547 NR REAL MID TERM EXAMS 2025.
LATEST UPDATE WITH DETAILED
QUESTIONS AND WELL ELABORATE
ANSWERS. DISTINCTION GUARANTEE.//
NEW!
QUESTION :Reticulocyte count - : ANSWER :0%-1.5% : QUESTION :Hemoglobin count - : ANSWER :12-18 :
QUESTION :RBC count - : ANSWER :4.4-6 : QUESTION :Hematocrit count - : ANSWER :38%-48% :
QUESTION :Neutrophil count - : ANSWER :55%-70% : QUESTION :Eosinophil count - : ANSWER :1%-3% :
QUESTION :Basophils count - : ANSWER :0.5%-1% : QUESTION :Lymphocytes count - : ANSWER :20%-35%
: QUESTION :Monocytes count - : ANSWER :3%-8% : QUESTION :Platlets count - : ANSWER :150,000-
300,000 : QUESTION :Sodium level - : ANSWER :135-145 : QUESTION :Potassium level - : ANSWER :3.5-
5.0 : QUESTION :Chloride level - : ANSWER :95-105 : QUESTION :Bicarbonate level - : ANSWER :22-28 :
QUESTION :Serum calcium level - : ANSWER :8.4-10.2 : QUESTION :Serum glucose level - : ANSWER
:Fasting 70-110 2hr after meal <120 : QUESTION :Serum cholesterol level - : ANSWER :<200 : QUESTION
:Total protein level - : ANSWER :6.0-7.8 : QUESTION :Albumin level - : ANSWER :3.5-5.5 : QUESTION
:Serum creatinine level - : ANSWER :0.6-1.2 : QUESTION :BUN level - : ANSWER :7-18 : QUESTION :ALT
and AST level - : ANSWER :8-20 : QUESTION :Bilirubin total and direct - : ANSWER :Total 0.1-1.0 Direct 0-
0.3 : QUESTION :Serum phosphatase level - : ANSWER :20-70 : QUESTION :TSH, T4 and T3 level - :
ANSWER :TSH 0.4-4.5 T3 100-200 T4 5-11 : QUESTION :B12 normal level - : ANSWER :190-950 :
QUESTION :B12 200-300 - : ANSWER :Borderline level, may need additional testing : QUESTION :Vitamin
D level - : ANSWER :20-50 less than 12 is a deficiency : QUESTION :Define Alogia - : ANSWER :A poverty
of speech- people don't have a problem with their speaking abilities, but they don't speak because of
,disruptions in the brain that affect motivation to talk. : QUESTION :Define Avolition - : ANSWER
:Motivational impairment that makes it difficult to start and continue activities that have a goal :
QUESTION :Define Anosognosia - : ANSWER :A neurological condition that prevents people from
recognizing their brain disorder or mental health condition : QUESTION :Define Affective Flattening - :
ANSWER :A condition where a person has a diminished emotional reaction and struggles to express their
feelings : QUESTION :Define Diagnostic Reasoning - : ANSWER :the process of questioning one's thinking
to determine if all possible avenues have been explored and if the conclusions that are drawn are based
on evidence : QUESTION :Define Differential Diagnosis - : ANSWER :The provider's initial hypotheses :
QUESTION :What are the six steps of the Differential Diagnosis? - : ANSWER :oRuling out malingering and
factitious disorder oRuling out a substance etiology oRuling out a medical etiology oDetermining the
specific primary disorder oDifferentiating adjustment disorder from the residual "other specified" and
"unspecified" conditions oEstablishing the boundary with no mental disorder : QUESTION :What is a
malingering disorder? - : ANSWER :•When the motivation is the achievement of a clearly recognizable
goal oExamples: insurance compensation, avoiding legal or military responsibilities, obtaining drugs :
QUESTION :What is a factitious disorder? - : ANSWER :When the deceptive behavior is present even in
the absence of obvious external rewards : QUESTION :When should you be suspicious of a malingering
or factitious disorder? - : ANSWER :1) when there are clear external incentives to the patient's being
diagnosed with a psychiatric condition (e.g., disability determinations, forensic evaluations in criminal or
civil cases, prison settings) 2) when the patient presents with a cluster of psychiatric symptoms that
conforms more to a lay perception of mental illness 3) when the nature of the symptoms shifts radically
from one clinical encounter to another 4) when the patient has a presentation that mimics that of a role
model (e.g., another patient on the unit, a mentally ill close family member) 5) when the patient is
characteristically manipulative or suggestible. : QUESTION :What is a non-substance induced psychiatric
condition? - : ANSWER :If the onset of the psych symptoms occurs before the substance was used or If
, the substance is stopped for a significant period of time and symptoms persist : QUESTION :What is a
substance induced psychiatric condition? - : ANSWER :If the onset of psych symptoms occurs at the same
time as substance use : QUESTION :If a general medical condition is established to be the cause of
psychiatric symptoms, the PMHNP must determine the etiological relationship - : ANSWER :o Is it a
physiological connection o Is it a psychological connection: EX- depressive symptoms in response to a
cancer diagnosis o Is it a side effect from a medication : QUESTION :What is important to determine in
relation to medical diagnosis and psychiatric conditions? - : ANSWER :•It is important to determine the
onset, severity, symptom pattern and course to establish if there is a relationship between a medical
diagnosis and psychiatric diagnosis. : QUESTION :When would the diagnosis be an adjustment disorder?
- : ANSWER :If the clinical judgment is made that the symptoms have developed as a maladaptive
response to a psychosocial stressor : QUESTION :Tell me about "other specified" in a psychiatric
diagnosis - : ANSWER :If the diagnosis is not caused by a stressor, and the PMHNP wants to indicate the
specific reason for the diagnosis : QUESTION :Tell me about "unspecified" in a psychiatric diagnosis? - :
ANSWER :If the diagnosis is not cause by a stressor, and the PMHNP does not want to indicate the
specific reasons the symptoms exist. : QUESTION :Why would the PMHNP want to use "unspecified" in a
psychiatric diagnosis? - : ANSWER :•Presentation does not conform to DMS criteria •Insufficient
information to make a specific diagnosis •The PMHNP believed more information may be revealed from
the client with time •The PMHNP wants to help the client avoid stigmatization : QUESTION :RAPS4
alcohol screening - : ANSWER :Have you ever felt guilty after drinking ?(remorse) Could not remember
things said or did after drinking? (amnesia) Failed to do what was normally expected after drinking?
(perform Have you ever had a morning drink? (starter) : QUESTION :CAGE alcohol screening - : ANSWER
:Have you ever CUT down on your drinking? Have people ANNOYED you by criticizing your drinking?
Have you ever felt bad or GUILTY about your drinking? Have you ever had a drink first thing in the
morning, as an EYE-OPENER, to steady your nerves or get rid of a hangover? : QUESTION :Describe
LATEST UPDATE WITH DETAILED
QUESTIONS AND WELL ELABORATE
ANSWERS. DISTINCTION GUARANTEE.//
NEW!
QUESTION :Reticulocyte count - : ANSWER :0%-1.5% : QUESTION :Hemoglobin count - : ANSWER :12-18 :
QUESTION :RBC count - : ANSWER :4.4-6 : QUESTION :Hematocrit count - : ANSWER :38%-48% :
QUESTION :Neutrophil count - : ANSWER :55%-70% : QUESTION :Eosinophil count - : ANSWER :1%-3% :
QUESTION :Basophils count - : ANSWER :0.5%-1% : QUESTION :Lymphocytes count - : ANSWER :20%-35%
: QUESTION :Monocytes count - : ANSWER :3%-8% : QUESTION :Platlets count - : ANSWER :150,000-
300,000 : QUESTION :Sodium level - : ANSWER :135-145 : QUESTION :Potassium level - : ANSWER :3.5-
5.0 : QUESTION :Chloride level - : ANSWER :95-105 : QUESTION :Bicarbonate level - : ANSWER :22-28 :
QUESTION :Serum calcium level - : ANSWER :8.4-10.2 : QUESTION :Serum glucose level - : ANSWER
:Fasting 70-110 2hr after meal <120 : QUESTION :Serum cholesterol level - : ANSWER :<200 : QUESTION
:Total protein level - : ANSWER :6.0-7.8 : QUESTION :Albumin level - : ANSWER :3.5-5.5 : QUESTION
:Serum creatinine level - : ANSWER :0.6-1.2 : QUESTION :BUN level - : ANSWER :7-18 : QUESTION :ALT
and AST level - : ANSWER :8-20 : QUESTION :Bilirubin total and direct - : ANSWER :Total 0.1-1.0 Direct 0-
0.3 : QUESTION :Serum phosphatase level - : ANSWER :20-70 : QUESTION :TSH, T4 and T3 level - :
ANSWER :TSH 0.4-4.5 T3 100-200 T4 5-11 : QUESTION :B12 normal level - : ANSWER :190-950 :
QUESTION :B12 200-300 - : ANSWER :Borderline level, may need additional testing : QUESTION :Vitamin
D level - : ANSWER :20-50 less than 12 is a deficiency : QUESTION :Define Alogia - : ANSWER :A poverty
of speech- people don't have a problem with their speaking abilities, but they don't speak because of
,disruptions in the brain that affect motivation to talk. : QUESTION :Define Avolition - : ANSWER
:Motivational impairment that makes it difficult to start and continue activities that have a goal :
QUESTION :Define Anosognosia - : ANSWER :A neurological condition that prevents people from
recognizing their brain disorder or mental health condition : QUESTION :Define Affective Flattening - :
ANSWER :A condition where a person has a diminished emotional reaction and struggles to express their
feelings : QUESTION :Define Diagnostic Reasoning - : ANSWER :the process of questioning one's thinking
to determine if all possible avenues have been explored and if the conclusions that are drawn are based
on evidence : QUESTION :Define Differential Diagnosis - : ANSWER :The provider's initial hypotheses :
QUESTION :What are the six steps of the Differential Diagnosis? - : ANSWER :oRuling out malingering and
factitious disorder oRuling out a substance etiology oRuling out a medical etiology oDetermining the
specific primary disorder oDifferentiating adjustment disorder from the residual "other specified" and
"unspecified" conditions oEstablishing the boundary with no mental disorder : QUESTION :What is a
malingering disorder? - : ANSWER :•When the motivation is the achievement of a clearly recognizable
goal oExamples: insurance compensation, avoiding legal or military responsibilities, obtaining drugs :
QUESTION :What is a factitious disorder? - : ANSWER :When the deceptive behavior is present even in
the absence of obvious external rewards : QUESTION :When should you be suspicious of a malingering
or factitious disorder? - : ANSWER :1) when there are clear external incentives to the patient's being
diagnosed with a psychiatric condition (e.g., disability determinations, forensic evaluations in criminal or
civil cases, prison settings) 2) when the patient presents with a cluster of psychiatric symptoms that
conforms more to a lay perception of mental illness 3) when the nature of the symptoms shifts radically
from one clinical encounter to another 4) when the patient has a presentation that mimics that of a role
model (e.g., another patient on the unit, a mentally ill close family member) 5) when the patient is
characteristically manipulative or suggestible. : QUESTION :What is a non-substance induced psychiatric
condition? - : ANSWER :If the onset of the psych symptoms occurs before the substance was used or If
, the substance is stopped for a significant period of time and symptoms persist : QUESTION :What is a
substance induced psychiatric condition? - : ANSWER :If the onset of psych symptoms occurs at the same
time as substance use : QUESTION :If a general medical condition is established to be the cause of
psychiatric symptoms, the PMHNP must determine the etiological relationship - : ANSWER :o Is it a
physiological connection o Is it a psychological connection: EX- depressive symptoms in response to a
cancer diagnosis o Is it a side effect from a medication : QUESTION :What is important to determine in
relation to medical diagnosis and psychiatric conditions? - : ANSWER :•It is important to determine the
onset, severity, symptom pattern and course to establish if there is a relationship between a medical
diagnosis and psychiatric diagnosis. : QUESTION :When would the diagnosis be an adjustment disorder?
- : ANSWER :If the clinical judgment is made that the symptoms have developed as a maladaptive
response to a psychosocial stressor : QUESTION :Tell me about "other specified" in a psychiatric
diagnosis - : ANSWER :If the diagnosis is not caused by a stressor, and the PMHNP wants to indicate the
specific reason for the diagnosis : QUESTION :Tell me about "unspecified" in a psychiatric diagnosis? - :
ANSWER :If the diagnosis is not cause by a stressor, and the PMHNP does not want to indicate the
specific reasons the symptoms exist. : QUESTION :Why would the PMHNP want to use "unspecified" in a
psychiatric diagnosis? - : ANSWER :•Presentation does not conform to DMS criteria •Insufficient
information to make a specific diagnosis •The PMHNP believed more information may be revealed from
the client with time •The PMHNP wants to help the client avoid stigmatization : QUESTION :RAPS4
alcohol screening - : ANSWER :Have you ever felt guilty after drinking ?(remorse) Could not remember
things said or did after drinking? (amnesia) Failed to do what was normally expected after drinking?
(perform Have you ever had a morning drink? (starter) : QUESTION :CAGE alcohol screening - : ANSWER
:Have you ever CUT down on your drinking? Have people ANNOYED you by criticizing your drinking?
Have you ever felt bad or GUILTY about your drinking? Have you ever had a drink first thing in the
morning, as an EYE-OPENER, to steady your nerves or get rid of a hangover? : QUESTION :Describe
