NR 547 Differential Dx Midterm EXAM
comprehensive questions | FREQUENTLY MOST
TESTED QUESTIONS AND VERIFIED
SOLUTIONS/GET IT 100% ACCURATE!!
Save
Terms in this set (187)
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.
Differential Dx
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
, How long have you been feeling this way?
Did something happen in your life that may have
History of Present Illness
triggered these emotions?
How is this current situation impacting your life?
Have you ever been hospitalized for any mental
health issues?
Have you ever had counseling or psychotherapy?
The Psychiatric History Have you ever taken medications for your mental
health in the past?
Are you currently on any medications for mental
health or sleep?
Do you have a primary care provider?
Do you have any medical illnesses?
Medical History/Screening Are you currently taking any medications or herbal
for General Medical supplements?
Conditions Do you have any allergies to medications?
Have you ever been hospitalized for any reason?
Have you ever had surgery?
Has any relative of yours ever been hospitalized for a
mental health issue?
Has any blood relative of yours ever been diagnosed
Family Psychiatric History
with a mental health issue?
Has any blood relative of yours had a history of
seizures or dementia/Alzheimer's?
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?
Social and Developmental How do you support yourself with your finances?
History 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?
, A)Explain how the medication targets the symptoms,
specific benefits, and expected time course. (Correct
Which of the following
answer)
should be included when
B)Identify potential side effects, duration of side
providing client education
effects, and adverse effects. (Correct answer)
about medication
C)Explain the instructions, dosing, and special
regimens? Select all that
requirements. (Correct answer)
apply.
D)Use teach-back methods to ensure client
understanding. (Correct answer)
, Apply the Ask Suicide- B)Provide a brief suicide safety assessment.
Screening Questions
(ASQ) Suicide Risk Rationale: While the client's responses do not indicate
Screening Tool (Links to an a need for a stat full safety and mental health
external site.) to the evaluation, the client requires a brief suicide safety
scenario below. assessment to determine whether a full mental health
A 52-year-old client evaluation in necessary. It is also important to notify
presents to the the client's physician or the clinician responsible for
emergency department the client's care.
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.
comprehensive questions | FREQUENTLY MOST
TESTED QUESTIONS AND VERIFIED
SOLUTIONS/GET IT 100% ACCURATE!!
Save
Terms in this set (187)
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.
Differential Dx
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
, How long have you been feeling this way?
Did something happen in your life that may have
History of Present Illness
triggered these emotions?
How is this current situation impacting your life?
Have you ever been hospitalized for any mental
health issues?
Have you ever had counseling or psychotherapy?
The Psychiatric History Have you ever taken medications for your mental
health in the past?
Are you currently on any medications for mental
health or sleep?
Do you have a primary care provider?
Do you have any medical illnesses?
Medical History/Screening Are you currently taking any medications or herbal
for General Medical supplements?
Conditions Do you have any allergies to medications?
Have you ever been hospitalized for any reason?
Have you ever had surgery?
Has any relative of yours ever been hospitalized for a
mental health issue?
Has any blood relative of yours ever been diagnosed
Family Psychiatric History
with a mental health issue?
Has any blood relative of yours had a history of
seizures or dementia/Alzheimer's?
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?
Social and Developmental How do you support yourself with your finances?
History 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?
, A)Explain how the medication targets the symptoms,
specific benefits, and expected time course. (Correct
Which of the following
answer)
should be included when
B)Identify potential side effects, duration of side
providing client education
effects, and adverse effects. (Correct answer)
about medication
C)Explain the instructions, dosing, and special
regimens? Select all that
requirements. (Correct answer)
apply.
D)Use teach-back methods to ensure client
understanding. (Correct answer)
, Apply the Ask Suicide- B)Provide a brief suicide safety assessment.
Screening Questions
(ASQ) Suicide Risk Rationale: While the client's responses do not indicate
Screening Tool (Links to an a need for a stat full safety and mental health
external site.) to the evaluation, the client requires a brief suicide safety
scenario below. assessment to determine whether a full mental health
A 52-year-old client evaluation in necessary. It is also important to notify
presents to the the client's physician or the clinician responsible for
emergency department the client's care.
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.
