diagnosis - correct answers ✔✔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 - correct ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
answers ✔✔-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 - correct ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
answers ✔✔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 ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
ACTUAL EXAM TEST BANK 200 ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
QUESTIONS AND CORRECT DETAILED ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
ANSWERS WITH RATIONALES (VERIFIED ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
ANSWERS
differential diagnosis - correct answers ✔✔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 - correct ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
answers ✔✔-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 - correct ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
answers ✔✔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 ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\