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Final Exam: NR 547/ NR547 (Latest 2026/ 2027 Update) Differential Diagnosis in Psychiatric-Mental Health Across the Lifespan Practicum Guide| Q/A | Grade A| 100% Correct (Verified Answers) -Chamberlain

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Final Exam: NR 547/ NR547 (Latest 2026/ 2027 Update) Differential Diagnosis in Psychiatric-Mental Health Across the Lifespan Practicum Guide| Q/A | Grade A| 100% Correct (Verified Answers) -Chamberlain QUESTION Rapid Cycling in Bipolar Answer: Defined as ≥4 mood episodes in 12 months. QUESTION DIGFAST Symptoms of Mania Answer: Includes distractibility, impulsivity, grandiosity, and more. QUESTION Duration of Untreated Manic Episode Answer: Typically lasts 3-6 months without treatment. QUESTION First-Line Monotherapy for Bipolar Disorder Answer: Includes lithium, anticonvulsants (valproate, lamotrigine), and atypical antipsychotics. QUESTION Lithium Patient Education Answer: Includes staying hydrated, avoiding NSAIDs, and maintaining consistent salt intake. QUESTION Lithium Monitoring Answer: Includes labs for serum lithium (0.6-1.2 mEq/L), renal function, thyroid function, and electrolytes. QUESTION Lamotrigine (Lamictal) Side Effects Answer: Includes rash (Stevens-Johnson Syndrome), dizziness, and diplopia. QUESTION Suicide Risk Factors Answer: Includes family history, personal history of attempts, history of depression, and substance abuse. QUESTION Differentials Before Prescribing an SSRI Answer: Includes checking for hypothyroidism, anemia, substance use disorder, and bipolar disorder. QUESTION Depression Screening Across the Lifespan Answer: Tools include PHQ-9, Hamilton Depression Rating Scale, and Geriatric Depression Scale. QUESTION Unipolar Depression (MDD) Answer: Characterized by no history of mania/hypomania, persistent depressed mood, and cognitive disturbances. QUESTION Bipolar Depression Answer: Depressive episodes with history of mania/hypomania, more atypical symptoms (hypersomnia, weight gain, mood reactivity) QUESTION Bipolar II Answer: Often misdiagnosed as MDD due to subtle hypomanic episodes QUESTION Geriatric Depression Scale (GDS) Indications Answer: Used in older adults (≥65 years), preferred over PHQ-9 due to reduced somatic emphasis QUESTION GDS Scoring Answer: 0-9: Normal, 10-19: Mild depression, 20-30: Severe depression QUESTION Indications for Treatment for adults using GDS Answer: Persistent moderate to severe scores, functional impairment, suicidal ideation QUESTION DSM-5-TR Diagnostic Criteria Major Depressive Disorder (MDD) Answer: ≥5 symptoms for ≥2 weeks (SIGECAPS), at least one symptom must be depressed mood or anhedonia QUESTION SIGECAPS Answer: Sleep changes, Interest loss, Guilt, Energy loss, Concentration issues, Appetite changes, Psychomotor changes, Suicidal ideation QUESTION Adjustment Disorder with Depressed Mood

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Uploaded on
September 24, 2025
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Written in
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Finall Exam:l NRl 547/l NR547l (Latestl
2026/l 2027l Update)l Differentiall Diagnosisl
inl Psychiatric-Mentall Healthl Acrossl thel
Lifespanl Practicuml Guide|l Q/Al |l Gradel
A|l 100%l Correctl (Verifiedl Answers)l -
Chamberlain

Q:l Rapidl Cyclingl inl Bipolar
Answer:
Definedl asl ≥4l moodl episodesl inl 12l months.



Q:l DIGFASTl Symptomsl ofl Mania
Answer:
Includesl distractibility,l impulsivity,l grandiosity,l andl more.



Q:l Durationl ofl Untreatedl Manicl Episode
Answer:
Typicallyl lastsl 3-6l monthsl withoutl treatment.



Q:l First-Linel Monotherapyl forl Bipolarl Disorder
Answer:
Includesl lithium,l anticonvulsantsl (valproate,l lamotrigine),l andl atypicall antipsychotics.

,Q:l Lithiuml Patientl Education
Answer:
Includesl stayingl hydrated,l avoidingl NSAIDs,l andl maintainingl consistentl saltl intake.



Q:l Lithiuml Monitoring
Answer:
Includesl labsl forl seruml lithiuml (0.6-1.2l mEq/L),l renall function,l thyroidl function,l andl
electrolytes.



Q:l Lamotriginel (Lamictal)l Sidel Effects
Answer:
Includesl rashl (Stevens-Johnsonl Syndrome),l dizziness,l andl diplopia.



Q:l Suicidel Riskl Factors
Answer:
Includesl familyl history,l personall historyl ofl attempts,l historyl ofl depression,l andl
substancel abuse.



Q:l Differentialsl Beforel Prescribingl anl SSRI
Answer:
Includesl checkingl forl hypothyroidism,l anemia,l substancel usel disorder,l andl bipolarl
disorder.



Q:l Depressionl Screeningl Acrossl thel Lifespan
Answer:
Toolsl includel PHQ-9,l Hamiltonl Depressionl Ratingl Scale,l andl Geriatricl Depressionl Scale.

,Q:l Unipolarl Depressionl (MDD)
Answer:
Characterizedl byl nol historyl ofl mania/hypomania,l persistentl depressedl mood,l andl
cognitivel disturbances.



Q:l Bipolarl Depression
Answer:
Depressivel episodesl withl historyl ofl mania/hypomania,l morel atypicall symptomsl
(hypersomnia,l weightl gain,l moodl reactivity)



Q:l Bipolarl II
Answer:
Oftenl misdiagnosedl asl MDDl duel tol subtlel hypomanicl episodes



Q:l Geriatricl Depressionl Scalel (GDS)l Indications
Answer:
Usedl inl olderl adultsl (≥65l years),l preferredl overl PHQ-9l duel tol reducedl somaticl
emphasis



Q:l GDSl Scoring
Answer:
0-9:l Normal,l 10-19:l Mildl depression,l 20-30:l Severel depression



Q:l Indicationsl forl Treatmentl forl adultsl usingl GDS

, Answer:
Persistentl moderatel tol severel scores,l functionall impairment,l suicidall ideation



Q:l DSM-5-TRl Diagnosticl Criterial Majorl Depressivel Disorderl (MDD)
Answer:
≥5l symptomsl forl ≥2l weeksl (SIGECAPS),l atl leastl onel symptoml mustl bel depressedl
moodl orl anhedonia



Q:l SIGECAPS
Answer:
Sleepl changes,l Interestl loss,l Guilt,l Energyl loss,l Concentrationl issues,l Appetitel changes,l
Psychomotorl changes,l Suicidall ideation



Q:l Adjustmentl Disorderl withl Depressedl Mood
Answer:
Emotionall symptomsl withinl 3l monthsl ofl al stressor,l doesl notl meetl fulll MDDl criteria,l
resolvesl withinl 6l monthsl afterl stressorl removal



Q:l Differentiall Diagnosesl forl Depressedl Moodl Physicall Illnesses
Answer:
Hypothyroidisml (checkl TSH),l Anemial (checkl hemoglobin,l ironl levels),l Chronicl illnessesl
(diabetes,l stroke,l cancer),l Vitaminl Dl orl B12l deficiency,l Medications/Substancel Use



Q:l Anxiousl Distressl asl al Modifier
Answer:
Canl bel appliedl tol MDDl orl Bipolarl Disorder,l requiresl ≥2l symptoms:l Feelingl keyedl upl
orl tense,l Restlessness,l Poorl concentration,l Fearl ofl somethingl awfull happening,l Feelingl
outl ofl control

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