NR 547 Differential Dx Midterm EXAM comprehensive questions | FRE-
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1. Differential Dx Diagnostic reasoning is 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. This is a critical step for providers who are
trying to uncover a cause, or diagnosis, for their clients'
signs and symptoms. The provider's initial hypothesis
is known as the differential diagnosis. The differential
diagnosis, or differential, is a working list of potential
problems that can be associated with the initial or chief
complaint. Establishing a differential diagnosis is a crit-
ical step in providing safe, quality care. This evolving
process of clinical reasoning and decision making in-
volves examining the client's presentation, clinical data,
and when appropriate, screening and diagnostic test
results to distinguish one disease from another and
arrive at the correct diagnosis. The Diagnostic and Sta-
tistical Manual of Mental Disorders (DSM-5-TR)provides
guidance for identifying psychiatric diagnosest
2. History of Present Illness How long have you been feeling this way?
Did something happen in your life that may have trig-
gered these emotions?
How is this current situation impacting your life?
3. The Psychiatric History Have you ever been hospitalized for any mental health
issues?
Have you ever had counseling or psychotherapy?
Have you ever taken medications for your mental health
in the past?
, NR 547 Differential Dx Midterm EXAM comprehensive questions | FRE-
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Are you currently on any medications for mental health
or sleep?
4. Medical History/Screening for Do you have a primary care provider?
General Medical Conditions Do you have any medical illnesses?
Are you currently taking any medications or herbal sup-
plements?
Do you have any allergies to medications?
Have you ever been hospitalized for any reason?
Have you ever had surgery?
5. Family Psychiatric History Has any relative of yours ever been hospitalized for a
mental health issue?
Has any blood relative of yours ever been diagnosed
with a mental health issue?
Has any blood relative of yours had a history of seizures
or dementia/Alzheimer's?
6. Social and Developmental History Tell me a little bit about your childhood and how you
grew up.
How was your experience in school when you were
younger? Did you enjoy school?
How do you support yourself with your finances?
Do you have a good support system? Are you currently in
a relationship? Where do you live? Who do you live with?
What do you do in your free time? What activities do you
enjoy?
7. Which of the following should be A)Explain how the medication targets the symptoms,
included when providing client ed- specific benefits, and expected time course. (Correct
answer)
, NR 547 Differential Dx Midterm EXAM comprehensive questions | FRE-
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ucation about medication regi- B)Identify potential side effects, duration of side effects,
mens? Select all that apply. and adverse effects. (Correct answer)
C)Explain the instructions, dosing, and special require-
ments. (Correct answer)
D)Use teach-back methods to ensure client understand-
ing. (Correct answer)
8. Apply the Ask Suicide-Screen- B)Provide a brief suicide safety assessment.
ing Questions (ASQ) Suicide Risk
Screening Tool (Links to an exter- Rationale: While the client's responses do not indicate a
nal site.) to the scenario below. need for a stat full safety and mental health evaluation,
A 52-year-old client presents to the client requires a brief suicide safety assessment to
the emergency department fol- determine whether a full mental health evaluation in
lowing a car accident. The emer- necessary. It is also important to notify the client's physi-
gency department (ED) physician cian or the clinician responsible for the client's care.
is concerned that the client may
have intentionally crashed her car
and requests a stat PMHNP con-
sult. In speaking with the PMH-
NP, the client describes persistent
feelings of sadness and hopeless-
ness. She states that she often
wonders if her husband would be
happier if she wasn't around any-
more since she's never happy and
sometimes thinks about what it
would be like to just take a handful
of sleeping pills and go to sleep
forever. The client reports a previ-
ous suicide attempt when she was
, NR 547 Differential Dx Midterm EXAM comprehensive questions | FRE-
QUENTLY MOST TESTED QUESTIONS AND VERIFIED SOLUTIONS/GET IT
100% ACCURATE!!
Study online at https://quizlet.com/_jfmtsb
16 but denies that she is consider-
ing killing herself right now.
Based on the client's ASQ score,
what is the most appropriate re-
sponse?
A) No action is necessary as the
client is not
9. Complete Blood Count The CBC is a serum diagnostic test that measures red
blood cells, white blood cells, hemoglobin, hematocrit,
and platelets. The CBC includes a differential of the white
blood cells. A CBC is often included as part of routine
health screening or to obtain information related to
specific conditions. In mental health, the CBC is used
to rule out medical conditions that may present with
symptoms that can be attributed to both medical and
psychiatric diagnoses. For example, the CBC can help
rule out anemia as a cause for depressive symptoms and
fatigue or rule out infection as a cause of acute mental
status changes. The CBC is also used to monitor certain
treatment regimens. For example, some medications,
such as clozapine, require routine analysis of absolute
neutrophil count and platelet levels.
10. Normal Range of: Red blood cells: 4.5-6.0 million/microliter
Red blood cells Hemoglobin: 12-18 grams/100 mL
Hemoglobin Hematocrit: 38%-48%
Hematocrit Reticulocytes: 0%-1.5%
Reticulocytes
QUENTLY MOST TESTED QUESTIONS AND VERIFIED SOLUTIONS/GET IT
100% ACCURATE!!
Study online at https://quizlet.com/_jfmtsb
1. Differential Dx Diagnostic reasoning is 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. This is a critical step for providers who are
trying to uncover a cause, or diagnosis, for their clients'
signs and symptoms. The provider's initial hypothesis
is known as the differential diagnosis. The differential
diagnosis, or differential, is a working list of potential
problems that can be associated with the initial or chief
complaint. Establishing a differential diagnosis is a crit-
ical step in providing safe, quality care. This evolving
process of clinical reasoning and decision making in-
volves examining the client's presentation, clinical data,
and when appropriate, screening and diagnostic test
results to distinguish one disease from another and
arrive at the correct diagnosis. The Diagnostic and Sta-
tistical Manual of Mental Disorders (DSM-5-TR)provides
guidance for identifying psychiatric diagnosest
2. History of Present Illness How long have you been feeling this way?
Did something happen in your life that may have trig-
gered these emotions?
How is this current situation impacting your life?
3. The Psychiatric History Have you ever been hospitalized for any mental health
issues?
Have you ever had counseling or psychotherapy?
Have you ever taken medications for your mental health
in the past?
, NR 547 Differential Dx Midterm EXAM comprehensive questions | FRE-
QUENTLY MOST TESTED QUESTIONS AND VERIFIED SOLUTIONS/GET IT
100% ACCURATE!!
Study online at https://quizlet.com/_jfmtsb
Are you currently on any medications for mental health
or sleep?
4. Medical History/Screening for Do you have a primary care provider?
General Medical Conditions Do you have any medical illnesses?
Are you currently taking any medications or herbal sup-
plements?
Do you have any allergies to medications?
Have you ever been hospitalized for any reason?
Have you ever had surgery?
5. Family Psychiatric History Has any relative of yours ever been hospitalized for a
mental health issue?
Has any blood relative of yours ever been diagnosed
with a mental health issue?
Has any blood relative of yours had a history of seizures
or dementia/Alzheimer's?
6. Social and Developmental History Tell me a little bit about your childhood and how you
grew up.
How was your experience in school when you were
younger? Did you enjoy school?
How do you support yourself with your finances?
Do you have a good support system? Are you currently in
a relationship? Where do you live? Who do you live with?
What do you do in your free time? What activities do you
enjoy?
7. Which of the following should be A)Explain how the medication targets the symptoms,
included when providing client ed- specific benefits, and expected time course. (Correct
answer)
, NR 547 Differential Dx Midterm EXAM comprehensive questions | FRE-
QUENTLY MOST TESTED QUESTIONS AND VERIFIED SOLUTIONS/GET IT
100% ACCURATE!!
Study online at https://quizlet.com/_jfmtsb
ucation about medication regi- B)Identify potential side effects, duration of side effects,
mens? Select all that apply. and adverse effects. (Correct answer)
C)Explain the instructions, dosing, and special require-
ments. (Correct answer)
D)Use teach-back methods to ensure client understand-
ing. (Correct answer)
8. Apply the Ask Suicide-Screen- B)Provide a brief suicide safety assessment.
ing Questions (ASQ) Suicide Risk
Screening Tool (Links to an exter- Rationale: While the client's responses do not indicate a
nal site.) to the scenario below. need for a stat full safety and mental health evaluation,
A 52-year-old client presents to the client requires a brief suicide safety assessment to
the emergency department fol- determine whether a full mental health evaluation in
lowing a car accident. The emer- necessary. It is also important to notify the client's physi-
gency department (ED) physician cian or the clinician responsible for the client's care.
is concerned that the client may
have intentionally crashed her car
and requests a stat PMHNP con-
sult. In speaking with the PMH-
NP, the client describes persistent
feelings of sadness and hopeless-
ness. She states that she often
wonders if her husband would be
happier if she wasn't around any-
more since she's never happy and
sometimes thinks about what it
would be like to just take a handful
of sleeping pills and go to sleep
forever. The client reports a previ-
ous suicide attempt when she was
, NR 547 Differential Dx Midterm EXAM comprehensive questions | FRE-
QUENTLY MOST TESTED QUESTIONS AND VERIFIED SOLUTIONS/GET IT
100% ACCURATE!!
Study online at https://quizlet.com/_jfmtsb
16 but denies that she is consider-
ing killing herself right now.
Based on the client's ASQ score,
what is the most appropriate re-
sponse?
A) No action is necessary as the
client is not
9. Complete Blood Count The CBC is a serum diagnostic test that measures red
blood cells, white blood cells, hemoglobin, hematocrit,
and platelets. The CBC includes a differential of the white
blood cells. A CBC is often included as part of routine
health screening or to obtain information related to
specific conditions. In mental health, the CBC is used
to rule out medical conditions that may present with
symptoms that can be attributed to both medical and
psychiatric diagnoses. For example, the CBC can help
rule out anemia as a cause for depressive symptoms and
fatigue or rule out infection as a cause of acute mental
status changes. The CBC is also used to monitor certain
treatment regimens. For example, some medications,
such as clozapine, require routine analysis of absolute
neutrophil count and platelet levels.
10. Normal Range of: Red blood cells: 4.5-6.0 million/microliter
Red blood cells Hemoglobin: 12-18 grams/100 mL
Hemoglobin Hematocrit: 38%-48%
Hematocrit Reticulocytes: 0%-1.5%
Reticulocytes
