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NR547 Midterm Exam Questions and Answers 100% Accurate

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NR547 Midterm Exam Questions and Answers 100% AccurateNR547 Midterm Exam Questions and Answers 100% AccurateNR547 Midterm Exam Questions and Answers 100% AccurateNR547 Midterm Exam Questions and Answers 100% Accurate differential diagnosis - ANSWER-The provider's initial hypothesis -a working lis...

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  • October 11, 2024
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NursingTutor1
NR547 Midterm Exam Questions

and Answers 100% Accurate


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?

-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?




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.




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)

, 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




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

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