NR547 Midterm Exam Questions
and Answers 100% Accurate
differential diagnosis - ANSWER-The provider's initial hypothesis
-a working list of potential problems that can be associated with the initial or
chief complaint
-Diagnostic and Statistical Manual of Mental Disorders (DSM-5-TR)
• provides guidance for identifying psychiatric diagnoses
Psychiatric assessment: History taking - ANSWER--History of Present Illness
-How long have you been feeling this way?
-Did something happen in your life that may have triggered these emotions?
-How is this current situation impacting your life?
The Psychiatric History
-Have you ever been hospitalized for any mental health issues?
-Have you ever had counseling or psychotherapy?
-Have you ever taken medications for your mental health in the past?
,-Are you currently on any medications for mental health or sleep?
Medical History/Screening for General Medical Conditions
-Do you have a primary care provider?
-Do you have any medical illnesses?
-Are you currently taking any medications or herbal supplements?
-Do you have any allergies to medications?
-Have you ever been hospitalized for any reason?
-Have you ever had surgery?
Family Psychiatric History
-Has any relative of yours ever been hospitalized for a mental health issue?
-Has any blood relative of yours ever been diagnosed with a mental health
issue?
-Has any blood relative of yours had a history of seizures or
dementia/Alzheimer's?
No action is necessary as the client is not currently considering suicide.
Provide a brief suicide safety assessment.
,Alert the client's primary care physician.
Provide a ST - ANSWER-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 - ANSWER--
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 - ANSWER-Complete Blood Count
Comprehensive Metabolic Panel (CMP)
Thyroid Function Tests
Vitamin B12 Level
Vitamin D Level
Toxicology Screen
Urinalysis (UA)
, Social and Developmental History
-Tell me a little bit about your childhood and how you grew up.
-How was your experience in school when you were younger? Did you enjoy
school?
-How do you support yourself with your finances?
-Do you have a good support system? Are you currently in a relationship?
Where do you live? Who do you live with?
-What do you do in your free time? What activities do you enjoy?
Screening and Psychiatric Rating Scales - ANSWER-Evidence-based screening
tools and psychiatric rating scales
-can help the provider identify symptoms and assess their severity and can
assist with the evaluation of response to treatment
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
and Answers 100% Accurate
differential diagnosis - ANSWER-The provider's initial hypothesis
-a working list of potential problems that can be associated with the initial or
chief complaint
-Diagnostic and Statistical Manual of Mental Disorders (DSM-5-TR)
• provides guidance for identifying psychiatric diagnoses
Psychiatric assessment: History taking - ANSWER--History of Present Illness
-How long have you been feeling this way?
-Did something happen in your life that may have triggered these emotions?
-How is this current situation impacting your life?
The Psychiatric History
-Have you ever been hospitalized for any mental health issues?
-Have you ever had counseling or psychotherapy?
-Have you ever taken medications for your mental health in the past?
,-Are you currently on any medications for mental health or sleep?
Medical History/Screening for General Medical Conditions
-Do you have a primary care provider?
-Do you have any medical illnesses?
-Are you currently taking any medications or herbal supplements?
-Do you have any allergies to medications?
-Have you ever been hospitalized for any reason?
-Have you ever had surgery?
Family Psychiatric History
-Has any relative of yours ever been hospitalized for a mental health issue?
-Has any blood relative of yours ever been diagnosed with a mental health
issue?
-Has any blood relative of yours had a history of seizures or
dementia/Alzheimer's?
No action is necessary as the client is not currently considering suicide.
Provide a brief suicide safety assessment.
,Alert the client's primary care physician.
Provide a ST - ANSWER-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 - ANSWER--
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 - ANSWER-Complete Blood Count
Comprehensive Metabolic Panel (CMP)
Thyroid Function Tests
Vitamin B12 Level
Vitamin D Level
Toxicology Screen
Urinalysis (UA)
, Social and Developmental History
-Tell me a little bit about your childhood and how you grew up.
-How was your experience in school when you were younger? Did you enjoy
school?
-How do you support yourself with your finances?
-Do you have a good support system? Are you currently in a relationship?
Where do you live? Who do you live with?
-What do you do in your free time? What activities do you enjoy?
Screening and Psychiatric Rating Scales - ANSWER-Evidence-based screening
tools and psychiatric rating scales
-can help the provider identify symptoms and assess their severity and can
assist with the evaluation of response to treatment
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
