NR 547 Midterm Exam Actual Differential Diagnosis in
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Psychiatric-Mental Health across the Lifespan Practicum n n n n n n
Questions and Answers | 100% Correct | Grade
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1. Differential diagnosis n
Answer The provider's initi al hypothesis
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-
a working list of potential problems that can be associated with the initial or chief comp
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int
-Diagnostic and Statistical Manual of Mental Disorders (DSM-5-TR)
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• provides guidance for identifying psychiatric diagnoses
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2. Psychiatric assessment n
History taking
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Answer -History of Present Illness
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-How long have you been feeling this way?
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-Did something happen in your life that may have triggered these emotions?
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1n/n160
,-How is this current situation impacting your life?
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The Psychiatric History
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-Have you ever been hospitalized for any mental health issues?
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-Have you ever had counseling or psychotherapy?
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-Have you ever taken medications for your mental health in the past?
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-Are you currently on any medications for mental health or sleep?
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Medical History/Screening for General Medical Conditions
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-Do you have a primary care provider?
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-Do you have any medical illnesses?
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-Are you currently taking any medications or herbal supplements?
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-Do you have any allergies to medications?
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-Have you ever been hospitalized for any reason?
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-Have you ever had surgery?
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Family Psychiatric History
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-Has any relative of yours ever been hospitalized for a mental health issue?
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-Has any blood relative of yours ever been diagnosed with a mental health issue?
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-Has any blood relative of yours had a history of seizures or dementia/Alzheimer's?
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2n/n160
,Social and Developmental History
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-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?
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-How do you support yourself with your finances?
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-
Do you have a good support system? Are you currently in a relationship? Where do yo
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u live? Who do you live with?
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-What do you do in your free time? What activities do you enjoy?
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3. Screening and Psychiatric Rating ScalesAnswer Evidence- n n n n n
based screening tools and psychiatric rating scales
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-
can help the provider identify symptoms and assess their severity and can assist with
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e evaluation of response to treatment
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4. A 52-year- n
old client presents to the emergency department following a car accident. The
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emergency department (ED) physician is concerned that the client may have in
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tentionally crashed her car and requests a stat PMHNP con- n n n n n n n n n
sult. In speaking with the PMHNP, the client describes persistent feelings of s
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adness and hopelessness. She states that she often wonders if her husband wo
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3n/n160
, uld be happier if she wasn't around anymore since she's never happy and som
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etimes thinks about what it would be like to just take a handful of sleeping pills a
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nd go to sleep forever. The client reports a previous suicide attempt when she
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was 16 but denies that she is considering killing herself right now. Based on th
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e client's ASQ score, what is the most appropriate response?
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No action is necessary as the client is not currently considering suicide. Provid
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a brief suicide safety assessment.
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Alert the client's primary care physician.
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Provide a STAT safety and full mental health evaluation.
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Answer Provide a brief suicide safety assessment.
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Rationale
Answer While the client's responses do not indicate a need for a stat full safety and m
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ental health evaluation, the client requires a brief suicide safety assessment to deter
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mine whether a full mental health evaluation in necessary. It is also important to notify th
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e client's physician or the clinician responsible for the client's care.
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5. Diagnostic Testing when diagnosing mental health disorders n n n n n n
Answer - n
Diagnostic tests and labs are most used to rule out physical conditions that may ca
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4n/n160
n n n n n n n n
Psychiatric-Mental Health across the Lifespan Practicum n n n n n n
Questions and Answers | 100% Correct | Grade
n n n n n n n n
1. Differential diagnosis n
Answer The provider's initi al hypothesis
n n n n n
-
a working list of potential problems that can be associated with the initial or chief comp
n n n n n n n n n n n n n n n
int
-Diagnostic and Statistical Manual of Mental Disorders (DSM-5-TR)
n n n n n n n
• provides guidance for identifying psychiatric diagnoses
n n n n n
2. Psychiatric assessment n
History taking
n
Answer -History of Present Illness
n n n n
-How long have you been feeling this way?
n n n n n n n
-Did something happen in your life that may have triggered these emotions?
n n n n n n n n n n n
1n/n160
,-How is this current situation impacting your life?
n n n n n n n
The Psychiatric History
n n
-Have you ever been hospitalized for any mental health issues?
n n n n n n n n n
-Have you ever had counseling or psychotherapy?
n n n n n n
-Have you ever taken medications for your mental health in the past?
n n n n n n n n n n n
-Are you currently on any medications for mental health or sleep?
n n n n n n n n n n
Medical History/Screening for General Medical Conditions
n n n n n
-Do you have a primary care provider?
n n n n n n
-Do you have any medical illnesses?
n n n n n
-Are you currently taking any medications or herbal supplements?
n n n n n n n n
-Do you have any allergies to medications?
n n n n n n
-Have you ever been hospitalized for any reason?
n n n n n n n
-Have you ever had surgery?
n n n n
Family Psychiatric History
n n
-Has any relative of yours ever been hospitalized for a mental health issue?
n n n n n n n n n n n n
-Has any blood relative of yours ever been diagnosed with a mental health issue?
n n n n n n n n n n n n n
-Has any blood relative of yours had a history of seizures or dementia/Alzheimer's?
n n n n n n n n n n n n
2n/n160
,Social and Developmental History
n n n
-Tell me a little bit about your childhood and how you grew up.
n n n n n n n n n n n n
-How was your experience in school when you were younger? Did you enjoy school?
n n n n n n n n n n n n n
-How do you support yourself with your finances?
n n n n n n n
-
Do you have a good support system? Are you currently in a relationship? Where do yo
n n n n n n n n n n n n n n n
u live? Who do you live with?
n n n n n n
-What do you do in your free time? What activities do you enjoy?
n n n n n n n n n n n n
3. Screening and Psychiatric Rating ScalesAnswer Evidence- n n n n n
based screening tools and psychiatric rating scales
n n n n n n
-
can help the provider identify symptoms and assess their severity and can assist with
n n n n n n n n n n n n n
e evaluation of response to treatment
n n n n n
4. A 52-year- n
old client presents to the emergency department following a car accident. The
n n n n n n n n n n n n
emergency department (ED) physician is concerned that the client may have in
n n n n n n n n n n n
tentionally crashed her car and requests a stat PMHNP con- n n n n n n n n n
sult. In speaking with the PMHNP, the client describes persistent feelings of s
n n n n n n n n n n n n n
adness and hopelessness. She states that she often wonders if her husband wo
n n n n n n n n n n n n
3n/n160
, uld be happier if she wasn't around anymore since she's never happy and som
n n n n n n n n n n n n n
etimes thinks about what it would be like to just take a handful of sleeping pills a
n n n n n n n n n n n n n n n n
nd go to sleep forever. The client reports a previous suicide attempt when she
n n n n n n n n n n n n n n
was 16 but denies that she is considering killing herself right now. Based on th
n n n n n n n n n n n n n n
e client's ASQ score, what is the most appropriate response?
n n n n n n n n n
No action is necessary as the client is not currently considering suicide. Provid
n n n n n n n n n n n n
a brief suicide safety assessment.
n n n n
Alert the client's primary care physician.
n n n n n
Provide a STAT safety and full mental health evaluation.
n n n n n n n n
Answer Provide a brief suicide safety assessment.
n n n n n n
Rationale
Answer While the client's responses do not indicate a need for a stat full safety and m
n n n n n n n n n n n n n n n n
ental health evaluation, the client requires a brief suicide safety assessment to deter
n n n n n n n n n n n n
mine whether a full mental health evaluation in necessary. It is also important to notify th
n n n n n n n n n n n n n n n
e client's physician or the clinician responsible for the client's care.
n n n n n n n n n n
5. Diagnostic Testing when diagnosing mental health disorders n n n n n n
Answer - n
Diagnostic tests and labs are most used to rule out physical conditions that may ca
n n n n n n n n n n n n n n
4n/n160
