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Nr 547 Midterm Exam Actual Exam Test Bank 200 Questions And Correct Detailed Answers With Rationales
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Nr 547 Midterm Exam Actual Exam Test Bank 200 Questions And Correct Detailed Answers With Rationales differential diagnosis - Answer️️ -The provider's initial hypothesis -a working list of potential problems that can be associated with the initial or chief complaint -Diagnostic and Statis...

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  • September 18, 2024
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  • 2024/2025
  • Exam (elaborations)
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TITLE: EMILLYCHARLOTTE 2024/2025 ACADEMIC PERIOD
OWNER: EMILLYCHARLOTTE
COPYRIGHT STATEMENT: ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISHED: SEPTEMBER 2024

Nr 547 Midterm Exam 2024-2025 Actual Exam Test Bank 200
Questions And Correct Detailed Answers With Rationales


differential diagnosis - Answer✔️✔️-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

Psychiatric assessment: History taking - Answer✔️✔️--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?

-Do you have any medical illnesses?

,TITLE: EMILLYCHARLOTTE 2024/2025 ACADEMIC PERIOD
OWNER: EMILLYCHARLOTTE
COPYRIGHT STATEMENT: ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISHED: SEPTEMBER 2024
-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 been diagnosed with a mental health issue?

-Has any blood relative of yours had a history of seizures or dementia/Alzheimer's?



Social and Developmental History

-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?

-How do you support yourself with your finances?

-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?

Screening and Psychiatric Rating Scales - Answer✔️✔️-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

,TITLE: EMILLYCHARLOTTE 2024/2025 ACADEMIC PERIOD
OWNER: EMILLYCHARLOTTE
COPYRIGHT STATEMENT: ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISHED: SEPTEMBER 2024
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 - 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.

, TITLE: EMILLYCHARLOTTE 2024/2025 ACADEMIC PERIOD
OWNER: EMILLYCHARLOTTE
COPYRIGHT STATEMENT: ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISHED: SEPTEMBER 2024

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)

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%

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