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NR 547 / NR547 Week 4 Midterm Exam
Actual Exam 2026/2027 | Differential
Diagnosis in Psychiatric-Mental Health
across the Lifespan Practicum | Chamberlain
| Questions with Verified Answers | 100%
Correct | Pass Guaranteed
Q001: A 28-year-old female presents to the outpatient clinic reporting a two-week
history of depressed mood, fatigue, difficulty concentrating, and intermittent
tearfulness. She reports the symptoms began after a job loss but states she has
never felt this way before. She denies suicidal ideation, has no psychotic
symptoms, and continues to care for her children. She has no past psychiatric
history and no medical conditions. Which assessment approach is most appropriate
as the first step?
Options:
A. Immediately prescribe an SSRI for major depressive disorder
B. Conduct a comprehensive psychiatric evaluation including PHQ-9, GAD-7, and
assess for stressor-related adjustment disorder versus major depressive disorder
C. Refer to inpatient psychiatric hospitalization for safety
D. Diagnose bipolar disorder and start mood stabilizer
ANSWER: B
Q002: A 19-year-old college sophomore is brought to the emergency department
by campus police after being found walking naked in the dormitory hallway. He is
disheveled, appears agitated, and is speaking rapidly about being "the chosen one"
and hearing God's voice telling him to "save humanity." He has no known
, 2
psychiatric history, urine drug screen is negative, and vital signs are within normal
limits. What is the most critical differential diagnosis consideration?
Options:
A. Conduct disorder
B. Brief psychotic disorder versus first-episode psychosis/schizophreniform
disorder
C. Social anxiety disorder
D. Borderline personality disorder
ANSWER: B
Q003: A 45-year-old male veteran presents for a PTSD assessment four months
after returning from deployment. He reports recurrent nightmares, hypervigilance,
exaggerated startle response, and avoids watching news about conflicts. He scores
60 on the PTSD Checklist for DSM-5 (PCL-5). Which trauma criterion from
DSM-5-TR must be confirmed prior to making a PTSD diagnosis?
Options:
A. The veteran must have experienced minor stress during deployment
B. Exposure to actual or threatened death, serious injury, or sexual violence
through directly experiencing, witnessing, or learning about the event
C. The symptoms must begin immediately after the trauma
D. The veteran must have a pre-existing anxiety disorder
ANSWER: B
Q004: A 32-year-old female with a history of major depressive disorder is currently
taking sertraline 100mg daily. She reports feeling more energetic over the past
week but is now having difficulty sleeping and has increased her spending
significantly. She acknowledges her thoughts are racing and feels "on top of the
world." What is the most immediate diagnostic concern?
Options:
A. Treatment-resistant depression
, 3
B. Antidepressant-induced mania/hypomania suggesting bipolar spectrum disorder
C. Serotonin syndrome
D. SSRI discontinuation syndrome
ANSWER: B
Q005: A 16-year-old adolescent is referred by the school counselor for assessment.
Over the past six months, she has lost 15 pounds, restricts food intake severely,
exercises excessively, and reports a distorted body image. Her BMI is 16.2 kg/m²,
and vital signs show bradycardia (HR 48) and hypotension (BP 90/58). Which
medical complication takes priority in the initial management plan?
Options:
A. Initiating antipsychotic medication for delusional thinking
B. Medical stabilization of cardiac complications and nutritional rehabilitation
C. Starting benzodiazepines for anxiety
D. Immediate discharge with outpatient therapy referral
ANSWER: B
Q006: A 55-year-old female with chronic schizophrenia on long-acting injectable
antipsychotic presents with sudden onset of oculogyric crisis and severe muscle
rigidity. She received her injection three days ago. Her temperature is 99.1°F, and
she is alert. Which acute extrapyramidal symptom is this, and what is the
immediate treatment?
Options:
A. Neuroleptic malignant syndrome; treat with dantrolene and bromocriptine
B. Acute dystonic reaction; treat with anticholinergic (benztropine) or
antihistamine (diphenhydramine)
C. Tardive dyskinesia; discontinue antipsychotic immediately
D. Akathisia; add beta-blocker
ANSWER: B
NR 547 / NR547 Week 4 Midterm Exam
Actual Exam 2026/2027 | Differential
Diagnosis in Psychiatric-Mental Health
across the Lifespan Practicum | Chamberlain
| Questions with Verified Answers | 100%
Correct | Pass Guaranteed
Q001: A 28-year-old female presents to the outpatient clinic reporting a two-week
history of depressed mood, fatigue, difficulty concentrating, and intermittent
tearfulness. She reports the symptoms began after a job loss but states she has
never felt this way before. She denies suicidal ideation, has no psychotic
symptoms, and continues to care for her children. She has no past psychiatric
history and no medical conditions. Which assessment approach is most appropriate
as the first step?
Options:
A. Immediately prescribe an SSRI for major depressive disorder
B. Conduct a comprehensive psychiatric evaluation including PHQ-9, GAD-7, and
assess for stressor-related adjustment disorder versus major depressive disorder
C. Refer to inpatient psychiatric hospitalization for safety
D. Diagnose bipolar disorder and start mood stabilizer
ANSWER: B
Q002: A 19-year-old college sophomore is brought to the emergency department
by campus police after being found walking naked in the dormitory hallway. He is
disheveled, appears agitated, and is speaking rapidly about being "the chosen one"
and hearing God's voice telling him to "save humanity." He has no known
, 2
psychiatric history, urine drug screen is negative, and vital signs are within normal
limits. What is the most critical differential diagnosis consideration?
Options:
A. Conduct disorder
B. Brief psychotic disorder versus first-episode psychosis/schizophreniform
disorder
C. Social anxiety disorder
D. Borderline personality disorder
ANSWER: B
Q003: A 45-year-old male veteran presents for a PTSD assessment four months
after returning from deployment. He reports recurrent nightmares, hypervigilance,
exaggerated startle response, and avoids watching news about conflicts. He scores
60 on the PTSD Checklist for DSM-5 (PCL-5). Which trauma criterion from
DSM-5-TR must be confirmed prior to making a PTSD diagnosis?
Options:
A. The veteran must have experienced minor stress during deployment
B. Exposure to actual or threatened death, serious injury, or sexual violence
through directly experiencing, witnessing, or learning about the event
C. The symptoms must begin immediately after the trauma
D. The veteran must have a pre-existing anxiety disorder
ANSWER: B
Q004: A 32-year-old female with a history of major depressive disorder is currently
taking sertraline 100mg daily. She reports feeling more energetic over the past
week but is now having difficulty sleeping and has increased her spending
significantly. She acknowledges her thoughts are racing and feels "on top of the
world." What is the most immediate diagnostic concern?
Options:
A. Treatment-resistant depression
, 3
B. Antidepressant-induced mania/hypomania suggesting bipolar spectrum disorder
C. Serotonin syndrome
D. SSRI discontinuation syndrome
ANSWER: B
Q005: A 16-year-old adolescent is referred by the school counselor for assessment.
Over the past six months, she has lost 15 pounds, restricts food intake severely,
exercises excessively, and reports a distorted body image. Her BMI is 16.2 kg/m²,
and vital signs show bradycardia (HR 48) and hypotension (BP 90/58). Which
medical complication takes priority in the initial management plan?
Options:
A. Initiating antipsychotic medication for delusional thinking
B. Medical stabilization of cardiac complications and nutritional rehabilitation
C. Starting benzodiazepines for anxiety
D. Immediate discharge with outpatient therapy referral
ANSWER: B
Q006: A 55-year-old female with chronic schizophrenia on long-acting injectable
antipsychotic presents with sudden onset of oculogyric crisis and severe muscle
rigidity. She received her injection three days ago. Her temperature is 99.1°F, and
she is alert. Which acute extrapyramidal symptom is this, and what is the
immediate treatment?
Options:
A. Neuroleptic malignant syndrome; treat with dantrolene and bromocriptine
B. Acute dystonic reaction; treat with anticholinergic (benztropine) or
antihistamine (diphenhydramine)
C. Tardive dyskinesia; discontinue antipsychotic immediately
D. Akathisia; add beta-blocker
ANSWER: B
