1|Page
NR 547 Midterm Exam || QUESTIONS AND CORRECT
DETAILED ANSWERS ||VERIFIED EXAM(VERIFIED
ANSWERS) |ALREADY GRADED A+||NEWEST EXAM!!!
Minh is a 19-year-old who presents to the emergency
department after a suicide attempt. She is medically
stable. She states that she has experienced auditory
hallucinations for the past 3-4 weeks and "could not take
them anymore." She also complains of depressed mood,
loss of interest in activities, and feelings of hopelessness
for the past few months. Her toxicology reports on
admission were negative.
Based on the Diagnostic and Statistical Manual of Mental
Disorders (DSM-5-TR), what is the most appropriate
diagnosis for Minh? include ICD-10 code: - ANSWER-
schizoaffective disorder depressive type F25.1
Rationale: Minh presents with major depressive episode
concurrent with hallucinations. This disturbance is not
attributable to a substance. The most appropriate
diagnosis for Minh is schizoaffective disorder depressive
type F25.1
Schizophreniform Disorder - ANSWER-characterized by
schizophrenia-like symptoms that last for more than 1
month but less than 6 months
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-differentiated from schizophrenia based on the length of
time symptoms have been present
Holden is a 14-year-old who presents to the clinic with his
parents. His mother notes that he has stopped showering,
seems disinterested in activities in which he had
previously engaged and in peer interaction, and echoes
words that others have said. These behaviors have
increased over the past two months. Holden's urine
toxicology is negative.
Based on the DSM-5-TR, does Holden meet diagnostic
criteria for schizophreniform disorder?
yes
no
Unable to determine - ANSWER-No
Rationale: Holden's behaviors have lasted for at least one
month, but less than six months. His behaviors are not
attributable to a substance. Holden displays two of the five
required symptoms for the diagnosis of schizophreniform
disorder. He displays catatonic behavior with echolalia and
has negative symptoms of asociality and avolition. He
does not, however, display one of the three required
behaviors for diagnosis: delusions, hallucinations, or
,3|Page
disorganized speech. An alternate diagnosis should be
considered.
Brief Psychotic Disorder - ANSWER-an acute psychosis,
often precipitated by stress
-Symptoms last for less than 1 month
-clients experience full remission with a full return to
function
Shelby is a 31-year-old who presents to the emergency
department with her husband. She is 32 weeks pregnant.
Her husband noted that a few days ago, she began having
bizarre behaviors, including avoiding eye contact,
exhibiting tangential speech, and expressing delusions
that she is being followed and tracked by the CIA and that
they are planning to steal her baby. Shelby has no medical
or psychiatric history, and she is not on any medications.
She has abstained from alcohol during pregnancy and
does not use other drugs.
Based on DMS-5-TR, does Shelby meet the criteria for
brief psychotic disorder?
yes
no
Unable to determine - ANSWER-Unable to determine
, 4|Page
Rationale: Shelby may meet diagnostic criteria for brief
psychotic disorder (298.8) with peripartum onset, but a
diagnosis cannot be confirmed at this time. Shelby exhibits
delusions and disorganized speech. The symptoms cannot
be better explained by another medical or psychiatric
illness or substance. Shelby's symptoms began a few
days ago. If symptoms resolve within one month, this is an
appropriate diagnosis. If not, an alternate diagnosis should
be considered.
Delusional Disorder - ANSWER-involves a person having
prominent delusions without hallucinations
-tend to have false beliefs that involve real-life situations
• ex: belief that they are being followed or that others are
plotting against them
-often retain their personalities and are more functional
socially
Geoff is two days post-op from knee surgery. He has been
awake, alert, oriented, and pleasant over the last few days
and has shown no signs of mental distress. The surgical
team asked for a psychiatric consult after Geoff became
increasingly angry, argumentative, and agitated with
nursing staff when he was offered a flu shot. Geoff states
that he was given a flu shot against his will at work several
NR 547 Midterm Exam || QUESTIONS AND CORRECT
DETAILED ANSWERS ||VERIFIED EXAM(VERIFIED
ANSWERS) |ALREADY GRADED A+||NEWEST EXAM!!!
Minh is a 19-year-old who presents to the emergency
department after a suicide attempt. She is medically
stable. She states that she has experienced auditory
hallucinations for the past 3-4 weeks and "could not take
them anymore." She also complains of depressed mood,
loss of interest in activities, and feelings of hopelessness
for the past few months. Her toxicology reports on
admission were negative.
Based on the Diagnostic and Statistical Manual of Mental
Disorders (DSM-5-TR), what is the most appropriate
diagnosis for Minh? include ICD-10 code: - ANSWER-
schizoaffective disorder depressive type F25.1
Rationale: Minh presents with major depressive episode
concurrent with hallucinations. This disturbance is not
attributable to a substance. The most appropriate
diagnosis for Minh is schizoaffective disorder depressive
type F25.1
Schizophreniform Disorder - ANSWER-characterized by
schizophrenia-like symptoms that last for more than 1
month but less than 6 months
,2|Page
-differentiated from schizophrenia based on the length of
time symptoms have been present
Holden is a 14-year-old who presents to the clinic with his
parents. His mother notes that he has stopped showering,
seems disinterested in activities in which he had
previously engaged and in peer interaction, and echoes
words that others have said. These behaviors have
increased over the past two months. Holden's urine
toxicology is negative.
Based on the DSM-5-TR, does Holden meet diagnostic
criteria for schizophreniform disorder?
yes
no
Unable to determine - ANSWER-No
Rationale: Holden's behaviors have lasted for at least one
month, but less than six months. His behaviors are not
attributable to a substance. Holden displays two of the five
required symptoms for the diagnosis of schizophreniform
disorder. He displays catatonic behavior with echolalia and
has negative symptoms of asociality and avolition. He
does not, however, display one of the three required
behaviors for diagnosis: delusions, hallucinations, or
,3|Page
disorganized speech. An alternate diagnosis should be
considered.
Brief Psychotic Disorder - ANSWER-an acute psychosis,
often precipitated by stress
-Symptoms last for less than 1 month
-clients experience full remission with a full return to
function
Shelby is a 31-year-old who presents to the emergency
department with her husband. She is 32 weeks pregnant.
Her husband noted that a few days ago, she began having
bizarre behaviors, including avoiding eye contact,
exhibiting tangential speech, and expressing delusions
that she is being followed and tracked by the CIA and that
they are planning to steal her baby. Shelby has no medical
or psychiatric history, and she is not on any medications.
She has abstained from alcohol during pregnancy and
does not use other drugs.
Based on DMS-5-TR, does Shelby meet the criteria for
brief psychotic disorder?
yes
no
Unable to determine - ANSWER-Unable to determine
, 4|Page
Rationale: Shelby may meet diagnostic criteria for brief
psychotic disorder (298.8) with peripartum onset, but a
diagnosis cannot be confirmed at this time. Shelby exhibits
delusions and disorganized speech. The symptoms cannot
be better explained by another medical or psychiatric
illness or substance. Shelby's symptoms began a few
days ago. If symptoms resolve within one month, this is an
appropriate diagnosis. If not, an alternate diagnosis should
be considered.
Delusional Disorder - ANSWER-involves a person having
prominent delusions without hallucinations
-tend to have false beliefs that involve real-life situations
• ex: belief that they are being followed or that others are
plotting against them
-often retain their personalities and are more functional
socially
Geoff is two days post-op from knee surgery. He has been
awake, alert, oriented, and pleasant over the last few days
and has shown no signs of mental distress. The surgical
team asked for a psychiatric consult after Geoff became
increasingly angry, argumentative, and agitated with
nursing staff when he was offered a flu shot. Geoff states
that he was given a flu shot against his will at work several
