NR-547 MIDTERM EXAM WITH
CORRECT ANSWERS
Name ethe e6 eof ea edifferential ediagnosis e- ecorrect eanswers e-1.) eRULE eOUT
eMalingering eor eFactitous edisorder
2.)Ruling eout esubstance eetiology
3.) eruling eout ea emedical eetiology
4.) eDetermining ethe especific eprimary edisorder
5.) eDifferentiating eadjustment edisorder efrom ethe eresidual e"other especified" eand
e"unspecified" econditions
6.) eEstablishing ethe eboundary ewith eno emental edisorder
Remember ewith estep e5, ethe ePMHNP ecan euse e"other especified" ein ethe ediagnosis
ewhen ethey ewant eto eindicate ethe especific ereason efor ea ediagnosis.
They euse e"unspecified" eif:
the einformation edoesnt econform eto eDSM5
there eis einsufficient einfo eto emake ea especific ediagnosis
there eis emore einfo ethe ebe erevealed ewith etime eOR ethey ewant eto ehelp ethe epatient
eavoid estigmas e- ecorrect eanswers e-
, The ePMHNP ewants eto erule eout eanemia eas ea ecause efor ea epatients efatigue eand
elack eof emotivation. eWhat elab eshould eshe eorder? e- ecorrect eanswers e-a eCBC
ewith eiron estudies
hg-12-18
hematocrit: e38-48%
What eis enormal ecreat/BUN elevel? e- ecorrect eanswers e-BUN: e7-18
creat: e0.6-1.2
A epatient epresents ewith ebrain efog, elack eof efocus, einsomnia e& emood eswing, elack
eof emental ealertness. eWhat elab eshould ethe ePMHNP eorder? e- ecorrect eanswers e-
THYROID eFUNCTION eTEST
TSH: e0.4-4.5
T3: e100-200
T4: e5-11
The epatient ehas ea eb12 elevel eof e126 epicograms/mL. ewhat esymptoms emay ethe
epatient eexperience? e- ecorrect eanswers e-normal eB12: e190-950 epicograms/mL
but eborderline eis e200-300 e& ewill eneed eadditional etesting.
depression, emania, epsychotic esymptoms, ecognitive eimpairment
Name ethe enormal evitamin eD elevels: e- ecorrect eanswers e-20-50 eng/ML
Tell eme eabout ethe eHAM-A e- ecorrect eanswers e-This eis ethe eHamilton eAnxiety
eScale, ecreates eto eassess esomatic/cognitive eanxiety esymptoms. eMAINLY eTO
eASSESS eANXIETY. eIt edoes enot ehelp eto eassess ethe eworry easpect eusually efound
ewith eGAD.
less ethan e17- emild
18-23- emod
25-30 emod-severe
_____ eshows ethere eis ean eINCREASE eactivation eof ethe eamygdala ewhich eis ean
eincrease ein ethe efear eresponse. eThere eis ea edecreased eactivation eof ethe epre-
frontal ecortex ewhich eresults ein elessened ereasoning. e- ecorrect eanswers e-
Generalized eAnxiety eDisorder
Explain eGAD e- ecorrect eanswers e-This eis echaracterized ewhen ea eperson eWORRY
eabout eORDINARY, eeveryday esituations. eThese epatients ehave ea ehard etime
egetting eover ethe ewhat eifs eand ehyperfixate. eDue eto ethis ethey eare eunable eto eget
emore eof etheir epressing etasks edone
What eis ethe eDSM ecriteria efor eGAD? e- ecorrect eanswers e-WORRY eabout eeveryday
etasks, esleep edisturbance, erestlessness, efatigue eand eimmanent efear, emuscle
CORRECT ANSWERS
Name ethe e6 eof ea edifferential ediagnosis e- ecorrect eanswers e-1.) eRULE eOUT
eMalingering eor eFactitous edisorder
2.)Ruling eout esubstance eetiology
3.) eruling eout ea emedical eetiology
4.) eDetermining ethe especific eprimary edisorder
5.) eDifferentiating eadjustment edisorder efrom ethe eresidual e"other especified" eand
e"unspecified" econditions
6.) eEstablishing ethe eboundary ewith eno emental edisorder
Remember ewith estep e5, ethe ePMHNP ecan euse e"other especified" ein ethe ediagnosis
ewhen ethey ewant eto eindicate ethe especific ereason efor ea ediagnosis.
They euse e"unspecified" eif:
the einformation edoesnt econform eto eDSM5
there eis einsufficient einfo eto emake ea especific ediagnosis
there eis emore einfo ethe ebe erevealed ewith etime eOR ethey ewant eto ehelp ethe epatient
eavoid estigmas e- ecorrect eanswers e-
, The ePMHNP ewants eto erule eout eanemia eas ea ecause efor ea epatients efatigue eand
elack eof emotivation. eWhat elab eshould eshe eorder? e- ecorrect eanswers e-a eCBC
ewith eiron estudies
hg-12-18
hematocrit: e38-48%
What eis enormal ecreat/BUN elevel? e- ecorrect eanswers e-BUN: e7-18
creat: e0.6-1.2
A epatient epresents ewith ebrain efog, elack eof efocus, einsomnia e& emood eswing, elack
eof emental ealertness. eWhat elab eshould ethe ePMHNP eorder? e- ecorrect eanswers e-
THYROID eFUNCTION eTEST
TSH: e0.4-4.5
T3: e100-200
T4: e5-11
The epatient ehas ea eb12 elevel eof e126 epicograms/mL. ewhat esymptoms emay ethe
epatient eexperience? e- ecorrect eanswers e-normal eB12: e190-950 epicograms/mL
but eborderline eis e200-300 e& ewill eneed eadditional etesting.
depression, emania, epsychotic esymptoms, ecognitive eimpairment
Name ethe enormal evitamin eD elevels: e- ecorrect eanswers e-20-50 eng/ML
Tell eme eabout ethe eHAM-A e- ecorrect eanswers e-This eis ethe eHamilton eAnxiety
eScale, ecreates eto eassess esomatic/cognitive eanxiety esymptoms. eMAINLY eTO
eASSESS eANXIETY. eIt edoes enot ehelp eto eassess ethe eworry easpect eusually efound
ewith eGAD.
less ethan e17- emild
18-23- emod
25-30 emod-severe
_____ eshows ethere eis ean eINCREASE eactivation eof ethe eamygdala ewhich eis ean
eincrease ein ethe efear eresponse. eThere eis ea edecreased eactivation eof ethe epre-
frontal ecortex ewhich eresults ein elessened ereasoning. e- ecorrect eanswers e-
Generalized eAnxiety eDisorder
Explain eGAD e- ecorrect eanswers e-This eis echaracterized ewhen ea eperson eWORRY
eabout eORDINARY, eeveryday esituations. eThese epatients ehave ea ehard etime
egetting eover ethe ewhat eifs eand ehyperfixate. eDue eto ethis ethey eare eunable eto eget
emore eof etheir epressing etasks edone
What eis ethe eDSM ecriteria efor eGAD? e- ecorrect eanswers e-WORRY eabout eeveryday
etasks, esleep edisturbance, erestlessness, efatigue eand eimmanent efear, emuscle
