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NR 547 Differential Diagnosis in Psychiatric-Mental Health across the Lifespan Practicum – Chamberlain University – Practicum study guide and clinical reference material

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This document covers key concepts related to psychiatric-mental health differential diagnosis across the lifespan, with a focus on practicum-based clinical decision making. It includes guidance on assessment, diagnostic criteria, and treatment considerations for common mental health disorders in children, adults, and older adults. The material is aligned with advanced practice nursing competencies and supports preparation for clinical evaluations and practicum requirements.

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Institution
NR 547 Differential Diagnosis In Psychiatric-Menta
Course
NR 547 Differential Diagnosis in Psychiatric-Menta

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NR 547 Differential Diagnosis in Psychiatric-Mental Health
across the Lifespan Practicum - Chamberlain



NR 547 Week 2

1. intense anxiety and/or avoidance of situations (eg, being in crowds or shop-
ping malls, driving) that may be difficult to leave or in which help is not readily
available if incapacitating panic-like symptoms were to develop: Agoraphobia


2. Agoraphobia is a common consequence of panic disorder, but the 2 disor-
ders can also develop independently.: True


3. Although some clients with agoraphobia are completely homebound, many
clients cope by actively situations that create anxiety; for
instance, a person who fears public transportation may choose to live within
walking distance to employment and shopping. Clients may be able to func-
tion better when a support person comes with them: avoiding



4. To meet the DSM-5-TR criteria for agoraphobia, patients must have marked,
persistent (e months) fear or anxiety

:6


5. To meet the DSM-5-TR criteria for agoraphobia, patients must have marked,

,*Being alone outside the home


6. Fear must involve thoughts that escape from the situation might be difficult
or that patients would receive no help if they became incapacitated by fear or
a panic attack. In addition, all of the following should be present: agoraphobia,


7. Sigourney is a 47-year-old who presents to the clinic with complaints of anx-
iety. She states that certain situations seem to trigger her anxiety, including
using the subway, attending concerts and movies, and going to the corner
bodega. She states that these types of situations make her fear that she will
be trapped in the event of an emergency.To cope, she has been walking rather
than using public transportation and using an online ordering app for grocery
delivery. She has not been to a concert or movie theater in years and feels that
she has lost some friends because of her reluctance to attend.: agoraphobia,



8. Sigourney meets the following diagnostic criteria for
: she has marked anxiety about using public transporta-
tion and being in enclosed spaces and crowds. She fears a situation because
she worries about her ability to escape. She has changed her behaviors to
avoid situations that cause her anxiety, and she has caused social impairment
in her life.: agoraphobia:


9. a trauma- and stressor-related disorder: Adjustment disorder


10. occurs in the presence of a specific and identifiable

stressor. The distress experienced is out of proportion to the severity of the

, stressor. Examples of common stressors include loss of employment, getting
married, a new disability, or a natural disaster. Symptoms begin within three
months of the stressor and typically last no more than six months.: Adjustment
disorder


11. Adjustment disorder symptoms begin within three months of the stressor
and typically last no more than months.: six


12. A 32-year-old White male was formerly employed as a corporate lawyer and
has recently started his own business. He has started experiencing symptoms
of intense anxiety when taking the subway to work. The symptoms include
feeling short of breath, chest pressure, sweaty, irritable, and an impending
sense of doom. The symptoms have persisted and worsened over time to
where he has everything delivered and cannot leave the house. What is the
most likely diagnosis?
a. Malingering
b. Delusional disorder
c. Agoraphobia
d. Hypochondriasis: Agoraphobia is characterized by a fear of open spaces and/or
crowded spaces, and often is co-morbid with panic disorder.


13. characterized by persistent, uncontrollable worry about ordinary, everyday
situations. A pattern of difficult to control, frequent excessive & persistent
worry that occurs more days than not for at least 6 months: Generalized Anxiety
Disorder (GAD) not due to substance misuse, medication, or other medical/ mental
condition




14. GAD often presents with physical symptoms, including:: *restlessness or

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NR 547 Differential Diagnosis in Psychiatric-Menta
Course
NR 547 Differential Diagnosis in Psychiatric-Menta

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