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NR 547 Differential Dx Midterm questions and answers rated A+ 2025/2026
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NR 547 Differential Dx Midterm questions and answers rated A+ 2025/2026
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NR 547 Differential Dx Midterm1. 2 dones and a rone - ANS-2 dones and a rone
2.
3. The dones and rone more potently to the 5HT 2A receptor than to D2 or bine equally
between the 2 receptors. These medications are less sedating and cause less weight
gain, but have a higher risk for hyperprolactinemia and EPS.
4. A client has been on clozapine for 9 months. Absolute neutrophil counts (ANC) have
consistently been less than 1500/microliter? At what frequency should a CBC be drawn?
5.
6. daily
7. weekly
8. every 2 weeks (
9. monthly - ANS-every 2 weeks (Correct answer)
10.
11. Rationale: With a normal baseline ANC, the CBC should be monitored weekly for 6
months; every 2 weeks for months 6-12; and monthly thereafter (Clozapine REMS, 201).
12. A commonly used method is the "SNAPPS" method, which follows a mnemonic
consisting of six steps. This method is often used for client presentations to preceptors.
The six steps includ - ANS-1.Summarize the history and findings
13. 2.Narrow the differential diagnosis to two or three possibilities
14. 3.Analyze the differential by comparing and contrasting the possibilities
15. 4.Probe the preceptor by asking questions about alternative approaches or uncertainties
16. 5.Plan the management of the client's health issues
17. 6.Select an issue from the case for self-directed learning
18. According to NIMH approximately ___% of US adults will experience GAD in the past
year and approximately ____% of the US adults will experience GAD at some point in
their lifetime - ANS-3, 6
19. Adjustment Disorder with Anxiety - ANS-The DSM-5 classifies adjustment disorder as a
trauma- and stressor-related disorder; however, symptoms of adjustment disorder with
anxiety are similar to those found in anxiety disorders. Adjustment disorder with anxiety
presents with nervousness, worry, or jitteriness.
20.
21. Adjustment disorder occurs in the presence of a specific and identifiable stressor. The
distress experienced is out of proportion to the severity of the stressor.
22. Adjustment Disorder with Anxiety examples - ANS-Examples of common stressors
include loss of employment, getting married, a new disability, or a natural disaster.
23. Affective symptoms of schizophrenia - ANS-Depression
24. Anxiety
25. Suicidality
,26. Agoraphobia - ANS-involves intense fear, anxiety, or panic out of proportion to the
situation that occurs in two or more of the following specific scenarios:
27. public transportation (bus)
28. open spaces (parking lot or bridge)
29. enclosed spaces (store, theater)
30. standing in a crowd or line (crowd)
31. being outside of their home
32. Alogia - ANS-A decrease in speech or speech content; a symptom of schizophrenia.
Also known as poverty of speech.
33. Amotivation - ANS-Describes when someone is not motivated to engage in an activity or
behavior.
34. Anhedonia - ANS-inability to experience pleasure
35. Anosognosia - ANS-A patient's inability to realize that he or she is ill, which is caused by
the illness itself.
36. Anxiety is usually comorbid with? - ANS-Depression, COPD, asthma, and diabetes
37. Anxiolytic agents? - ANS-Buspirone
38. Anxiolytic Pros vs Cons - ANS-PROS:
39. ↓ adverse effects
40. ↓ drug interactions
41. CONS
42. limited effectiveness
43. Anxiolytic time to efficacy? - ANS-2-4 weeks
44. Apply the Ask Suicide-Screening Questions (ASQ) Suicide Risk Screening Tool (Links to
an external site.) to the scenario below.
45. 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.
46. Based on the client's ASQ score, what is the most appropriate response?
47. A) No action is necessary as the client is not - ANS-B)Provide a brief suicide safety
assessment.
48.
49. 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.
50. aripiprazole (Ability) - ANS-Atypical antipsychotics
51. Indication: FDA approved for schizophrenia ages 13 and older
52.
, 53. Risk:
54.
55. Low metabolic risk
56. Low risk for weight gain
57. Low risk for orthostatic hypotension
58. asenapine (Saphris) - ANS-Atypical antipsychotics
59. Indication: FDA approved for schizophrenia ages 10 and older
60.
61. Special Comments: Available in sublingual and transdermal patch
62.
63. Risk:
64.
65. Low metabolic risk
66. Asociality - ANS-lack of interest in social interactions
67. At what age does schizophrenia typically first appear? - ANS-25
68. Avolition - ANS-lack of motivation
69. Benzodiazepines Agents - ANS-alprazolam (Xanax)
70. clonazepam (Klonopin)
71. Benzodiazepines Pros vs Cons - ANS-PROS
72. highly effective
73. rapid onset
74. can be used PRN
75. CONS
76. multiple adverse effects
77. fall risk
78. risk of misuse
79. Benzodiazepines time to efficacy? - ANS-Immediate
80. Beth is a 24-year-old who presents with anxiety. Her T3 is 260 ng/dL.
81. A) Begin Treatment
82. B) Refer - ANS-B) Refer
83. Rationale: Clients with hyperthyroidism have elevated T3 levels. Hyperthyroidism is
associated with anxiety symptoms. Client can be reevaluated for anxiety once
hyperthyroid treatment has been initiated and T3 levels are within normal limits.
84. brexpiprazole(Rexulti) - ANS-Atypical antipsychotics
85. Indication: FDA approved for schizophrenia
86.
87. Special Comments: Considered procognitive
88.
89. Risk:
90.
91. Low metabolic risk
92. Brief Psychiatric Rating Scale Links to an external site. - ANS-may be used to assess
clients who present with symptoms of psychosis. The scale consists of 24 categories,
each scored between 1-7. Although interpretation of the BPRS scale varies, scores may
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