NR 547 Differential Dx Midterm Questions And Answer.NR 547 Differential Dx Midterm Questions And Answer|correct 100% A+

NR 547 Differential Dx Midterm Questions
And Answer|correct 100% A+

2 dones and a rone - ANSWER-2 dones and a rone
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The dones and rone more potently to the 5HT 2A receptor than to D2 or bine equally between the 2
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receptors. These medications are less sedating and cause less weight gain, but have a higher risk for
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hyperprolactinemia and EPS.
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A client has been on clozapine for 9 months. Absolute neutrophil counts (ANC) have consistently been
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less than 1500/microliter? At what frequency should a CBC be drawn?
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daily

weekly

every 2 weeks ( m m m




monthly - ANSWER-every 2 weeks (Correct answer)
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Rationale: With a normal baseline ANC, the CBC should be monitored weekly for 6 months; every 2
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weeks for months 6-12; and monthly thereafter (Clozapine REMS, 201).
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A commonly used method is the "SNAPPS" method, which follows a mnemonic consisting of six steps.
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This method is often used for client presentations to preceptors. The six steps includ - ANSWER-
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1.Summarize the history and findings m m m m




2.Narrow the differential diagnosis to two or three possibilities
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3.Analyze the differential by comparing and contrasting the possibilities
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4.Probe the preceptor by asking questions about alternative approaches or uncertainties
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5.Plan the management of the client's health issues
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6.Select an issue from the case for self-directed learning
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According to NIMH approximately ___% of US adults will experience GAD in the past year and
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approximately ____% of the US adults will experience GAD at some point in their lifetime - ANSWER-
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3, 6 m

,Adjustment Disorder with Anxiety - ANSWER-The DSM-5 classifies adjustment disorder as a trauma-
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and stressor-related disorder; however, symptoms of adjustment disorder with anxiety are similar to
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those found in anxiety disorders. Adjustment disorder with anxiety presents with nervousness, worry,
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or jitteriness.
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Adjustment disorder occurs in the presence of a specific and identifiable stressor. The distress
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experienced is out of proportion to the severity of the stressor.
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Adjustment Disorder with Anxiety examples - ANSWER-Examples of common stressors include loss of
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employment, getting married, a new disability, or a natural disaster.
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Affective symptoms of schizophrenia - ANSWER-Depression
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Anxiety

Suicidality

Agoraphobia - ANSWER-involves intense fear, anxiety, or panic out of proportion to the situation that
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occurs in two or more of the following specific scenarios:
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public transportation (bus)
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open spaces (parking lot or bridge)
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enclosed spaces (store, theater)m m m




standing in a crowd or line (crowd)
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being outside of their home
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Alogia - ANSWER-A decrease in speech or speech content; a symptom of schizophrenia. Also known as
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poverty of speech.
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Amotivation - ANSWER-Describes when someone is not motivated to engage in an activity or behavior.
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Anhedonia - ANSWER-inability to experience pleasure
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Anosognosia - ANSWER-A patient's inability to realize that he or she is ill, which is caused by the
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illness itself.
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Anxiety is usually comorbid with? - ANSWER-Depression, COPD, asthma, and diabetes
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Anxiolytic agents? - ANSWER-Buspirone
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Anxiolytic Pros vs Cons - ANSWER-PROS:
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↓ adverse effects
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↓ drug interactions
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CONS m




limited effectiveness
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,Anxiolytic time to efficacy? - ANSWER-2-4 weeks
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Apply the Ask Suicide-Screening Questions (ASQ) Suicide Risk Screening Tool (Links to an external site.)
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to the scenario below.
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A 52-year-old client presents to the emergency department following a car accident. The emergency
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department (ED) physician is concerned that the client may have intentionally crashed her car and
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requests a stat PMHNP consult. In speaking with the PMHNP, the client describes persistent feelings
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of sadness and hopelessness. She states that she often wonders if her husband would be happier if
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she wasn't around anymore since she's never happy and sometimes thinks about what it would be
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like to just take a handful of sleeping pills and go to sleep forever. The client reports a previous
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suicide attempt when she was 16 but denies that she is considering killing herself right now.
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Based on the client's ASQ score, what is the most appropriate response?
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A) No action is necessary as the client is not - ANSWER-B)Provide a brief suicide safety assessment.
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Rationale: While the client's responses do not indicate a need for a stat full safety and mental health
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evaluation, the client requires a brief suicide safety assessment to determine whether a full mental
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health evaluation in necessary. It is also important to notify the client's physician or the clinician
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responsible for the client's care.
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aripiprazole (Ability) - ANSWER-Atypical antipsychotics
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Indication: FDA approved for schizophrenia ages 13 and older
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Risk:



Low metabolic risk
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Low risk for weight gain
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Low risk for orthostatic hypotension
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asenapine (Saphris) - ANSWER-Atypical antipsychotics
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Indication: FDA approved for schizophrenia ages 10 and older
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Special Comments: Available in sublingual and transdermal patch
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Risk:

, Low metabolic risk
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Asociality - ANSWER-lack of interest in social interactions
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At what age does schizophrenia typically first appear? - ANSWER-25
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Avolition - ANSWER-lack of motivation
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Benzodiazepines Agents - ANSWER-alprazolam (Xanax) m m m m m




clonazepam (Klonopin) m




Benzodiazepines Pros vs Cons - ANSWER-PROS m m m m m m




highly effective m




rapid onset m




can be used PRN
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CONS m




multiple adverse effects m m




fall risk
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risk of misuse
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Benzodiazepines time to efficacy? - ANSWER-Immediate m m m m m




Beth is a 24-year-old who presents with anxiety. Her T3 is 260 ng/dL.
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A) Begin Treatment
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B) Refer - ANSWER-B) Refer
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Rationale: Clients with hyperthyroidism have elevated T3 levels. Hyperthyroidism is associated with
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anxiety symptoms. Client can be reevaluated for anxiety once hyperthyroid treatment has been
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initiated and T3 levels are within normal limits.
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brexpiprazole(Rexulti) - ANSWER-Atypical antipsychotics m m m m




Indication: FDA approved for schizophrenia m m m m




Special Comments: Considered procognitive
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Risk:



Low metabolic risk
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