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Newest 2025 NR 547 Midterm Exam featuring accurate and verified questions covering advanced nursing leadership, systems-based practice, healthcare policy, interprofessional collaboration, and quality improvement strategies. Designed for graduate-level nursing students.
A 52-year-old client presents to the emergency department 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.Based on the 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. Provide a brief suicide safety assessment.Alert the client's primary care physician.Provide a STAT safety and full mental health evaluation. - ANSWER- Provide a brief suicide safety assessment.
Rationale: While the client's responses do not indicate a need
for a stat full safety and mental health evaluation, the client requires a brief
suicide safety assessment to determine whether a full mental health evaluation in necessary. It is also important to notify the client's physician or the clinician responsible for the client's care.
Diagnostic Testing when diagnosing mental health disorders - ANSWER- -Diagnostic tests and labs are most used to rule out physical conditions that may cause psychiatric symptoms and to evaluate the effects of treatment
Basic Laboratory Interpretation - ANSWER- Complete Blood Count Comprehensive Metabolic Panel (CMP) 2 / 4
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Thyroid Function Tests Vitamin B12 Level Vitamin D Level Toxicology Screen Urinalysis (UA)
Basic Laboratory Interpretation: Complete Blood Count -
ANSWER- - 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
RBCs: 4.5-6.0 million/microliter 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% 3 / 4
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Monocytes: 3%-8%
Platelets: 150,000-300,000/microliter
Basic Laboratory Interpretation: Comprehensive Metabolic
Panel (CMP)
- ANSWER- common blood test used to determine general
health status -fluid and electrolyte balance, status of the body's metabolism, liver function, and kidney function -used to monitor the effects of medications, such as antipsychotics, on liver function and glucose levels -rule out medical conditions that could cause symptoms
• Ex: changes in mood or cognition
Sodium (Na+): 136-145 mEq/L Postassium (K+): 3.5-5.0 mEq/L
Chloride (Cl-): 95-105 mEq/L Bicarbonate (HCO3-): 22-28 mEq/L Calcium, serum (Ca 2+) 8.4-10.2 mg/dl Glucose, serum Fasting: 70-110 mg/dl; 2-h postprandial: <120mg/dl Cholesterol, serum: REC<200 mg/dl
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