NR547 WEEK 1 FINAL EXAM PREP –
NOTES, PRACTICE QUESTIONS &
EXPLANATIONS
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 - correct answers
✔✔differential diagnosis
-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 be - correct answers ✔✔Psychiatric assessment:
History taking
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 - correct answers ✔✔Screening and Psychiatric
Rating Scales
Provide a brief suicide safety assessment.
Rationale: While the client's responses do not indicate a need for a stat full safety and
mental health evaluation, the client requires a brief suicide safety assessment to
determine whether a full mental health evaluation in necessary. It is also important to
notify the client's physician or the clinician responsible for the client's care. - correct
answers ✔✔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
suicide attempt when she was 16 but denies that she is considering killing herself right
now.
Based on the client's ASQ score, what is the most appropriate 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
NOTES, PRACTICE QUESTIONS &
EXPLANATIONS
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 - correct answers
✔✔differential diagnosis
-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 be - correct answers ✔✔Psychiatric assessment:
History taking
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 - correct answers ✔✔Screening and Psychiatric
Rating Scales
Provide a brief suicide safety assessment.
Rationale: While the client's responses do not indicate a need for a stat full safety and
mental health evaluation, the client requires a brief suicide safety assessment to
determine whether a full mental health evaluation in necessary. It is also important to
notify the client's physician or the clinician responsible for the client's care. - correct
answers ✔✔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
suicide attempt when she was 16 but denies that she is considering killing herself right
now.
Based on the client's ASQ score, what is the most appropriate 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
