NR 547 MIDTERM EXAM 2024-2025 ACTUAL
EXAM TEST BANK 200 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS
Terms in this set (224)
The provider's initial hypothesis
-a working list of potential problems that can be
associated with the initial or chief complaint
differential diagnosis
-Diagnostic and Statistical Manual of Mental Disorders
(DSM-5-TR)
• provides guidance for identifying psychiatric diagnoses
, -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?
Psychiatric assessment: -Do you have any allergies to medications?
History taking -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?
Evidence-based screening tools and psychiatric rating
scales
Screening and Psychiatric
-can help the provider identify symptoms and assess
Rating Scales
their severity and can assist with the evaluation of
response to treatment
, A 52-year-old client Provide a brief suicide safety assessment.
presents to the emergency
department following a car Rationale: While the client's responses do not indicate a
accident. The emergency need for a stat full safety and mental health evaluation,
department (ED) physician the client requires a brief suicide safety assessment to
is concerned that the client determine whether a full mental health evaluation in
may have intentionally necessary. It is also important to notify the client's
crashed her car and physician or the clinician responsible for the client's care.
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.
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