NR547 Midterm Exam Questions with
Complete Solutions (Latest 2025)
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 -
Correct Answers ✅differential diagnosis
-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?
,NR547 Midterm Exam Questions with
Complete Solutions (Latest 2025)
-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 be - Correct Answers
✅Psychiatric assessment: History taking
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 - Correct Answers ✅Screening and Psychiatric
Rating Scales
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
,NR547 Midterm Exam Questions with
Complete Solutions (Latest 2025)
important to notify the client's physician or the clinician
responsible for the client's care. - Correct Answers ✅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
-Diagnostic tests and labs are most used to rule out physical
conditions that may cause psychiatric symptoms and to
evaluate the effects of treatment - Correct Answers
✅Diagnostic Testing when diagnosing mental health
disorders
, NR547 Midterm Exam Questions with
Complete Solutions (Latest 2025)
Complete Blood Count
Comprehensive Metabolic Panel (CMP)
Thyroid Function Tests
Vitamin B12 Level
Vitamin D Level
Toxicology Screen
Urinalysis (UA) - Correct Answers ✅Basic Laboratory
Interpretation
-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
RBCs: 4.5-6.0 million/microliter
Hemoglobin: 12-18 grams/100 mL
Hematocrit: 38%-48%
Complete Solutions (Latest 2025)
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 -
Correct Answers ✅differential diagnosis
-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?
,NR547 Midterm Exam Questions with
Complete Solutions (Latest 2025)
-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 be - Correct Answers
✅Psychiatric assessment: History taking
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 - Correct Answers ✅Screening and Psychiatric
Rating Scales
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
,NR547 Midterm Exam Questions with
Complete Solutions (Latest 2025)
important to notify the client's physician or the clinician
responsible for the client's care. - Correct Answers ✅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
-Diagnostic tests and labs are most used to rule out physical
conditions that may cause psychiatric symptoms and to
evaluate the effects of treatment - Correct Answers
✅Diagnostic Testing when diagnosing mental health
disorders
, NR547 Midterm Exam Questions with
Complete Solutions (Latest 2025)
Complete Blood Count
Comprehensive Metabolic Panel (CMP)
Thyroid Function Tests
Vitamin B12 Level
Vitamin D Level
Toxicology Screen
Urinalysis (UA) - Correct Answers ✅Basic Laboratory
Interpretation
-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
RBCs: 4.5-6.0 million/microliter
Hemoglobin: 12-18 grams/100 mL
Hematocrit: 38%-48%
