MSN 612 Midterm EXAM LATEST 2025 GRADED A+
QUESTION AND ANSWER 100% ACCURATE
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.
Alert the client's primary care physician.
Provide a STAT safety and full mental health evaluation.
B)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.
Complete Blood Count
The CBC is a serum diagnostic test that measures red blood cells, white blood cells, hemoglobin,
hematocrit, and platelets. The CBC includes a differential of the white blood cells. A CBC is often
included as part of routine health screening or to obtain information related to specific conditions. 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. For example, the CBC can help rule out
anemia as a cause for depressive symptoms and fatigue or rule out infection as a cause of acute
mental status changes. The CBC is also used to monitor certain treatment regimens. For example,
some medications, such as clozapine, require routine analysis of absolute neutrophil count and
platelet levels.
,Normal Range of:
Red blood cells
Hemoglobin
Hematocrit
Reticulocytes
Red blood cells: 4.5-6.0 million/microliter Hemoglobin: 12-18 grams/100 mL Hematocrit: 38%-48%
Reticulocytes: 0%-1.5%
Normal Range of?
White blood cells (total):
Neutrophils:
Eosinophils:
Basophils:
Lymphocytes:
,Monocytes:
Platelets:
White blood cells (total): 5000-10,000/microliter Neutrophils: 55%-70%
Eosinophils: 1%-3%
Basophils: 0.5%-1%
Lymphocytes: 20%-35%
Monocytes: 3%-8%
Platelets: 150,000-300,000/microliter
Comprehensive Metabolic Panel (CMP)
The CMP is another common blood test used to determine general health status. The CMP includes
several tests that provide information about fluid and electrolyte balance as well as the status of the
body's metabolism, liver function, and kidney function. In psychiatric care, the CMP may be used to
rule out medical conditions that could cause symptoms such as changes in mood or cognition. The
CMP is also used to monitor the effects of medications, such as antipsychotics, on liver function and
glucose levels.
Normal CMP Levels
Electrolytes
Sodium (Na+):
, Postassium (K+):
Chloride (Cl-):
Bicarbonate (HCO3-):
Normal CMP Levels
Electrolytes
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
Normal CMP levels
Misc.
Calcium, serum (Ca 2+)
Glucose, serum Fasting:
2-h postprandial:
Cholesterol, serum:
Total Protein Albumin
QUESTION AND ANSWER 100% ACCURATE
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.
Alert the client's primary care physician.
Provide a STAT safety and full mental health evaluation.
B)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.
Complete Blood Count
The CBC is a serum diagnostic test that measures red blood cells, white blood cells, hemoglobin,
hematocrit, and platelets. The CBC includes a differential of the white blood cells. A CBC is often
included as part of routine health screening or to obtain information related to specific conditions. 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. For example, the CBC can help rule out
anemia as a cause for depressive symptoms and fatigue or rule out infection as a cause of acute
mental status changes. The CBC is also used to monitor certain treatment regimens. For example,
some medications, such as clozapine, require routine analysis of absolute neutrophil count and
platelet levels.
,Normal Range of:
Red blood cells
Hemoglobin
Hematocrit
Reticulocytes
Red blood cells: 4.5-6.0 million/microliter Hemoglobin: 12-18 grams/100 mL Hematocrit: 38%-48%
Reticulocytes: 0%-1.5%
Normal Range of?
White blood cells (total):
Neutrophils:
Eosinophils:
Basophils:
Lymphocytes:
,Monocytes:
Platelets:
White blood cells (total): 5000-10,000/microliter Neutrophils: 55%-70%
Eosinophils: 1%-3%
Basophils: 0.5%-1%
Lymphocytes: 20%-35%
Monocytes: 3%-8%
Platelets: 150,000-300,000/microliter
Comprehensive Metabolic Panel (CMP)
The CMP is another common blood test used to determine general health status. The CMP includes
several tests that provide information about fluid and electrolyte balance as well as the status of the
body's metabolism, liver function, and kidney function. In psychiatric care, the CMP may be used to
rule out medical conditions that could cause symptoms such as changes in mood or cognition. The
CMP is also used to monitor the effects of medications, such as antipsychotics, on liver function and
glucose levels.
Normal CMP Levels
Electrolytes
Sodium (Na+):
, Postassium (K+):
Chloride (Cl-):
Bicarbonate (HCO3-):
Normal CMP Levels
Electrolytes
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
Normal CMP levels
Misc.
Calcium, serum (Ca 2+)
Glucose, serum Fasting:
2-h postprandial:
Cholesterol, serum:
Total Protein Albumin
