NR547 Midterm Exam Questions with Complete Solutions (Latest 2025) The provider's initial hypothesis -a working list of potential problems that can be associated with the initial or chief complaint -Diagnostic and Statistical Manual of Mental Disorders (DSM- 5-TR) • provides guidance for identifying psychiatric diagnoses - Correct Answers ✅differential diagnosis -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? 1 / 4
NR547 Midterm Exam Questions with Complete Solutions (Latest 2025) -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?Family Psychiatric History -Has any relative of yours ever been hospitalized for a mental health issue?-Has any blood relative of yours ever be - Correct Answers
✅Psychiatric assessment: History taking
Evidence-based screening tools and psychiatric rating scales -can help the provider identify symptoms and assess their severity and can assist with the evaluation of response to treatment - Correct Answers ✅Screening and Psychiatric Rating Scales 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 2 / 4
NR547 Midterm Exam Questions with Complete Solutions (Latest 2025) important to notify the client's physician or the clinician responsible for the client's care. - Correct Answers ✅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?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 tests and labs are most used to rule out physical conditions that may cause psychiatric symptoms and to evaluate the effects of treatment - Correct Answers ✅Diagnostic Testing when diagnosing mental health disorders 3 / 4
NR547 Midterm Exam Questions with Complete Solutions (Latest 2025) Complete Blood Count Comprehensive Metabolic Panel (CMP) Thyroid Function Tests Vitamin B12 Level Vitamin D Level Toxicology Screen Urinalysis (UA) - Correct Answers ✅Basic Laboratory Interpretation -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%
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