NR547 Midterm Exam 2025 EXAM QUESTIONS
AND VERIFIED SOLUTIONS |ELABORATED
&DETAILED ANSWERS!!
Save
Terms in this set (224)
The provider's initial hypothesis
-a working list of potential problems that can be
associated with the initial or chief complaint
Differential diagnosis -Diagnostic and Statistical Manual of Mental Disorders
(DSM-5-TR)
• provides guidance for identifying psychiatric
diagnoses
, -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?
Psychiatric assessment: -Do you have any allergies to medications?
History taking -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?
Evidence-based screening tools and psychiatric rating
scales
Screening and Psychiatric
-can help the provider identify symptoms and assess
Rating Scales
their severity and can assist with the evaluation of
response to treatment
, A 52-year-old client Provide a brief suicide safety assessment.
presents to the
emergency department Rationale: While the client's responses do not indicate
following a car accident. a need for a stat full safety and mental health
The emergency evaluation, the client requires a brief suicide safety
department (ED) physician assessment to determine whether a full mental health
is concerned that the evaluation in necessary. It is also important to notify
client may have the client's physician or the clinician responsible for
intentionally crashed her the client's care.
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
AND VERIFIED SOLUTIONS |ELABORATED
&DETAILED ANSWERS!!
Save
Terms in this set (224)
The provider's initial hypothesis
-a working list of potential problems that can be
associated with the initial or chief complaint
Differential diagnosis -Diagnostic and Statistical Manual of Mental Disorders
(DSM-5-TR)
• provides guidance for identifying psychiatric
diagnoses
, -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?
Psychiatric assessment: -Do you have any allergies to medications?
History taking -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?
Evidence-based screening tools and psychiatric rating
scales
Screening and Psychiatric
-can help the provider identify symptoms and assess
Rating Scales
their severity and can assist with the evaluation of
response to treatment
, A 52-year-old client Provide a brief suicide safety assessment.
presents to the
emergency department Rationale: While the client's responses do not indicate
following a car accident. a need for a stat full safety and mental health
The emergency evaluation, the client requires a brief suicide safety
department (ED) physician assessment to determine whether a full mental health
is concerned that the evaluation in necessary. It is also important to notify
client may have the client's physician or the clinician responsible for
intentionally crashed her the client's care.
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
