NR 547 MIDTERM EXAM QUESTIONS WITH COMPLETE
SOLUTIONS GUARANTEED PASS BRAND NEW 2025
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?
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 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.
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)
Basic Laboratory Interpretation: Complete Blood Count -
ANSWER - >--measures RBCs, WBCs, hemoglobin, hematocrit,
and platelets
-includes a differential of the WBCs
-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
• Ex: rule out anemia as a cause for depressive symptoms and
fatigue
• Ex: rule out infection as a cause of acute mental status
changes
SOLUTIONS GUARANTEED PASS BRAND NEW 2025
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?
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 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.
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)
Basic Laboratory Interpretation: Complete Blood Count -
ANSWER - >--measures RBCs, WBCs, hemoglobin, hematocrit,
and platelets
-includes a differential of the WBCs
-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
• Ex: rule out anemia as a cause for depressive symptoms and
fatigue
• Ex: rule out infection as a cause of acute mental status
changes
