,NR 547 MIDTERM EXAM 2026-2027 ACTUAL EXAM TEST
BANK 200 QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS
1. If an elderly patient presents with confusion and a positive urine leukocyte
esterase test, what should be the next step in management?
Observation without intervention
Immediate psychiatric evaluation
Administration of antipsychotic medication
Referral for treatment of the urinary tract infection
2. Discuss how substance use history can influence the interpretation of
psychiatric symptoms.
Substance use history is irrelevant to psychiatric symptoms.
Substance use history can provide insight into whether symptoms
are due to substance effects or underlying mental health issues.
Substance use history is only important for legal considerations.
Substance use history only affects treatment options, not diagnosis.
3. A smear of your patient's blood is shown in the following picture
demonstrating that the person suffers from a form of anemia. A deficiency in
which of the following vitamins would lead to the anemia shown in the slide?
, B1 (thiamin)
B6 (pyridoxal phosphate)
Biotin
Vitamin B12 (cobalamin)
Vitamin K
4. If a patient with normal hemoglobin and hematocrit levels continues to
experience fatigue after initial treatment, what should be the next step?
Refer the patient to a psychiatrist immediately.
Discontinue all medications and monitor the patient.
Reassess the patient for other underlying conditions that may
contribute to fatigue.
Increase the dosage of the initial treatment without further evaluation.
5. Why is it important to conduct a complete evaluation for a patient presenting
with fatigue and normal hemoglobin and hematocrit levels?
The patient should be treated for anxiety without further evaluation.
, Normal hemoglobin and hematocrit levels indicate that fatigue is
always psychological.
A complete evaluation is necessary to identify other potential
causes of fatigue unrelated to anemia.
Fatigue can only be caused by anemia, so no further evaluation is
needed.
6. If a clinician fails to conduct thorough history taking during a psychiatric
assessment, what potential impact could this have on the patient's treatment?
It would have no impact on the treatment process.
It would ensure a faster diagnosis.
It would improve the patient's understanding of their condition.
It could lead to misdiagnosis and ineffective treatment plans.
7. What are the two primary causes of social anxiety disorder mentioned in the
text?
Environmental factors and genetic predispositions
Biological factors and social isolation
Cognitive distortions and traumatic experiences
Cultural influences and personality traits
8. Describe the rationale behind prescribing psychiatric medication based on
symptoms in treatment.
The rationale is to minimize the use of medication in psychiatric care.
The rationale is to ensure that all patients receive the same treatment
regardless of their symptoms.
BANK 200 QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS
1. If an elderly patient presents with confusion and a positive urine leukocyte
esterase test, what should be the next step in management?
Observation without intervention
Immediate psychiatric evaluation
Administration of antipsychotic medication
Referral for treatment of the urinary tract infection
2. Discuss how substance use history can influence the interpretation of
psychiatric symptoms.
Substance use history is irrelevant to psychiatric symptoms.
Substance use history can provide insight into whether symptoms
are due to substance effects or underlying mental health issues.
Substance use history is only important for legal considerations.
Substance use history only affects treatment options, not diagnosis.
3. A smear of your patient's blood is shown in the following picture
demonstrating that the person suffers from a form of anemia. A deficiency in
which of the following vitamins would lead to the anemia shown in the slide?
, B1 (thiamin)
B6 (pyridoxal phosphate)
Biotin
Vitamin B12 (cobalamin)
Vitamin K
4. If a patient with normal hemoglobin and hematocrit levels continues to
experience fatigue after initial treatment, what should be the next step?
Refer the patient to a psychiatrist immediately.
Discontinue all medications and monitor the patient.
Reassess the patient for other underlying conditions that may
contribute to fatigue.
Increase the dosage of the initial treatment without further evaluation.
5. Why is it important to conduct a complete evaluation for a patient presenting
with fatigue and normal hemoglobin and hematocrit levels?
The patient should be treated for anxiety without further evaluation.
, Normal hemoglobin and hematocrit levels indicate that fatigue is
always psychological.
A complete evaluation is necessary to identify other potential
causes of fatigue unrelated to anemia.
Fatigue can only be caused by anemia, so no further evaluation is
needed.
6. If a clinician fails to conduct thorough history taking during a psychiatric
assessment, what potential impact could this have on the patient's treatment?
It would have no impact on the treatment process.
It would ensure a faster diagnosis.
It would improve the patient's understanding of their condition.
It could lead to misdiagnosis and ineffective treatment plans.
7. What are the two primary causes of social anxiety disorder mentioned in the
text?
Environmental factors and genetic predispositions
Biological factors and social isolation
Cognitive distortions and traumatic experiences
Cultural influences and personality traits
8. Describe the rationale behind prescribing psychiatric medication based on
symptoms in treatment.
The rationale is to minimize the use of medication in psychiatric care.
The rationale is to ensure that all patients receive the same treatment
regardless of their symptoms.
