NR-547 (Latest )
Differential Diagnosis in
Psychiatric-Mental Health
across the Lifespan Practicum/
EXAM LATEST VERSION 2026
QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED
A
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.
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, -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.