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NR 547 Differential Dx Midterm /187 Questions And Answers (A+)
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NR 547 Differential Dx Midterm 2023-2024 /187Questions And Answers (A+)
Quiz :Differential Dx - √Answer :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. 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
Quiz :History of Present Illness - √Answer :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?
Quiz :The Psychiatric History - √Answer :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?
Quiz :Medical History/Screening for General Medical Conditions -
√Answer :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?
Quiz :Family Psychiatric History - √Answer :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?
Quiz :Social and Developmental History - √Answer :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?
Quiz :Which of the following should be included when providing
client education about medication regimens? Select all that apply. -
√Answer :A)Explain how the medication targets the symptoms,
specific benefits, and expected time course. (Correct answer)
B)Identify potential side effects, duration of side effects, and adverse
effects. (Correct answer)
C)Explain the instructions, dosing, and special requirements. (Correct
answer)
D)Use teach-back methods to ensure client understanding. (Correct
answer)
Quiz :Apply the Ask Suicide-Screening Questions (ASQ) Suicide
Risk Screening Tool (Links to an external site.) to the scenario below.
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?
A) No action is necessary as the client is not currently considering
suicide.
B)Provide a brief suicide safety assessment.
C)Alert the client's primary care physician.
D)Provide a STAT safety and full mental health evaluation. -
√Answer :B)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.
Quiz :Complete Blood Count - √Answer :The CBC is a serum
diagnostic test that measures red blood cells, white blood cells,
hemoglobin, hematocrit, and platelets. The CBC includes a
differential of the white blood cells. A CBC is often included as part
of routine health screening or to obtain information related to specific
conditions. 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. For example, the CBC can
help rule out anemia as a cause for depressive symptoms and fatigue
or rule out infection as a cause of acute mental status changes. The
CBC is also used to monitor certain treatment regimens. For example,
some medications, such as clozapine, require routine analysis of
absolute neutrophil count and platelet levels.
Quiz :Normal Range of:
Red blood cells
Hemoglobin
Hematocrit
, Reticulocytes - √Answer :Red blood cells: 4.5-6.0 million/microliter
Hemoglobin: 12-18 grams/100 mL
Hematocrit: 38%-48%
Reticulocytes: 0%-1.5%
Quiz :Normal Range of?
White blood cells (total):
Neutrophils:
Eosinophils:
Basophils:
Lymphocytes:
Monocytes:
Platelets: - √Answer :White blood cells (total):
5000-10,000/microliter
Neutrophils: 55%-70%
Eosinophils: 1%-3%
Basophils: 0.5%-1%
Lymphocytes: 20%-35%
Monocytes: 3%-8%
Platelets: 150,000-300,000/microliter
Quiz :Comprehensive Metabolic Panel (CMP) - √Answer :The CMP
is another common blood test used to determine general health status.
The CMP includes several tests that provide information about fluid
and electrolyte balance as well as the status of the body's metabolism,
liver function, and kidney function. In psychiatric care, the CMP may
be used to rule out medical conditions that could cause symptoms
such as changes in mood or cognition. The CMP is also used to
monitor the effects of medications, such as antipsychotics, on liver
function and glucose levels.
Quiz :Normal CMP Levels
Electrolytes
Sodium (Na+):
Postassium (K+):
Chloride (Cl-):
Bicarbonate (HCO3-): - √Answer :Normal CMP Levels
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