4/12/25, 8:11 NR547 Midterm Exam Flashcards |
PM
NR547 MIDTERM EXAM QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS VERIFIED
Leave the first rating
Save
Terms in this set (224)
The provider's initial hypothesis
-a working list of potential problems that can be associated with the initial or
differential diagnosis chief complaint
-Diagnostic and Statistical Manual of Mental Disorders (DSM-5-TR)
• provides guidance for identifying psychiatric diagnoses
1/19
,4/12/25, 8:11 NR547 Midterm Exam Flashcards |
PM
-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?
Psychiatric assessment: History taking -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?
Evidence-based screening tools and psychiatric rating scales
Screening and Psychiatric Rating Scales -can help the provider identify symptoms and assess their severity and can assist
with the evaluation of response to treatment
2/19
, 4/12/25, 8:11 NR547 Midterm Exam Flashcards |
PM
A 52-year-old client presents to the Provide a brief suicide safety assessment.
emergency department following a
car accident. The emergency Rationale: While the client's responses do not indicate a need for a stat full safety
department (ED) physician is concerned and mental health evaluation, the client requires a brief suicide safety
that the client may have intentionally assessment to determine whether a full mental health evaluation in necessary. It
crashed her car and requests a stat is also important to notify the client's physician or the clinician responsible for the
PMHNP consult. In speaking with the client's care.
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
Diagnostic Testing when diagnosing -Diagnostic tests and labs are most used to rule out physical conditions that may
mental health disorders cause psychiatric symptoms and to evaluate the effects of treatment
Complete Blood Count
Comprehensive Metabolic Panel (CMP)
Thyroid Function Tests
Basic Laboratory Interpretation Vitamin B12
Level Vitamin D
Level Toxicology
Screen Urinalysis
(UA)
-measures RBCs, WBCs, hemoglobin, hematocrit, and platelets
-includes a differential of the WBCs
-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
• Ex: rule out anemia as a cause for depressive symptoms and fatigue
• Ex: rule out infection as a cause of acute mental status changes
Basic Laboratory Interpretation: RBCs: 4.5-6.0 million/microliter
Complete Blood Count Hemoglobin: 12-18 grams/100 mL
Hematocrit: 38%-48%
Reticulocytes: 0%-1.5%
WBCs (total): 5000-10,000/microliter
Neutrophils: 55%-70%
Eosinophils: 1%-3%
Basophils: 0.5%-1%
Lymphocytes: 20%-35%
Monocytes: 3%-8%
Platelets: 150,000-300,000/microliter
3/19
PM
NR547 MIDTERM EXAM QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS VERIFIED
Leave the first rating
Save
Terms in this set (224)
The provider's initial hypothesis
-a working list of potential problems that can be associated with the initial or
differential diagnosis chief complaint
-Diagnostic and Statistical Manual of Mental Disorders (DSM-5-TR)
• provides guidance for identifying psychiatric diagnoses
1/19
,4/12/25, 8:11 NR547 Midterm Exam Flashcards |
PM
-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?
Psychiatric assessment: History taking -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?
Evidence-based screening tools and psychiatric rating scales
Screening and Psychiatric Rating Scales -can help the provider identify symptoms and assess their severity and can assist
with the evaluation of response to treatment
2/19
, 4/12/25, 8:11 NR547 Midterm Exam Flashcards |
PM
A 52-year-old client presents to the Provide a brief suicide safety assessment.
emergency department following a
car accident. The emergency Rationale: While the client's responses do not indicate a need for a stat full safety
department (ED) physician is concerned and mental health evaluation, the client requires a brief suicide safety
that the client may have intentionally assessment to determine whether a full mental health evaluation in necessary. It
crashed her car and requests a stat is also important to notify the client's physician or the clinician responsible for the
PMHNP consult. In speaking with the client's care.
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
Diagnostic Testing when diagnosing -Diagnostic tests and labs are most used to rule out physical conditions that may
mental health disorders cause psychiatric symptoms and to evaluate the effects of treatment
Complete Blood Count
Comprehensive Metabolic Panel (CMP)
Thyroid Function Tests
Basic Laboratory Interpretation Vitamin B12
Level Vitamin D
Level Toxicology
Screen Urinalysis
(UA)
-measures RBCs, WBCs, hemoglobin, hematocrit, and platelets
-includes a differential of the WBCs
-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
• Ex: rule out anemia as a cause for depressive symptoms and fatigue
• Ex: rule out infection as a cause of acute mental status changes
Basic Laboratory Interpretation: RBCs: 4.5-6.0 million/microliter
Complete Blood Count Hemoglobin: 12-18 grams/100 mL
Hematocrit: 38%-48%
Reticulocytes: 0%-1.5%
WBCs (total): 5000-10,000/microliter
Neutrophils: 55%-70%
Eosinophils: 1%-3%
Basophils: 0.5%-1%
Lymphocytes: 20%-35%
Monocytes: 3%-8%
Platelets: 150,000-300,000/microliter
3/19
