1|Page
NR 547 PMHNP 2026 LATEST TEST BANK FOR
MIDTERM AND FINAL EXAM REVIEW||VERIFIED
EXAM!! NR547/ NR 547 MIDTERM & FINAL EXAM
PREP CHAMBERLAIN (NEWEST EXAM!!)
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.
,2|Page
Alert the client's primary care physician.
Provide a ST - Answers-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.
Diagnostic Testing when diagnosing mental health
disorders - Answers--Diagnostic tests and labs are most
used to rule out physical conditions that may cause
psychiatric symptoms and to evaluate the effects of
treatment
Basic Laboratory Interpretation - Answers-Complete Blood
Count
Comprehensive Metabolic Panel (CMP)
Thyroid Function Tests
Vitamin B12 Level
Vitamin D Level
,3|Page
Toxicology Screen
Urinalysis (UA)
Basic Laboratory Interpretation: Complete Blood Count -
Answers--measures RBCs, WBCs, hemoglobin,
hematocrit, and platelets
-includes a differential of the WBCs
-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%
, 4|Page
Basophils: 0.5%-1%
Lymphocytes: 20%-35%
Monocytes: 3%-8%
Platelets: 150,000-300,000/microliter
Basic Laboratory Interpretation: Comprehensive Metabolic
Panel (CMP) - Answers-common blood test used to
determine general health status
-fluid and electrolyte balance, status of the body's
metabolism, liver function, and kidney function
-used to monitor the effects of medications, such as
antipsychotics, on liver function and glucose levels
-rule out medical conditions that could cause symptoms
• Ex: changes in mood or cognition
Sodium (Na+): 136-145 mEq/L
Postassium (K+): 3.5-5.0 mEq/L
Chloride (Cl-): 95-105 mEq/L
Bicarbonate (HCO3-): 22-28 mEq/L
Calcium, serum (Ca 2+) 8.4-10.2 mg/dl
NR 547 PMHNP 2026 LATEST TEST BANK FOR
MIDTERM AND FINAL EXAM REVIEW||VERIFIED
EXAM!! NR547/ NR 547 MIDTERM & FINAL EXAM
PREP CHAMBERLAIN (NEWEST EXAM!!)
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.
,2|Page
Alert the client's primary care physician.
Provide a ST - Answers-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.
Diagnostic Testing when diagnosing mental health
disorders - Answers--Diagnostic tests and labs are most
used to rule out physical conditions that may cause
psychiatric symptoms and to evaluate the effects of
treatment
Basic Laboratory Interpretation - Answers-Complete Blood
Count
Comprehensive Metabolic Panel (CMP)
Thyroid Function Tests
Vitamin B12 Level
Vitamin D Level
,3|Page
Toxicology Screen
Urinalysis (UA)
Basic Laboratory Interpretation: Complete Blood Count -
Answers--measures RBCs, WBCs, hemoglobin,
hematocrit, and platelets
-includes a differential of the WBCs
-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%
, 4|Page
Basophils: 0.5%-1%
Lymphocytes: 20%-35%
Monocytes: 3%-8%
Platelets: 150,000-300,000/microliter
Basic Laboratory Interpretation: Comprehensive Metabolic
Panel (CMP) - Answers-common blood test used to
determine general health status
-fluid and electrolyte balance, status of the body's
metabolism, liver function, and kidney function
-used to monitor the effects of medications, such as
antipsychotics, on liver function and glucose levels
-rule out medical conditions that could cause symptoms
• Ex: changes in mood or cognition
Sodium (Na+): 136-145 mEq/L
Postassium (K+): 3.5-5.0 mEq/L
Chloride (Cl-): 95-105 mEq/L
Bicarbonate (HCO3-): 22-28 mEq/L
Calcium, serum (Ca 2+) 8.4-10.2 mg/dl
