NR 547 MIDTERM EXAM 2024-2025
ACTUAL EXAM TEST BANK 200
QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES
(VERIFIED ANSWER
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?
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STATEMENT. ALL RIGHTS RESERVED
,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?
COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY 2
STATEMENT. ALL RIGHTS RESERVED
,-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?
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
COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY 3
STATEMENT. ALL RIGHTS RESERVED
, 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 ST - 🧠ANSWER ✔✔Provide a brief suicide safety assessment.
COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY 4
STATEMENT. ALL RIGHTS RESERVED
ACTUAL EXAM TEST BANK 200
QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES
(VERIFIED ANSWER
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?
COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY 1
STATEMENT. ALL RIGHTS RESERVED
,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?
COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY 2
STATEMENT. ALL RIGHTS RESERVED
,-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?
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
COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY 3
STATEMENT. ALL RIGHTS RESERVED
, 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 ST - 🧠ANSWER ✔✔Provide a brief suicide safety assessment.
COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY 4
STATEMENT. ALL RIGHTS RESERVED
