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NR 547 Differential Dx Midterm Exam Questions and Verified Answers 2024 $11.49   Add to cart

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NR 547 Differential Dx Midterm Exam Questions and Verified Answers 2024

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NR 547 Differential Dx Midterm Exam Questions and Verified Answers 2024 Differential Dx - answerDiagnostic 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 critic...

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  • October 18, 2024
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  • NR 547
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©SIRJOEL EXAM SOLUTIONS
10/11/2024 1:41 PM



NR 547 Differential Dx Midterm Exam
Questions and Verified Answers 2024


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


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?


The Psychiatric History - answer✔Have you ever been hospitalized for any mental health issues?

, ©SIRJOEL EXAM SOLUTIONS
10/11/2024 1:41 PM


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 - 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?


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?


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?

, ©SIRJOEL EXAM SOLUTIONS
10/11/2024 1:41 PM


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?

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)

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.

, ©SIRJOEL EXAM SOLUTIONS
10/11/2024 1:41 PM


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 - 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.


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.

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