NR-547 Midterm Exam Questions with Verified Answers (Correct
Update)
Question 1: Name the 6 of a differential diagnosis
Answer: 2.)Ruling out substance etiology 3.) ruling out a medical etiology 4.) Determining the specific
primary disorder 5.) Differentiating adjustment disorder from the residual "other specified" and
"unspecified" conditions 6.) Establishing the boundary with no mental disorder
Question 2: Remember with step 5, the PMHNP can use "other specified" in the diagnosis when
they want to indicate the specific reason for a diagnosis. They use "unspecified" if: the
information doesnt conform to DSM5 there is insufficient info to make a specific diagnosis there
is more info the be revealed with time OR they want to help the patient avoid stigmas
Answer: a CBC with iron studies
Question 3: The PMHNP wants to rule out anemia as a cause for a patients fatigue and lack of
motivation. What lab should she order? What is normal creat/BUN level? A patient presents
with brain fog, lack of focus, insomnia & mood swing, lack of mental alertness. What lab should
the PMHNP order?
Answer: hg-12-18 hematocrit: 38-48% BUN: 7-18 creat: 0.6-1.2 THYROID FUNCTION TEST TSH:
0.4-4.5 T3: 100-200 T4: 5-11 normal B12: 190-950 picograms/mL
Question 4: The patient has a b12 level of 126 picograms/mL. what symptoms may the patient
experience? Name the normal vitamin D levels: Tell me about the HAM-A
Answer: but borderline is 200-300 & will need additional testing. depression, mania, psychotic
symptoms, cognitive impairment 20-50 ng/ML This is the Hamilton Anxiety Scale, creates to assess
somatic/cognitive anxiety symptoms. MAINLY TO ASSESS ANXIETY. It does not help to assess the
worry aspect usually found with GAD. less than 17- mild 18-23- mod 25-30 mod-severe Generalized
Anxiety Disorder
Question 5: _____ shows there is an INCREASE activation of the amygdala which is an increase
in the fear response. There is a decreased activation of the pre-frontal cortex which results in
lessened reasoning. Explain GAD What is the DSM criteria for GAD? Name the first line
treatment for GAD.
Answer: This is characterized when a person WORRY about ORDINARY, everyday situations. These
patients have a hard time getting over the what ifs and hyperfixate. Due to this they are unable to get
more of their pressing tasks done WORRY about everyday tasks, sleep disturbance, restlessness, fatigue
and immanent fear, muscle tension or difficulty concentrating has to be persistent for six months or
GREATER SSRIs hyponatremia, weight loss, weight gain, anxiety in
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Update)
Question 1: Name the 6 of a differential diagnosis
Answer: 2.)Ruling out substance etiology 3.) ruling out a medical etiology 4.) Determining the specific
primary disorder 5.) Differentiating adjustment disorder from the residual "other specified" and
"unspecified" conditions 6.) Establishing the boundary with no mental disorder
Question 2: Remember with step 5, the PMHNP can use "other specified" in the diagnosis when
they want to indicate the specific reason for a diagnosis. They use "unspecified" if: the
information doesnt conform to DSM5 there is insufficient info to make a specific diagnosis there
is more info the be revealed with time OR they want to help the patient avoid stigmas
Answer: a CBC with iron studies
Question 3: The PMHNP wants to rule out anemia as a cause for a patients fatigue and lack of
motivation. What lab should she order? What is normal creat/BUN level? A patient presents
with brain fog, lack of focus, insomnia & mood swing, lack of mental alertness. What lab should
the PMHNP order?
Answer: hg-12-18 hematocrit: 38-48% BUN: 7-18 creat: 0.6-1.2 THYROID FUNCTION TEST TSH:
0.4-4.5 T3: 100-200 T4: 5-11 normal B12: 190-950 picograms/mL
Question 4: The patient has a b12 level of 126 picograms/mL. what symptoms may the patient
experience? Name the normal vitamin D levels: Tell me about the HAM-A
Answer: but borderline is 200-300 & will need additional testing. depression, mania, psychotic
symptoms, cognitive impairment 20-50 ng/ML This is the Hamilton Anxiety Scale, creates to assess
somatic/cognitive anxiety symptoms. MAINLY TO ASSESS ANXIETY. It does not help to assess the
worry aspect usually found with GAD. less than 17- mild 18-23- mod 25-30 mod-severe Generalized
Anxiety Disorder
Question 5: _____ shows there is an INCREASE activation of the amygdala which is an increase
in the fear response. There is a decreased activation of the pre-frontal cortex which results in
lessened reasoning. Explain GAD What is the DSM criteria for GAD? Name the first line
treatment for GAD.
Answer: This is characterized when a person WORRY about ORDINARY, everyday situations. These
patients have a hard time getting over the what ifs and hyperfixate. Due to this they are unable to get
more of their pressing tasks done WORRY about everyday tasks, sleep disturbance, restlessness, fatigue
and immanent fear, muscle tension or difficulty concentrating has to be persistent for six months or
GREATER SSRIs hyponatremia, weight loss, weight gain, anxiety in
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