NR 547 MIDTERM EXAM QUESTIONS AND ANSWERS (VERIFIED ANSWERS

NR 547 MIDTERM EXAM 2024-2025
QUESTIONS AND ANSWERS (VERIFIED
ANSWERS)
differentialKdiagnosisK-KcorrectKanswer-TheKprovider'sKinitialKhypothesis

-aKworkingKlistKofKpotentialKproblemsKthatKcanKbeKassociatedKwithKtheKinitialKorKchiefKcomplaint

-DiagnosticKandKStatisticalKManualKofKMentalKDisordersK(DSM-5-TR)

•KprovidesKguidanceKforKidentifyingKpsychiatricKdiagnoses



PsychiatricKassessment:KHistoryKtakingK-KcorrectKanswer--HistoryKofKPresentKIllness

-HowKlongKhaveKyouKbeenKfeelingKthisKway?

-DidKsomethingKhappenKinKyourKlifeKthatKmayKhaveKtriggeredKtheseKemotions?

-HowKisKthisKcurrentKsituationKimpactingKyourKlife?



TheKPsychiatricKHistory

-HaveKyouKeverKbeenKhospitalizedKforKanyKmentalKhealthKissues?

-HaveKyouKeverKhadKcounselingKorKpsychotherapy?

-HaveKyouKeverKtakenKmedicationsKforKyourKmentalKhealthKinKtheKpast?

-AreKyouKcurrentlyKonKanyKmedicationsKforKmentalKhealthKorKsleep?



MedicalKHistory/ScreeningKforKGeneralKMedicalKConditions

-DoKyouKhaveKaKprimaryKcareKprovider?

-DoKyouKhaveKanyKmedicalKillnesses?

-AreKyouKcurrentlyKtakingKanyKmedicationsKorKherbalKsupplements?

-DoKyouKhaveKanyKallergiesKtoKmedications?

-HaveKyouKeverKbeenKhospitalizedKforKanyKreason?

-HaveKyouKeverKhadKsurgery?

,FamilyKPsychiatricKHistory

-HasKanyKrelativeKofKyoursKeverKbeenKhospitalizedKforKaKmentalKhealthKissue?

-HasKanyKbloodKrelativeKofKyoursKeverKbeenKdiagnosedKwithKaKmentalKhealthKissue?

-HasKanyKbloodKrelativeKofKyoursKhadKaKhistoryKofKseizuresKorKdementia/Alzheimer's?



SocialKandKDevelopmentalKHistory

-TellKmeKaKlittleKbitKaboutKyourKchildhoodKandKhowKyouKgrewKup.

-HowKwasKyourKexperienceKinKschoolKwhenKyouKwereKyounger?KDidKyouKenjoyKschool?

-HowKdoKyouKsupportKyourselfKwithKyourKfinances?

-
DoKyouKhaveKaKgoodKsupportKsystem?KAreKyouKcurrentlyKinKaKrelationship?KWhereKdoKyouKlive?KWhoKdoKyo
uKliveKwith?

-WhatKdoKyouKdoKinKyourKfreeKtime?KWhatKactivitiesKdoKyouKenjoy?



ScreeningKandKPsychiatricKRatingKScalesK-KcorrectKanswer-Evidence-
basedKscreeningKtoolsKandKpsychiatricKratingKscales

-
canKhelpKtheKproviderKidentifyKsymptomsKandKassessKtheirKseverityKandKcanKassistKwithKtheKevaluationKofKr
esponseKtoKtreatment



AK52-year-
oldKclientKpresentsKtoKtheKemergencyKdepartmentKfollowingKaKcarKaccident.KTheKemergencyKdepartmentK(
ED)KphysicianKisKconcernedKthatKtheKclientKmayKhaveKintentionallyKcrashedKherKcarKandKrequestsKaKstatKPM
HNPKconsult.KInKspeakingKwithKtheKPMHNP,KtheKclientKdescribesKpersistentKfeelingsKofKsadnessKandKhopele
ssness.KSheKstatesKthatKsheKoftenKwondersKifKherKhusbandKwouldKbeKhappierKifKsheKwasn'tKaroundKanymor
eKsinceKshe'sKneverKhappyKandKsometimesKthinksKaboutKwhatKitKwouldKbeKlikeKtoKjustKtakeKaKhandfulKofKsle
epingKpillsKandKgoKtoKsleepKforever.KTheKclientKreportsKaKpreviousKsuicideKattemptKwhenKsheKwasK16KbutKde
niesKthatKsheKisKconsideringKkillingKherselfKrightKnow.

BasedKonKtheKclient'sKASQKscore,KwhatKisKtheKmostKappropriateKresponse?



NoKactionKisKnecessaryKasKtheKclientKisKnotKcurrentlyKconsideringKsuicide.

ProvideKaKbriefKsuicideKsafetyKassessment.K

AlertKtheKclient'sKprimaryKcareKphysician.

,ProvideKaKSTK-KcorrectKanswer-ProvideKaKbriefKsuicideKsafetyKassessment.K



Rationale:KWhileKtheKclient'sKresponsesKdoKnotKindicateKaKneedKforKaKstatKfullKsafetyKandKmentalKhealthKeva
luation,KtheKclientKrequiresKaKbriefKsuicideKsafetyKassessmentKtoKdetermineKwhetherKaKfullKmentalKhealthKe
valuationKinKnecessary.KItKisKalsoKimportantKtoKnotifyKtheKclient'sKphysicianKorKtheKclinicianKresponsibleKforKt
heKclient'sKcare.



DiagnosticKTestingKwhenKdiagnosingKmentalKhealthKdisordersK-KcorrectKanswer--
DiagnosticKtestsKandKlabsKareKmostKusedKtoKruleKoutKphysicalKconditionsKthatKmayKcauseKpsychiatricKsympt
omsKandKtoKevaluateKtheKeffectsKofKtreatment



BasicKLaboratoryKInterpretationK-KcorrectKanswer-CompleteKBloodKCount

ComprehensiveKMetabolicKPanelK(CMP)

ThyroidKFunctionKTests

VitaminKB12KLevel

VitaminKDKLevel

ToxicologyKScreen

UrinalysisK(UA)



BasicKLaboratoryKInterpretation:KCompleteKBloodKCountK-KcorrectKanswer--
measuresKRBCs,KWBCs,Khemoglobin,Khematocrit,KandKplatelets

-includesKaKdifferentialKofKtheKWBCs

-
InKmentalKhealth,KtheKCBCKisKusedKtoKruleKoutKmedicalKconditionsKthatKmayKpresentKwithKsymptomsKthatKca
nKbeKattributedKtoKbothKmedicalKandKpsychiatricKdiagnoses

•KEx:KruleKoutKanemiaKasKaKcauseKforKdepressiveKsymptomsKandKfatigue

•KEx:KruleKoutKinfectionKasKaKcauseKofKacuteKmentalKstatusKchanges



RBCs:K4.5-6.0Kmillion/microliter

Hemoglobin:K12-18Kgrams/100KmL

Hematocrit:K38%-48%

Reticulocytes:K0%-1.5%

, WBCsK(total):K5000-10,000/microliter

Neutrophils:K55%-70%

Eosinophils:K1%-3%

Basophils:K0.5%-1%

Lymphocytes:K20%-35%

Monocytes:K3%-8%

Platelets:K150,000-300,000/microliter



BasicKLaboratoryKInterpretation:KComprehensiveKMetabolicKPanelK(CMP)K-KcorrectKanswer-
commonKbloodKtestKusedKtoKdetermineKgeneralKhealthKstatus

-fluidKandKelectrolyteKbalance,KstatusKofKtheKbody'sKmetabolism,KliverKfunction,KandKkidneyKfunction

-usedKtoKmonitorKtheKeffectsKofKmedications,KsuchKasKantipsychotics,KonKliverKfunctionKandKglucoseKlevels

-ruleKoutKmedicalKconditionsKthatKcouldKcauseKsymptoms

•KEx:KchangesKinKmoodKorKcognition



SodiumK(Na+):K136-145KmEq/L

PostassiumK(K+):K3.5-5.0KmEq/L

ChlorideK(Cl-):K95-105KmEq/L

BicarbonateK(HCO3-):K22-28KmEq/L

Calcium,KserumK(CaK2+)K8.4-10.2Kmg/dl

Glucose,KserumKFasting:K70-110Kmg/dl;K2-hKpostprandial:K<120mg/dl

Cholesterol,Kserum:KREC<200Kmg/dl

TotalKProteinK6.0-7.8Kg/dl

AlbuminK3.5-5.5Kg/dl

-KidneyKTests

•KCreatinine,KserumK0.6-1.2mg/dl

•KUreaKnitrogen,KserumK(BUN)K7-18mg/dl

-LiverKTests

•KAlanineKaminotransferaseK(ALT),Kserum:K8-20KU/L