NR 547 Differential Dx Midterm Verified
Multiple Choice and Conceptual Actual
Emended Exam Questions With Reviewed 100%
Correct Detailed Answers
Guaranteed Pass!!Current Update
Q1. The initial step in forming a differential diagnosis in psychiatry is to:
A. Prescribe a trial of medication
B. Rule out malingering and factitious disorder
C. Perform neuroimaging immediately
D. Ask about family psychiatric history
Answer: B
Rationale: DSM-5-TR recommends ruling out malingering and factitious disorder
before assigning a psychiatric diagnosis.
2. 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
3. Which question best assesses the history of present illness in psychiatric
evaluation?
A. “Who do you live with?”
B. “How long have you been experiencing these symptoms?”
C. “Have you ever taken psychiatric medication?”
D. “What is your occupation?”
Answer: B
Rationale: Duration of symptoms is essential for DSM-5-TR diagnostic criteria.
4. During psychiatric history taking, asking “Have you ever been hospitalized for
mental health issues?” assesses:
A. Social history
B. Past psychiatric history
C. Medical history
D. Developmental history
Answer: B
Rationale: Hospitalizations indicate severity and recurrence risk.
4. When eliciting family psychiatric history, which question is most relevant?
A. “Has any blood relative been diagnosed with a mental health disorder?”
B. “Did your parents complete college?”
C. “Do you live near your relatives?”
D. “What hobbies does your family enjoy?”
Answer: A
Rationale: Family psychiatric history assesses genetic predisposition.
,5. The ASQ (Ask Suicide-Screening Questions) consists of how many core
questions?
A. 2
B. 4
C. 6
D. 10
Answer: B
Rationale: The ASQ includes 4 yes/no screening questions.
6. A patient answers “yes” to “Have you wished you were dead in the past few
weeks?” but denies a plan. Next step?
A. Discharge with reassurance
B. Perform a Brief Suicide Safety Assessment (BSSA)
C. Start antidepressants immediately
D. No further evaluation
Answer: B
Rationale: Any positive ASQ requires a BSSA to determine risk.
7. Which factor is the strongest predictor of future suicide attempt?
A. Current hopelessness
B. Past suicide attempt
C. Family conflict
D. Alcohol use
Answer: B
Rationale: A history of suicide attempt is the strongest predictor of future
attempts.
, 8. 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?
9. 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?
10. 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?
11. 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?
Multiple Choice and Conceptual Actual
Emended Exam Questions With Reviewed 100%
Correct Detailed Answers
Guaranteed Pass!!Current Update
Q1. The initial step in forming a differential diagnosis in psychiatry is to:
A. Prescribe a trial of medication
B. Rule out malingering and factitious disorder
C. Perform neuroimaging immediately
D. Ask about family psychiatric history
Answer: B
Rationale: DSM-5-TR recommends ruling out malingering and factitious disorder
before assigning a psychiatric diagnosis.
2. 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
3. Which question best assesses the history of present illness in psychiatric
evaluation?
A. “Who do you live with?”
B. “How long have you been experiencing these symptoms?”
C. “Have you ever taken psychiatric medication?”
D. “What is your occupation?”
Answer: B
Rationale: Duration of symptoms is essential for DSM-5-TR diagnostic criteria.
4. During psychiatric history taking, asking “Have you ever been hospitalized for
mental health issues?” assesses:
A. Social history
B. Past psychiatric history
C. Medical history
D. Developmental history
Answer: B
Rationale: Hospitalizations indicate severity and recurrence risk.
4. When eliciting family psychiatric history, which question is most relevant?
A. “Has any blood relative been diagnosed with a mental health disorder?”
B. “Did your parents complete college?”
C. “Do you live near your relatives?”
D. “What hobbies does your family enjoy?”
Answer: A
Rationale: Family psychiatric history assesses genetic predisposition.
,5. The ASQ (Ask Suicide-Screening Questions) consists of how many core
questions?
A. 2
B. 4
C. 6
D. 10
Answer: B
Rationale: The ASQ includes 4 yes/no screening questions.
6. A patient answers “yes” to “Have you wished you were dead in the past few
weeks?” but denies a plan. Next step?
A. Discharge with reassurance
B. Perform a Brief Suicide Safety Assessment (BSSA)
C. Start antidepressants immediately
D. No further evaluation
Answer: B
Rationale: Any positive ASQ requires a BSSA to determine risk.
7. Which factor is the strongest predictor of future suicide attempt?
A. Current hopelessness
B. Past suicide attempt
C. Family conflict
D. Alcohol use
Answer: B
Rationale: A history of suicide attempt is the strongest predictor of future
attempts.
, 8. 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?
9. 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?
10. 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?
11. 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?
