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Differential Dx - ANSWER ✔✔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 critical step in providing safe, quality care. This evolving
,process of clinical reasoning and decision making involves 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 Statistical Manual of
Mental Disorders (DSM-5-TR)provides guidance for identifying
psychiatric diagnosest
History of Present Illness - ANSWER ✔✔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 - ANSWER ✔✔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 -
ANSWER ✔✔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 - ANSWER ✔✔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 - ANSWER ✔✔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?
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3
, Which of the following should be included when providing client
education about medication regimens? Select all that apply. -
ANSWER ✔✔A)Explain how the medication targets the symptoms,
specific benefits, and expected time course. (Correct answer)
B)Identify potential side effects, duration of side effects, and adverse
effects. (Correct answer)
C)Explain the instructions, dosing, and special requirements. (Correct
answer)
D)Use teach-back methods to ensure client understanding. (Correct
answer)
Apply the Ask Suicide-Screening Questions (ASQ) Suicide Risk
Screening Tool (Links to an external site.) to the scenario below.
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