NR547 Midterm Exam
Study online at https://quizlet.com/_geggkv
1. 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
2. Psychiatric assessment: -History of Present Illness
History 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
, NR547 Midterm Exam
Study online at https://quizlet.com/_geggkv
health issue?
-Has any blood relative of yours had a history of seizures or demen-
tia/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 rela-
tionship? Where do you live? Who do you live with?
-What do you do in your free time? What activities do you enjoy?
3. Screening and Psychiatric Evidence-based screening tools and psychiatric rating scales
Rating Scales -can help the provider identify symptoms and assess their severity
and can assist with the evaluation of response to treatment
4. A 52-year-old client pre- Provide a brief suicide safety assessment.
sents to the emergency de-
partment following a car Rationale: While the client's responses do not indicate a need for
accident. The emergency a stat full safety and mental health evaluation, the client requires a
department (ED) physi- brief suicide safety assessment to determine whether a full mental
cian is concerned that the health evaluation in necessary. It is also important to notify the
client may have inten- client's physician or the clinician responsible for the client's care.
tionally crashed her car
and requests a stat PMH-
NP consult. In speaking
with the PMHNP, the client
describes persistent feel-
ings of sadness and hope-
lessness. She states that
she often wonders if her
, NR547 Midterm Exam
Study online at https://quizlet.com/_geggkv
husband would be happi-
er if she wasn't around
anymore since she's nev-
er happy and sometimes
thinks about what it would
be like to just take a hand-
ful 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 her-
self right now.
Based on the client's ASQ
score, what is the most ap-
propriate 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
5. Diagnostic Testing when -Diagnostic tests and labs are most used to rule out physical con-
diagnosing mental health ditions that may cause psychiatric symptoms and to evaluate the
disorders effects of treatment
6. Basic Laboratory Interpre- Complete Blood Count
tation Comprehensive Metabolic Panel (CMP)
, NR547 Midterm Exam
Study online at https://quizlet.com/_geggkv
Thyroid Function Tests
Vitamin B12 Level
Vitamin D Level
Toxicology Screen
Urinalysis (UA)
7. Basic Laboratory Interpre- -measures RBCs, WBCs, hemoglobin, hematocrit, and platelets
tation: Complete Blood -includes a differential of the WBCs
Count -In mental health, the CBC is used to rule out medical conditions
that may present with symptoms that can be attributed to both
medical and psychiatric diagnoses
• Ex: rule out anemia as a cause for depressive symptoms and
fatigue
• Ex: rule out infection as a cause of acute mental status changes
RBCs: 4.5-6.0 million/microliter
Hemoglobin: 12-18 grams/100 mL
Hematocrit: 38%-48%
Reticulocytes: 0%-1.5%
WBCs (total): 5000-10,000/microliter
Neutrophils: 55%-70%
Eosinophils: 1%-3%
Basophils: 0.5%-1%
Lymphocytes: 20%-35%
Monocytes: 3%-8%
Platelets: 150,000-300,000/microliter
8. Basic Laboratory Inter- common blood test used to determine general health status
pretation: Comprehensive -fluid and electrolyte balance, status of the body's metabolism, liver
Metabolic Panel (CMP) function, and kidney function
-used to monitor the effects of medications, such as antipsychotics,
on liver function and glucose levels
Study online at https://quizlet.com/_geggkv
1. 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
2. Psychiatric assessment: -History of Present Illness
History 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
, NR547 Midterm Exam
Study online at https://quizlet.com/_geggkv
health issue?
-Has any blood relative of yours had a history of seizures or demen-
tia/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 rela-
tionship? Where do you live? Who do you live with?
-What do you do in your free time? What activities do you enjoy?
3. Screening and Psychiatric Evidence-based screening tools and psychiatric rating scales
Rating Scales -can help the provider identify symptoms and assess their severity
and can assist with the evaluation of response to treatment
4. A 52-year-old client pre- Provide a brief suicide safety assessment.
sents to the emergency de-
partment following a car Rationale: While the client's responses do not indicate a need for
accident. The emergency a stat full safety and mental health evaluation, the client requires a
department (ED) physi- brief suicide safety assessment to determine whether a full mental
cian is concerned that the health evaluation in necessary. It is also important to notify the
client may have inten- client's physician or the clinician responsible for the client's care.
tionally crashed her car
and requests a stat PMH-
NP consult. In speaking
with the PMHNP, the client
describes persistent feel-
ings of sadness and hope-
lessness. She states that
she often wonders if her
, NR547 Midterm Exam
Study online at https://quizlet.com/_geggkv
husband would be happi-
er if she wasn't around
anymore since she's nev-
er happy and sometimes
thinks about what it would
be like to just take a hand-
ful 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 her-
self right now.
Based on the client's ASQ
score, what is the most ap-
propriate 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
5. Diagnostic Testing when -Diagnostic tests and labs are most used to rule out physical con-
diagnosing mental health ditions that may cause psychiatric symptoms and to evaluate the
disorders effects of treatment
6. Basic Laboratory Interpre- Complete Blood Count
tation Comprehensive Metabolic Panel (CMP)
, NR547 Midterm Exam
Study online at https://quizlet.com/_geggkv
Thyroid Function Tests
Vitamin B12 Level
Vitamin D Level
Toxicology Screen
Urinalysis (UA)
7. Basic Laboratory Interpre- -measures RBCs, WBCs, hemoglobin, hematocrit, and platelets
tation: Complete Blood -includes a differential of the WBCs
Count -In mental health, the CBC is used to rule out medical conditions
that may present with symptoms that can be attributed to both
medical and psychiatric diagnoses
• Ex: rule out anemia as a cause for depressive symptoms and
fatigue
• Ex: rule out infection as a cause of acute mental status changes
RBCs: 4.5-6.0 million/microliter
Hemoglobin: 12-18 grams/100 mL
Hematocrit: 38%-48%
Reticulocytes: 0%-1.5%
WBCs (total): 5000-10,000/microliter
Neutrophils: 55%-70%
Eosinophils: 1%-3%
Basophils: 0.5%-1%
Lymphocytes: 20%-35%
Monocytes: 3%-8%
Platelets: 150,000-300,000/microliter
8. Basic Laboratory Inter- common blood test used to determine general health status
pretation: Comprehensive -fluid and electrolyte balance, status of the body's metabolism, liver
Metabolic Panel (CMP) function, and kidney function
-used to monitor the effects of medications, such as antipsychotics,
on liver function and glucose levels
