NR 547 Differential Diagnosis Dx
Midterm 2027 Exam Review Questions
and Answers 100% Pass | Graded A+
Diagnostic reasoning is the process of questioning one's thinking
c c c c c c c c
to determine if all possible avenues have been explored and if
c c c c c c c c c c c
the conclusions that are drawn are based on evidence. This is a
c c c c c c c c c c c c
critical step for providers who are trying to uncover a cause, or
c c c c c c c c c c c c
diagnosis, for their clients' signs and symptoms. The provider's
c c c c c c c c c
initial hypothesis is known as the differential diagnosis. The
c c c c c c c c c
differential diagnosis, or differential, is a working list of potential
c c c c c c c c c c
problems that can be associated with the initial or chief
c c c c c c c c c c
complaint. Establishing a differential diagnosis is a critical step in
c c c c c c c c c c
providing safe, quality care. This evolving process of clinical
c c c c c c c c c
reasoning and decision making involves examining the client's
c c c c c c c c
presentation, clinical data, and when appropriate, screening and
c c c c c c c c
diagnostic test results to distinguish one disease from another
c c c c c c c c c
and arrive at the correct diagnosis. The Diagnostic and Statistical
c c c c c c c c c c
Manual of Mental Di - Answer>> Differential Dx
c c c c c c c c
How long have you been feeling this way?
c c c c c c c
Did something happen in your life that may have triggered these
c c c c c c c c c c
emotions?
c
How is this current situation impacting your life? - Answer>>
c c c c c c c c c
History of Present Illness c c c
Have you ever been hospitalized for any mental health issues?
c c c c c c c c c
Have you ever had counseling or psychotherapy?
c c c c c c c
Have you ever taken medications for your mental health in the
c c c c c c c c c c c
past?
c
Are you currently on any medications for mental health or sleep?
c c c c c c c c c c
- Answer>> The Psychiatric History
c c c c c
Do you have a primary care provider?
c c c c c c
messages.downloaded_by
,Do you have any medical illnesses?
c c c c c
Are you currently taking any medications or herbal supplements?
c c c c c c c c
Do you have any allergies to medications?
c c c c c c c
Have you ever been hospitalized for any reason?
c c c c c c c
Have you ever had surgery? - Answer>> Medical
c c c c c c c c c
History/Screening for General Medical Conditions
c c c c c
Has any relative of yours ever been hospitalized for a mental
c c c c c c c c c c
health issue?
c c
Has any blood relative of yours ever been diagnosed with a
c c c c c c c c c c
mental health issue?
c c c
Has any blood relative of yours had a history of seizures or
c c c c c c c c c c c
dementia/Alzheimer's? - Answer>> Family Psychiatric History
c c c c c c
Tell me a little bit about your childhood and how you grew up.
c c c c c c c c c c c c
How was your experience in school when you were younger?
c c c c c c c c c c
Did you enjoy school?
c c c c
How do you support yourself with your finances?
c c c c c c c
Do you have a good support system? Are you currently in a
c c c c c c c c c c c
relationship? Where do you live? Who do you live with?
c c c c c c c c c c
What do you do in your free time? What activities do you enjoy?
c c c c c c c c c c c c
- Answer>> Social and Developmental History
c c c c c c
A) Explain how the medication targets the symptoms, specific
c c c c c c c
benefits, and expected time course. (Correct answer)
c c c c c c c
B) Identify potential side effects, duration of side effects, and
c c c c c c c c
adverse effects. (Correct answer)
c c c c
C) Explain the instructions, dosing, and special requirements.
c c c c c c
(Correct answer)
c c
D) Use teach-back methods to ensure client understanding.
c c c c c c
(Correct answer) - Answer>> Which of the following should be
c c c c c c c c c c
included when providing client education about medication
c c c c c c c
regimens? Select all that apply.
c c c c c
B)Provide a brief suicide safety assessment. c c c c c
messages.downloaded_by
,Rationale: While the client's responses do not indicate a need for
c c c c c c c c c c
a stat full safety and mental health evaluation, the client requires
c c c c c c c c c c c
a brief suicide safety assessment to determine whether a full
c c c c c c c c c c
mental health evaluation in necessary. It is also important to
c c c c c c c c c c
notify the client's physician or the clinician responsible for the
c c c c c c c c c c
client's care. - Answer>> Apply the Ask Suicide-Screening
c c c c c c c c
Questions (ASQ) Suicide Risk Screening Tool (Links to an
c c c c c c c c c
external site.) to the scenario below.
c c c c c c
A 52-year-old client presents to the emergency department
c c c c c c c
following a car accident. The emergency department (ED)
c c c c c c c c
physician is concerned that the client may have intentionally
c c c c c c c c c
crashed her car and requests a stat PMHNP consult. In
c c c c c c c c c c
speaking with the PMHNP, the client describes persistent
c c c c c c c c
feelings of sadness and hopelessness. She states that she often
c c c c c c c c c c
wonders if her husband would be happier if she wasn't around
c c c c c c c c c c c
anymore since she's never happy and sometimes thinks about
c c c c c c c c c
what it would be like to just take a handful of sleeping pills and
c c c c c c c c c c c c c c
go to sleep forever. The client reports a previous suicide attempt
c c c c c c c c c c c
when she was 16 but denies that she is considering killing
c c c c c c c c c c c
herself right now.
c c c
Based on the client's ASQ score, what is the most appropriate
c c c c c c c c c c
response?
c
A) No action is necessary as the client is not
c c c c c c c c
The CBC is a serum diagnostic test that measures red blood
c c c c c c c c c c
ccells, white blood cells, hemoglobin, hematocrit, and platelets.
c c c c c c c
The CBC includes a differential of the white blood cells. A CBC is
c c c c c c c c c c c c c
often included as part of routine health screening or to obtain
c c c c c c c c c c c
information related to specific conditions. In mental health, the
c c c c c c c c c
CBC is used to rule out medical conditions that may present with
c c c c c c c c c c c c
symptoms that can be attributed to both medical and psychiatric
c c c c c c c c c c
diagnoses. For example, the CBC can help rule out anemia as a
c c c c c c c c c c c c
cause for depressive symptoms and fatigue or rule out infection
c c c c c c c c c c
as a cause of acute mental status changes. The CBC is also
c c c c c c c c c c c c
used
c
messages.downloaded_by
, to monitor certain treatment regimens. For example, some
c c c c c c c
cmedications, such as clozapine, require routine analysis c c c c c c
cof absolute neutrophil count and platelet levels. -
c c c c c c c
cAnswer>> Complete Blood Count c c c
Red blood cells: 4.5-6.0 million/microliter
c c c c
Hemoglobin: 12-18 grams/100 mL
c c c c
Hematocrit: 38%-48%
c c
Reticulocytes: 0%-1.5% - Answer>> Normal Range of: c c c c c c
Red blood cells
c c c
Hemoglobin
Hematocrit
c
Reticulocytes
c
White blood cells (total): 5000-10,000/microliter
c c c c
Neutrophils: 55%-70%
c c
Eosinophils: 1%-3% c
Basophils: 0.5%-1% c
Lymphocytes: 20%-35% c
Monocytes: 3%-8% c
Platelets: 150,000-300,000/microliter - Answer>> Normal
c c c c
Range of?
c c
White blood cells (total):
c c c
Neutrophils:
c
Eosinophils:
c
Basophils:
Lymphocytes:
Monocytes:
Platelets:
The CMP is another common blood test used to determine
c c c c c c c c c
general health status. The CMP includes several tests that
c c c c c c c c c
provide information about fluid and electrolyte balance as well as
c c c c c c c c c c
the status of the body's metabolism, liver function, and kidney
c c c c c c c c c c
function. In psychiatric care, the CMP may be used to rule out
c c c c c c c c c c c c
messages.downloaded_by
Midterm 2027 Exam Review Questions
and Answers 100% Pass | Graded A+
Diagnostic reasoning is the process of questioning one's thinking
c c c c c c c c
to determine if all possible avenues have been explored and if
c c c c c c c c c c c
the conclusions that are drawn are based on evidence. This is a
c c c c c c c c c c c c
critical step for providers who are trying to uncover a cause, or
c c c c c c c c c c c c
diagnosis, for their clients' signs and symptoms. The provider's
c c c c c c c c c
initial hypothesis is known as the differential diagnosis. The
c c c c c c c c c
differential diagnosis, or differential, is a working list of potential
c c c c c c c c c c
problems that can be associated with the initial or chief
c c c c c c c c c c
complaint. Establishing a differential diagnosis is a critical step in
c c c c c c c c c c
providing safe, quality care. This evolving process of clinical
c c c c c c c c c
reasoning and decision making involves examining the client's
c c c c c c c c
presentation, clinical data, and when appropriate, screening and
c c c c c c c c
diagnostic test results to distinguish one disease from another
c c c c c c c c c
and arrive at the correct diagnosis. The Diagnostic and Statistical
c c c c c c c c c c
Manual of Mental Di - Answer>> Differential Dx
c c c c c c c c
How long have you been feeling this way?
c c c c c c c
Did something happen in your life that may have triggered these
c c c c c c c c c c
emotions?
c
How is this current situation impacting your life? - Answer>>
c c c c c c c c c
History of Present Illness c c c
Have you ever been hospitalized for any mental health issues?
c c c c c c c c c
Have you ever had counseling or psychotherapy?
c c c c c c c
Have you ever taken medications for your mental health in the
c c c c c c c c c c c
past?
c
Are you currently on any medications for mental health or sleep?
c c c c c c c c c c
- Answer>> The Psychiatric History
c c c c c
Do you have a primary care provider?
c c c c c c
messages.downloaded_by
,Do you have any medical illnesses?
c c c c c
Are you currently taking any medications or herbal supplements?
c c c c c c c c
Do you have any allergies to medications?
c c c c c c c
Have you ever been hospitalized for any reason?
c c c c c c c
Have you ever had surgery? - Answer>> Medical
c c c c c c c c c
History/Screening for General Medical Conditions
c c c c c
Has any relative of yours ever been hospitalized for a mental
c c c c c c c c c c
health issue?
c c
Has any blood relative of yours ever been diagnosed with a
c c c c c c c c c c
mental health issue?
c c c
Has any blood relative of yours had a history of seizures or
c c c c c c c c c c c
dementia/Alzheimer's? - Answer>> Family Psychiatric History
c c c c c c
Tell me a little bit about your childhood and how you grew up.
c c c c c c c c c c c c
How was your experience in school when you were younger?
c c c c c c c c c c
Did you enjoy school?
c c c c
How do you support yourself with your finances?
c c c c c c c
Do you have a good support system? Are you currently in a
c c c c c c c c c c c
relationship? Where do you live? Who do you live with?
c c c c c c c c c c
What do you do in your free time? What activities do you enjoy?
c c c c c c c c c c c c
- Answer>> Social and Developmental History
c c c c c c
A) Explain how the medication targets the symptoms, specific
c c c c c c c
benefits, and expected time course. (Correct answer)
c c c c c c c
B) Identify potential side effects, duration of side effects, and
c c c c c c c c
adverse effects. (Correct answer)
c c c c
C) Explain the instructions, dosing, and special requirements.
c c c c c c
(Correct answer)
c c
D) Use teach-back methods to ensure client understanding.
c c c c c c
(Correct answer) - Answer>> Which of the following should be
c c c c c c c c c c
included when providing client education about medication
c c c c c c c
regimens? Select all that apply.
c c c c c
B)Provide a brief suicide safety assessment. c c c c c
messages.downloaded_by
,Rationale: While the client's responses do not indicate a need for
c c c c c c c c c c
a stat full safety and mental health evaluation, the client requires
c c c c c c c c c c c
a brief suicide safety assessment to determine whether a full
c c c c c c c c c c
mental health evaluation in necessary. It is also important to
c c c c c c c c c c
notify the client's physician or the clinician responsible for the
c c c c c c c c c c
client's care. - Answer>> Apply the Ask Suicide-Screening
c c c c c c c c
Questions (ASQ) Suicide Risk Screening Tool (Links to an
c c c c c c c c c
external site.) to the scenario below.
c c c c c c
A 52-year-old client presents to the emergency department
c c c c c c c
following a car accident. The emergency department (ED)
c c c c c c c c
physician is concerned that the client may have intentionally
c c c c c c c c c
crashed her car and requests a stat PMHNP consult. In
c c c c c c c c c c
speaking with the PMHNP, the client describes persistent
c c c c c c c c
feelings of sadness and hopelessness. She states that she often
c c c c c c c c c c
wonders if her husband would be happier if she wasn't around
c c c c c c c c c c c
anymore since she's never happy and sometimes thinks about
c c c c c c c c c
what it would be like to just take a handful of sleeping pills and
c c c c c c c c c c c c c c
go to sleep forever. The client reports a previous suicide attempt
c c c c c c c c c c c
when she was 16 but denies that she is considering killing
c c c c c c c c c c c
herself right now.
c c c
Based on the client's ASQ score, what is the most appropriate
c c c c c c c c c c
response?
c
A) No action is necessary as the client is not
c c c c c c c c
The CBC is a serum diagnostic test that measures red blood
c c c c c c c c c c
ccells, white blood cells, hemoglobin, hematocrit, and platelets.
c c c c c c c
The CBC includes a differential of the white blood cells. A CBC is
c c c c c c c c c c c c c
often included as part of routine health screening or to obtain
c c c c c c c c c c c
information related to specific conditions. In mental health, the
c c c c c c c c c
CBC is used to rule out medical conditions that may present with
c c c c c c c c c c c c
symptoms that can be attributed to both medical and psychiatric
c c c c c c c c c c
diagnoses. For example, the CBC can help rule out anemia as a
c c c c c c c c c c c c
cause for depressive symptoms and fatigue or rule out infection
c c c c c c c c c c
as a cause of acute mental status changes. The CBC is also
c c c c c c c c c c c c
used
c
messages.downloaded_by
, to monitor certain treatment regimens. For example, some
c c c c c c c
cmedications, such as clozapine, require routine analysis c c c c c c
cof absolute neutrophil count and platelet levels. -
c c c c c c c
cAnswer>> Complete Blood Count c c c
Red blood cells: 4.5-6.0 million/microliter
c c c c
Hemoglobin: 12-18 grams/100 mL
c c c c
Hematocrit: 38%-48%
c c
Reticulocytes: 0%-1.5% - Answer>> Normal Range of: c c c c c c
Red blood cells
c c c
Hemoglobin
Hematocrit
c
Reticulocytes
c
White blood cells (total): 5000-10,000/microliter
c c c c
Neutrophils: 55%-70%
c c
Eosinophils: 1%-3% c
Basophils: 0.5%-1% c
Lymphocytes: 20%-35% c
Monocytes: 3%-8% c
Platelets: 150,000-300,000/microliter - Answer>> Normal
c c c c
Range of?
c c
White blood cells (total):
c c c
Neutrophils:
c
Eosinophils:
c
Basophils:
Lymphocytes:
Monocytes:
Platelets:
The CMP is another common blood test used to determine
c c c c c c c c c
general health status. The CMP includes several tests that
c c c c c c c c c
provide information about fluid and electrolyte balance as well as
c c c c c c c c c c
the status of the body's metabolism, liver function, and kidney
c c c c c c c c c c
function. In psychiatric care, the CMP may be used to rule out
c c c c c c c c c c c c
messages.downloaded_by
