NR547 Midterm updated 2025 Assessment Test
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WBC count - 5,000-10,000
Reticulocyte count - 0%-1.5%
Hemoglobin count - 12-18
RBC count - 4.4-6
Hematocrit count - 38%-48%
Neutrophil count - 55%-70%
Eosinophil count - 1%-3%
Basophils count - 0.5%-1%
Lymphocytes count - 20%-35%
Monocytes count - 3%-8%
Platlets count - 150,000-300,000
Sodium level - 135-145
Potassium level - 3.5-5.0
Chloride level - 95-105
Bicarbonate level - 22-28
Serum calcium level - 8.4-10.2
Serum glucose level - Fasting 70-110
2hr after meal <120
Serum cholesterol level - <200
Total protein level - 6.0-7.8
Albumin level - 3.5-5.5
Serum creatinine level - 0.6-1.2
,BUN level - 7-18
ALT and AST level - 8-20
Bilirubin total and direct - Total 0.1-1.0
Direct 0-0.3
Serum phosphatase level - 20-70
TSH, T4 and T3 level - TSH 0.4-4.5
T3 100-200
T4 5-11
B12 normal level - 190-950
B12 200-300 - Borderline level, may need additional testing
Vitamin D level - 20-50 less than 12 is a deficiency
Define Alogia - A poverty of speech- people don't have a problem with their speaking
abilities, but they don't speak because of disruptions in the brain that affect motivation to talk.
Define Avolition - Motivational impairment that makes it difficult to start and continue
activities that have a goal
Define Anosognosia - A neurological condition that prevents people from recognizing
their brain disorder or mental health condition
Define Affective Flattening - A condition where a person has a diminished emotional
reaction and struggles to express their feelings
Define Diagnostic Reasoning - the process of questioning one's thinking to determine if
all possible avenues have been explored and if the conclusions that are drawn are based on
evidence
Define Differential Diagnosis - The provider's initial hypotheses
What are the six steps of the Differential Diagnosis? - oRuling out malingering and
factitious disorder
oRuling out a substance etiology
oRuling out a medical etiology
, oDetermining the specific primary disorder
oDifferentiating adjustment disorder from the residual "other specified" and "unspecified"
conditions
oEstablishing the boundary with no mental disorder
What is a malingering disorder? - •When the motivation is the achievement of a clearly
recognizable goal
oExamples: insurance compensation, avoiding legal or military responsibilities, obtaining drugs
What is a factitious disorder? - When the deceptive behavior is present even in the
absence of obvious external rewards
When should you be suspicious of a malingering or factitious disorder? - 1) when there
are clear external incentives to the patient's being diagnosed with a psychiatric condition (e.g.,
disability determinations, forensic evaluations in criminal or civil cases, prison settings)
2) when the patient presents with a cluster of psychiatric symptoms that conforms more to a lay
perception of mental illness
3) when the nature of the symptoms shifts radically from one clinical encounter to another
4) when the patient has a presentation that mimics that of a role model (e.g., another patient
on the unit, a mentally ill close family member)
5) when the patient is characteristically manipulative or suggestible.
What is a non-substance induced psychiatric condition? - If the onset of the psych
symptoms occurs before the substance was used or If the substance is stopped for a significant
period of time and symptoms persist
What is a substance induced psychiatric condition? - If the onset of psych symptoms
occurs at the same time as substance use
If a general medical condition is established to be the cause of psychiatric symptoms, the
PMHNP must determine the etiological relationship - o Is it a physiological connection
o Is it a psychological connection: EX- depressive symptoms in response to a cancer diagnosis
o Is it a side effect from a medication
What is important to determine in relation to medical diagnosis and psychiatric conditions? -
•It is important to determine the onset, severity, symptom pattern and course to
establish if there is a relationship between a medical diagnosis and psychiatric diagnosis.
Bank | 100% Verified Answers | Exam Success
WBC count - 5,000-10,000
Reticulocyte count - 0%-1.5%
Hemoglobin count - 12-18
RBC count - 4.4-6
Hematocrit count - 38%-48%
Neutrophil count - 55%-70%
Eosinophil count - 1%-3%
Basophils count - 0.5%-1%
Lymphocytes count - 20%-35%
Monocytes count - 3%-8%
Platlets count - 150,000-300,000
Sodium level - 135-145
Potassium level - 3.5-5.0
Chloride level - 95-105
Bicarbonate level - 22-28
Serum calcium level - 8.4-10.2
Serum glucose level - Fasting 70-110
2hr after meal <120
Serum cholesterol level - <200
Total protein level - 6.0-7.8
Albumin level - 3.5-5.5
Serum creatinine level - 0.6-1.2
,BUN level - 7-18
ALT and AST level - 8-20
Bilirubin total and direct - Total 0.1-1.0
Direct 0-0.3
Serum phosphatase level - 20-70
TSH, T4 and T3 level - TSH 0.4-4.5
T3 100-200
T4 5-11
B12 normal level - 190-950
B12 200-300 - Borderline level, may need additional testing
Vitamin D level - 20-50 less than 12 is a deficiency
Define Alogia - A poverty of speech- people don't have a problem with their speaking
abilities, but they don't speak because of disruptions in the brain that affect motivation to talk.
Define Avolition - Motivational impairment that makes it difficult to start and continue
activities that have a goal
Define Anosognosia - A neurological condition that prevents people from recognizing
their brain disorder or mental health condition
Define Affective Flattening - A condition where a person has a diminished emotional
reaction and struggles to express their feelings
Define Diagnostic Reasoning - the process of questioning one's thinking to determine if
all possible avenues have been explored and if the conclusions that are drawn are based on
evidence
Define Differential Diagnosis - The provider's initial hypotheses
What are the six steps of the Differential Diagnosis? - oRuling out malingering and
factitious disorder
oRuling out a substance etiology
oRuling out a medical etiology
, oDetermining the specific primary disorder
oDifferentiating adjustment disorder from the residual "other specified" and "unspecified"
conditions
oEstablishing the boundary with no mental disorder
What is a malingering disorder? - •When the motivation is the achievement of a clearly
recognizable goal
oExamples: insurance compensation, avoiding legal or military responsibilities, obtaining drugs
What is a factitious disorder? - When the deceptive behavior is present even in the
absence of obvious external rewards
When should you be suspicious of a malingering or factitious disorder? - 1) when there
are clear external incentives to the patient's being diagnosed with a psychiatric condition (e.g.,
disability determinations, forensic evaluations in criminal or civil cases, prison settings)
2) when the patient presents with a cluster of psychiatric symptoms that conforms more to a lay
perception of mental illness
3) when the nature of the symptoms shifts radically from one clinical encounter to another
4) when the patient has a presentation that mimics that of a role model (e.g., another patient
on the unit, a mentally ill close family member)
5) when the patient is characteristically manipulative or suggestible.
What is a non-substance induced psychiatric condition? - If the onset of the psych
symptoms occurs before the substance was used or If the substance is stopped for a significant
period of time and symptoms persist
What is a substance induced psychiatric condition? - If the onset of psych symptoms
occurs at the same time as substance use
If a general medical condition is established to be the cause of psychiatric symptoms, the
PMHNP must determine the etiological relationship - o Is it a physiological connection
o Is it a psychological connection: EX- depressive symptoms in response to a cancer diagnosis
o Is it a side effect from a medication
What is important to determine in relation to medical diagnosis and psychiatric conditions? -
•It is important to determine the onset, severity, symptom pattern and course to
establish if there is a relationship between a medical diagnosis and psychiatric diagnosis.
