NR547 / NR 547 Final Exam (Differential Diagnosis in Psychiatric-
Mental Health across the Lifespan Practicum) Questions &
Answers, Latest Update -100% Correct | Grade A -
Chamberlain
1. A client wishing to use medication-assisted treatment for opioid use disorder expresses
concerns that her roommates may try to steal her medication to get high. Which medication is the
most appropriate options for the client?- :
Buprenorphine/Naloxone
2. Which of the following is the best predictor for antisocial personality disorder?:
A diagnosis of conduct disorder at age 13
3. Which of the following is a tool that may be used to screen for any type of substance use
disorder?: SBIRT
4. Which of the following would be included in the treatment plan for a client with antisocial
personality disorder?:
Reward-Based therapy
5. Which description best describes cluster A personality disorders?:
Characterized by odd, eccentric thinking or behavior
6. Which characteristic is most indicative of narcissistic personality disorder?:
Ongoing need for admiration
7. A 25-year-old client presents with irritability, insomnia, and excessive energy. She states she
has felt this way for about a week. Last month, she reports that she felt "really down" and slept
most of the time. She endorses a pattern of "ups and downs" in her mood at least half the time
over the past few years. Which diagnosis is the most consistent with the client's symptoms?- :
Cyclothymia
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,8. Select an appropriate initial medication choice for a 75-year-old with a new diagnosis of major
depressive disorder.:
Escitalopram 10 mg daily
9. An inpatient client has a CIWA-Ar score of 12. What is the most appropriate action by the
nurse practitioner?:
Prescribe STAT dose of oral Lorazepam and reassess CIWA-Ar every hour
10. A client presents with difficulties following her divorce from an abusive spouse. She states
that she is afraid of being on her own because she is worried that she won't be able to take care of
herself. She is currently living with her sister because she can't decide whether to get an
apartment or buy a house. Though she's only been divorced for a few weeks, she's been on
several dates through a dating website in the hopes of finding another partner soon. The client's
symptoms are consistent with which diagnosis?:
Dependent personality disorder
11. Which of the following are characteristics of borderline personality disorder?:
Tumultuous interpersonal relationships and short-lived psychotic episodes
12. When conducting a cognitive assessment, what does the question "what did you have for
dinner last night" assess?:
Recent memory
13. A client is concerned that he won't pass a urine drug screen at his new job because he used
marijuana three days ago. What is the most appropriate response by the psychiatric mental health
nurse practitioner?:
Marijuana can be detected in the urine for up to 7 days
14. Which symptoms are associated with the anxious distress DSM specifier for major
depressive disorder?:
Feeling restless, excessive worry
2|Page
, 15. A client is interested in therapies to augment his medication treatment for mild major
depressive disorder. What are appropriate recommendations?:
- Cognitive Behavioral Therapy and exercise three times a week
16. A client presents with ataxia, short-term memory loss, and nystagmus. The client has a
history of prolonged, heavy alcohol use. What is the most likely diagnosis?:
Wernicke Encephalopathy
17. _______ diagnosed with major neurocognitive disorder due to Alzheimer's disease. What
pharmacologic therapy would be anticipated?:
Memantine
18. _____presents for treatment following a breakup with her girlfriend. She is dressed in a short
skirt and low-cut blouse. She is very friendly __________dramatically providing intimate details
about several past relationships. The client's presentation is consistent with which personality
disorder?:
Histrionic personality disorder
19. Which statement indicates that a client understands education regarding the treatment
Lithium?: "I should take all my medications as prescribed and get lab work drawn as ordered."
20. A 50-year-old client presents with fatigue and poor motivation to the point that she is
avoiding work. She reports that for the past several weeks she has a poor appetite and sleeps over
14 hours per day. She notes that last month, she felt "much better" had lots of energy, and didn't
need much sleep. She went on several shopping sprees that caused her checking account to be
overdrawn. Which diagnosis is most consistent with the client's symptoms?:
Bipolar I disorder
21. A client with substance use disorder is experiencing cravings and withdrawal symptoms. The
client is currently receiving inpatient therapy. Which is the most appropriate diagnosis?:
Substance use disorder in a controlled environment
22. Which of the following best describes substance use disorder?:
3|Page
Mental Health across the Lifespan Practicum) Questions &
Answers, Latest Update -100% Correct | Grade A -
Chamberlain
1. A client wishing to use medication-assisted treatment for opioid use disorder expresses
concerns that her roommates may try to steal her medication to get high. Which medication is the
most appropriate options for the client?- :
Buprenorphine/Naloxone
2. Which of the following is the best predictor for antisocial personality disorder?:
A diagnosis of conduct disorder at age 13
3. Which of the following is a tool that may be used to screen for any type of substance use
disorder?: SBIRT
4. Which of the following would be included in the treatment plan for a client with antisocial
personality disorder?:
Reward-Based therapy
5. Which description best describes cluster A personality disorders?:
Characterized by odd, eccentric thinking or behavior
6. Which characteristic is most indicative of narcissistic personality disorder?:
Ongoing need for admiration
7. A 25-year-old client presents with irritability, insomnia, and excessive energy. She states she
has felt this way for about a week. Last month, she reports that she felt "really down" and slept
most of the time. She endorses a pattern of "ups and downs" in her mood at least half the time
over the past few years. Which diagnosis is the most consistent with the client's symptoms?- :
Cyclothymia
1|Page
,8. Select an appropriate initial medication choice for a 75-year-old with a new diagnosis of major
depressive disorder.:
Escitalopram 10 mg daily
9. An inpatient client has a CIWA-Ar score of 12. What is the most appropriate action by the
nurse practitioner?:
Prescribe STAT dose of oral Lorazepam and reassess CIWA-Ar every hour
10. A client presents with difficulties following her divorce from an abusive spouse. She states
that she is afraid of being on her own because she is worried that she won't be able to take care of
herself. She is currently living with her sister because she can't decide whether to get an
apartment or buy a house. Though she's only been divorced for a few weeks, she's been on
several dates through a dating website in the hopes of finding another partner soon. The client's
symptoms are consistent with which diagnosis?:
Dependent personality disorder
11. Which of the following are characteristics of borderline personality disorder?:
Tumultuous interpersonal relationships and short-lived psychotic episodes
12. When conducting a cognitive assessment, what does the question "what did you have for
dinner last night" assess?:
Recent memory
13. A client is concerned that he won't pass a urine drug screen at his new job because he used
marijuana three days ago. What is the most appropriate response by the psychiatric mental health
nurse practitioner?:
Marijuana can be detected in the urine for up to 7 days
14. Which symptoms are associated with the anxious distress DSM specifier for major
depressive disorder?:
Feeling restless, excessive worry
2|Page
, 15. A client is interested in therapies to augment his medication treatment for mild major
depressive disorder. What are appropriate recommendations?:
- Cognitive Behavioral Therapy and exercise three times a week
16. A client presents with ataxia, short-term memory loss, and nystagmus. The client has a
history of prolonged, heavy alcohol use. What is the most likely diagnosis?:
Wernicke Encephalopathy
17. _______ diagnosed with major neurocognitive disorder due to Alzheimer's disease. What
pharmacologic therapy would be anticipated?:
Memantine
18. _____presents for treatment following a breakup with her girlfriend. She is dressed in a short
skirt and low-cut blouse. She is very friendly __________dramatically providing intimate details
about several past relationships. The client's presentation is consistent with which personality
disorder?:
Histrionic personality disorder
19. Which statement indicates that a client understands education regarding the treatment
Lithium?: "I should take all my medications as prescribed and get lab work drawn as ordered."
20. A 50-year-old client presents with fatigue and poor motivation to the point that she is
avoiding work. She reports that for the past several weeks she has a poor appetite and sleeps over
14 hours per day. She notes that last month, she felt "much better" had lots of energy, and didn't
need much sleep. She went on several shopping sprees that caused her checking account to be
overdrawn. Which diagnosis is most consistent with the client's symptoms?:
Bipolar I disorder
21. A client with substance use disorder is experiencing cravings and withdrawal symptoms. The
client is currently receiving inpatient therapy. Which is the most appropriate diagnosis?:
Substance use disorder in a controlled environment
22. Which of the following best describes substance use disorder?:
3|Page
