NR547 MIDTERM COMPREHENSIVE STUDY
GUIDE FULLY SOLVED EDITION WITH
TESTED QUESTIONS AND CORRECT
ANSWERS 2026
• Name the 6 of a differential diagnosis . Answer: 1.) RULE OUT
Malingering or Factitous disorder
2.)Ruling out substance etiology
3.) ruling out a medical etiology
4.) Determining the specific primary disorder
5.) Differentiating adjustment disorder from the residual "other
specified" and "unspecified" conditions
6.) Establishing the boundary with no mental disorder
• Remember with step 5, the PMHNP can use "other specified" in the
diagnosis when they want to indicate the specific reason for a diagnosis.
They use "unspecified" if:
the information doesnt conform to DSM5
there is insufficient info to make a specific diagnosis
there is more info the be revealed with time OR they want to help the
patient avoid stigmas . Answer:
, • The PMHNP wants to rule out anemia as a cause for a patients fatigue
and lack of motivation. What lab should she order? . Answer: a CBC
with iron studies
hg-12-18
hematocrit: 38-48%
• What is normal creat/BUN level? . Answer: BUN: 7-18
creat: 0.6-1.2
• A patient presents with brain fog, lack of focus, insomnia & mood
swing, lack of mental alertness. What lab should the PMHNP order? .
Answer: THYROID FUNCTION TEST
TSH: 0.4-4.5
T3: 100-200
T4: 5-11
• The patient has a b12 level of 126 picograms/mL. what symptoms may
the patient experience? . Answer: normal B12: 190-950 picograms/mL
but borderline is 200-300 & will need additional testing.
depression, mania, psychotic symptoms, cognitive impairment
• Name the normal vitamin D levels: . Answer: 20-50 ng/ML
GUIDE FULLY SOLVED EDITION WITH
TESTED QUESTIONS AND CORRECT
ANSWERS 2026
• Name the 6 of a differential diagnosis . Answer: 1.) RULE OUT
Malingering or Factitous disorder
2.)Ruling out substance etiology
3.) ruling out a medical etiology
4.) Determining the specific primary disorder
5.) Differentiating adjustment disorder from the residual "other
specified" and "unspecified" conditions
6.) Establishing the boundary with no mental disorder
• Remember with step 5, the PMHNP can use "other specified" in the
diagnosis when they want to indicate the specific reason for a diagnosis.
They use "unspecified" if:
the information doesnt conform to DSM5
there is insufficient info to make a specific diagnosis
there is more info the be revealed with time OR they want to help the
patient avoid stigmas . Answer:
, • The PMHNP wants to rule out anemia as a cause for a patients fatigue
and lack of motivation. What lab should she order? . Answer: a CBC
with iron studies
hg-12-18
hematocrit: 38-48%
• What is normal creat/BUN level? . Answer: BUN: 7-18
creat: 0.6-1.2
• A patient presents with brain fog, lack of focus, insomnia & mood
swing, lack of mental alertness. What lab should the PMHNP order? .
Answer: THYROID FUNCTION TEST
TSH: 0.4-4.5
T3: 100-200
T4: 5-11
• The patient has a b12 level of 126 picograms/mL. what symptoms may
the patient experience? . Answer: normal B12: 190-950 picograms/mL
but borderline is 200-300 & will need additional testing.
depression, mania, psychotic symptoms, cognitive impairment
• Name the normal vitamin D levels: . Answer: 20-50 ng/ML
