NR 547 DIFFERENTIAL DX MIDTERM EXAM
QUESTION BANK NEWEST 2026 ACTUAL EXAM
QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) ALL
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What is Silexan? - ✔✔✔ Correct Answer > Is a branded extract of
lavender. OTC in the US. Similar to CAM therapies
Sari is a 34-year-old female who is engaged to be married in one
month. This will be her second marriage. She has been divorced
for three years. Her fiancé, who is also divorced, has arranged
for Sari to meet his three teenagers. Sari learns through a
mutual friend of hers and the fiancé, that his teenagers, although
hesitant, are willing to meet her. On the day of the arranged
meeting, Sari is asked to arrive to the restaurant to meet the
teens prior to the fiancé's arrival because he has been held up at
a meeting. Sari agrees but starts to feel uneasy about it. She is
concerned that they will not accept her because of her previous
divorce and the fact that she is not their mother although they
were willing to meet her. The closer she got to the restaurant,
the more uneasy she felt to the point of disorientation. Just
before entering the restaurant, she turned around and called her
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fiancé to inform him that her car - ✔✔✔ Correct Answer > D) Social
Anxiety
Rationale: Sari feels like she will be judged by the teens because
she is not their mother. She avoids the situation by creating an
excuse for not meeting them at the restaurant. The feelings are
unwarranted since the teens agreed to meet with Sari.
Harold is a 32-year-old who presents to the clinic with
complaints of fatigue, difficulty concentrating, and difficulty
falling asleep at night. He states he worries about finances, his
performance at work, and his relationship, and his worries have
been "almost constant" for 8 months. He denies substance use
and recently had a normal physical exam. He feels that his
relationship is suffering due to his constant worry.
Based on the DSM-5-TR, does Harold meet diagnostic criteria for
generalized anxiety disorder?
A) Yes
B) No - ✔✔✔ Correct Answer > A) Yes
Rationale: Harold meets the following diagnostic criteria for
generalized anxiety disorder: He has three symptoms associated
with worry, including fatigue, difficulty concentrating, and sleep
difficulties. He has experienced anxiety more days than not for
over 6 months, and his worries are impacting his relationship.
Callie is an 18-year-old college student who reports to the
healthcare provider that she feels anxious "about everything."
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Her restlessness and irritability have impacted her relationship
with her significant other. She reports no significant past medical
or mental health history. She states that her anxiety started
about 8 months ago when she decided to transfer from her local
community college to a large state university to pursue a law
degree. During the law program's orientation attended by 300
students, she learned that only 100 students would be selected
out of 300 applications for the fall admission. She began feeling
inferior that she would not be one of the students accepted. She
also started thinking about "plan B," assuming that her grades
are not "good enough" to get her selected for the program. She
told the PMHNP that she was preparing for the rejection because
she does not measure-up to the other appli - ✔✔✔ Correct Answer >
A) generalized anxiety disorder
Rationale: Callie has persistent symptoms of anxiety
accompanied by restlessness and irritability. The thoughts are
unrealistic since she has pre-determined that she is not good
enough for the law program without evidence to support that
feeling. She also compares herself to strangers where she
automatically assumes that they are better prepared for the
program than she is. She decides not to apply to the law program
based on these unsubstantiated thoughts.
Jeremy is a 44-year-old male who works as a department head
for a local grocery store chain that is down-sizing due to
economic reasons. Top level management has announced that
there will be restructuring of the company where many of the
employees are no longer deemed essential. Because of the
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automatic self-check-out systems, there is no longer the need to
employ as many cashiers as possible. Jeremy has been given the
task of notifying his employees of this major change in staffing.
He plans to share these decisions at next week's staff meeting.
From the moment Jeremy received this directive, he started to
feel fearful of the possibility of announcing the decision to
downsize as well as deciding on who would be eliminated. On the
day of the staff meeting, his employees were present. As he
started the staff meeting, he began to feel nausea. He even
noticed his heart pounding. When he was questioned by an
employee on - ✔✔✔ Correct Answer > C) panic attack
Rationale: Jeremy's anxiety is associated with a stressful
situation (delivering the bad news) and a fear that something bad
will happen (staff's reaction to the announcement). He
experiences physical symptoms of heart pounding, nausea,
dizziness, and inability to formulate an organized answer to the
question. The setting is also in a familiar place among colleagues
where no real threat exists.
SAD treatment plan? - ✔✔✔ Correct Answer > Not all clients with
social anxiety disorder (SAD) require treatment. Young adults
may experience benefits from learning about their disorder and
reflecting on how the disorder impacts their personal life to
make an educated decision about treatment options. Many clients
diagnosed with SAD have experienced symptoms for years and
have learned to navigate the symptoms at a functional level.
Treatment for SAD is rarely an emergent situation. Treatment