NR 547 MIDTERM ACTUAL EXAM
TEST BANK 200 QUESTIONS AND
CORRECT DETAILED ANSWERS
WITH RATIONALES, Chamberlain
University, Illinois
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EXCELLENCE • EFFICIENCY • CONFIDENTIALITY
differential diagnosis - Answer: The provider's initial hypothesis
-a working list of potential problems that can be associated with the initial or chief complaint
-Diagnostic and Statistical Manual of Mental Disorders (DSM-5-TR)
• provides guidance for identifying psychiatric diagnoses
Psychiatric assessment: History taking - Answer: -History of Present Illness
-How long have you been feeling this way?
-Did something happen in your life that may have triggered these emotions?
-How is this current situation impacting your life?
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?
,-Are you currently on any medications for mental health or sleep?
Medical History/Screening for General Medical Conditions
-Do you have a primary care provider?
-Do you have any medical illnesses?
-Are you currently taking any medications or herbal supplements?
-Do you have any allergies to medications?
-Have you ever been hospitalized for any reason?
-Have you ever had surgery?
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?
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?
Screening and Psychiatric Rating Scales - Answer: Evidence-based screening tools and
psychiatric rating scales
, -can help the provider identify symptoms and assess their severity and can assist with the
evaluation of response to treatment
A 52-year-old client presents to the emergency department following a car accident. The
emergency department (ED) physician is concerned that the client may have intentionally
crashed her car and requests a stat PMHNP consult. In speaking with the PMHNP, the client
describes persistent feelings of sadness and hopelessness. She states that she often wonders
if her husband would be happier if she wasn't around anymore 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 previous suicide attempt when she was 16 but denies that
she is considering killing herself right now.
Based on the client's ASQ score, what is the most appropriate response?
No action is necessary as the client is not currently considering suicide.
Provide a brief suicide safety assessment.
Alert the client's primary care physician.
Provide a ST - Answer: Provide a brief suicide safety assessment.
Rationale: While the client's responses do not indicate a need for a stat full safety and mental
health evaluation, the client requires a brief suicide safety assessment to determine whether
a full mental health evaluation in necessary. It is also important to notify the client's physician
or the clinician responsible for the client's care.
Diagnostic Testing when diagnosing mental health disorders - Answer: -Diagnostic tests and
labs are most used to rule out physical conditions that may cause psychiatric symptoms and
to evaluate the effects of treatment
Basic Laboratory Interpretation - Answer: Complete Blood Count
Comprehensive Metabolic Panel (CMP)
Thyroid Function Tests
TEST BANK 200 QUESTIONS AND
CORRECT DETAILED ANSWERS
WITH RATIONALES, Chamberlain
University, Illinois
Premium Online Exam & Class Management Services
Professional • Confidential • Reliable • Results-Oriented
WHY STUDENTS CHOOSE US
Professional management of online classes
Support for proctored examinations
Assignment and coursework coordination
Quiz, test and assessment assistance
Fast communication and timely updates
Strict confidentiality and privacy
SERVICES OFFERED
✓ Online Class Management
✓ Proctored Exam Handling
✓ Weekly Discussion Participation
,✓ Coursework Tracking
✓ Academic Scheduling Support
✓ Exam Preparation Guidance
CONTACT US TODAY
📧
📧 WhatsApp: +254799356524
🔗 https://wa.me/254799356524
EXCELLENCE • EFFICIENCY • CONFIDENTIALITY
differential diagnosis - Answer: The provider's initial hypothesis
-a working list of potential problems that can be associated with the initial or chief complaint
-Diagnostic and Statistical Manual of Mental Disorders (DSM-5-TR)
• provides guidance for identifying psychiatric diagnoses
Psychiatric assessment: History taking - Answer: -History of Present Illness
-How long have you been feeling this way?
-Did something happen in your life that may have triggered these emotions?
-How is this current situation impacting your life?
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?
,-Are you currently on any medications for mental health or sleep?
Medical History/Screening for General Medical Conditions
-Do you have a primary care provider?
-Do you have any medical illnesses?
-Are you currently taking any medications or herbal supplements?
-Do you have any allergies to medications?
-Have you ever been hospitalized for any reason?
-Have you ever had surgery?
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?
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?
Screening and Psychiatric Rating Scales - Answer: Evidence-based screening tools and
psychiatric rating scales
, -can help the provider identify symptoms and assess their severity and can assist with the
evaluation of response to treatment
A 52-year-old client presents to the emergency department following a car accident. The
emergency department (ED) physician is concerned that the client may have intentionally
crashed her car and requests a stat PMHNP consult. In speaking with the PMHNP, the client
describes persistent feelings of sadness and hopelessness. She states that she often wonders
if her husband would be happier if she wasn't around anymore 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 previous suicide attempt when she was 16 but denies that
she is considering killing herself right now.
Based on the client's ASQ score, what is the most appropriate response?
No action is necessary as the client is not currently considering suicide.
Provide a brief suicide safety assessment.
Alert the client's primary care physician.
Provide a ST - Answer: Provide a brief suicide safety assessment.
Rationale: While the client's responses do not indicate a need for a stat full safety and mental
health evaluation, the client requires a brief suicide safety assessment to determine whether
a full mental health evaluation in necessary. It is also important to notify the client's physician
or the clinician responsible for the client's care.
Diagnostic Testing when diagnosing mental health disorders - Answer: -Diagnostic tests and
labs are most used to rule out physical conditions that may cause psychiatric symptoms and
to evaluate the effects of treatment
Basic Laboratory Interpretation - Answer: Complete Blood Count
Comprehensive Metabolic Panel (CMP)
Thyroid Function Tests
