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NR 547 Differential Diagnosis in Psychiatric-Mental Health Across the Lifespan Practicum
NR 547 Final EXAM 2024/2025 COMPLETE
QUESTION AND ANSWER 100% ACCURATE
FALL-SPRING
Which characteristic is most indicative of narcissistic personality disorder? Ongoing need for admiration A 25-year-old client presents with irritability, insomnia, and excessive energy. She states she has felt this way for about a week. Last month, she reports that she felt "really down" and slept most of the time. She endorses a pattern of "ups and downs" in her mood at least half the time over the past few years. Which diagnosis is the most consistent with the client's symptoms? Cyclothymia Select an appropriate initial medication choice for a 75-year-old with a new diagnosis of major depressive disorder. Escitalopram 10 mg daily An inpatient client has a CIWA-Ar score of 12. What is the most appropriate action by the nurse practitioner? Prescribe STAT dose of oral Lorazepam and reassess CIWA-Ar every hour
NR 547 Differential Diagnosis in Psychiatric-Mental Health Across the Lifespan Practicum A client presents with difficulties following her divorce from an abusive spouse. She states that she is afraid of being on her own because she is worried that she won't be able to take care of herself. She is currently living with her sister because she can't decide whether to get an apartment or buy a house. Though she's only been divorced for a few weeks, she's been on several dates through a dating website in the hopes of finding another partner soon. The client's symptoms are consistent with which diagnosis? Dependent personality disorder Which of the following are characteristics of borderline personality disorder? Tumultuous interpersonal relationships and short-lived psychotic episodes When conducting a cognitive assessment, what does the question "what did you have for dinner last night" assess? Recent memory A client is concerned that he won't pass a urine drug screen at his new job because he used marijuana three days ago. What is the most appropriate response by the psychiatric mental health nurse practitioner? Marijuana can be detected in the urine for up to 7 days Which symptoms are associated with the anxious distress DSM specifier for major depressive disorder?
NR 547 Differential Diagnosis in Psychiatric-Mental Health Across the Lifespan Practicum Which statement indicates that a client understands education regarding the treatment Lithium? “I should take all my medications as prescribed and get lab work drawn as ordered.” A 50-year-old client presents with fatigue and poor motivation to the point that she is avoiding work. She reports that for the past several weeks she has a poor appetite and sleeps over 14 hours per day. She notes that last month, she felt "much better" had lots of energy, and didn't need much sleep. She went on several shopping sprees that caused her checking account to be overdrawn. Which diagnosis is most consistent with the client's symptoms? Bipolar I disorder A client with substance use disorder is experiencing cravings and withdrawal symptoms. The client is currently receiving inpatient therapy. Which is the most appropriate diagnosis? Substance use disorder in a controlled environment Which of the following best describes substance use disorder? Prolonged use and abuse of a substance
NR 547 Differential Diagnosis in Psychiatric-Mental Health Across the Lifespan Practicum An inpatient client has a CIWA-Ar score of 7. What is the most appropriate action by the nurse practitioner? Reassess CIWA-Ar every 4 hours; do not prescribe medication at this time Which client is most likely to experience delirium? A client admitted to the intensive care unit after his hip surgery Which sign is commonly seen in clients experiencing mild alcohol withdrawal? Tremors A client presents to the emergency department with increasing anxiety, dry mouth, and rapid heartbeat about two hours after consuming several marijuana edibles. What is the most likely diagnosis? Cannabis-Induced anxiety disorder
NR 547 Differential Diagnosis in Psychiatric-Mental Health Across the Lifespan Practicum Which of the following is a tool that may be used to screen for any type of substance use disorder? SBIRT Which of the following would be included in the treatment plan for a client with antisocial personality disorder? Reward-Based therapy Which description best describes cluster A personality disorders? Characterized by odd, eccentric thinking or behavior A 17-year-old who presents with symptoms of decreased energy and loss of interest in activities reports that a few weeks ago she went through an episode in which she experienced racing thoughts, easy distractibility, and decreased need for sleep. Which screening tool is most appropriate for the PMHNP to use? Mood disorder questionnaire
NR 547 Differential Diagnosis in Psychiatric-Mental Health Across the Lifespan Practicum A client presents to the emergency department with anxiety, panic, and unpleasant hallucinations after consuming LSD. What is the most appropriate responsibility by the nurse practitioner? Observation in the ED in a quiet, private room A client diagnosed with a personality disorder insists that an uncle has been reincarnated as a puppy. He believes he can communicate with the puppy through mental telepathy. He is always very cautious around mirrors because he fears that he will have bad luck if he breaks one. He has few friends because he is worried, they will try to take his puppy. The client most likely has which type of personality disorder? Schizotypal personality disorder Which symptoms are more likely to be present in a client with bipolar I disorder than in bipolar II disorder? Delusions Which statement is true regarding the treatment of personality disorders? The disorders are difficult to treat and last for decades
NR 547 Differential Diagnosis in Psychiatric-Mental Health Across the Lifespan Practicum A 50-year-old client presents with depressed mood, insomnia, and anhedonia. Her partner of 24 years recently filed for divorce. What is the most appropriate diagnosis for this client? Adjustment disorder with depressed mood The use of which substance may mimic symptoms of depressive disorder? Prednisone What is the primary principle of dementia treatment? Treatment plans should be client-specific to fit the needs of the client and caregivers A 79-year-old client presents with complaints of low mood. Her Geriatric Depression Scale score is a 3. What is the most appropriate treatment at this time? No treatment is indicated A 22-year-old client who met the criteria for major depressive disorder was prescribed amitriptyline 100 mg per day. Which condition in the client's history would contraindicate this prescription as a monotherapy for this client?
NR 547 Differential Diagnosis in Psychiatric-Mental Health Across the Lifespan Practicum A manic or hypomanic episode Which drug class is most likely to be prescribed upon diagnosis of Alzheimer's disease? Cholinesterase inhibitor A client diagnosed with a personality disorder states that he does not trust any of his work colleagues because they constantly "spy on" his work and "verbally attack" him during meetings. He also states that he doesn't trust his wife because she is probably cheating on him with an Amazon deliveryman and is more loyal to their children than to him. Which is the most likely diagnosis? Paranoid Personality disorder How long does an untreated manic episode typically last? Two to Three Weeks Which description best describes Cluster A personality disorder? Characterized by odd, eccentric thinking or behavior
NR 547 Differential Diagnosis in Psychiatric-Mental Health Across the Lifespan Practicum Which action should be included in a treatment plan for a client with borderline personality disorder? coping strategies for self-harm behaviors The nurse practitioner is called to assess a person incarcerated 12 hours ago for possession of an illegal substance. The person is experiencing muscle cramps, diarrhea, watery eyes, tachycardia, and profuse yawning. Withdrawal from which substance is most likely causing the symptoms? Heroin Which diagnosis describes the syndrome characterized by the specific signs and symptoms resulting from ingestion or exposure to a substance? substance intoxication Which finding supports a diagnosis of neurocognitive disorder with Lewy Bodies? presence of hallucinations
NR 547 Differential Diagnosis in Psychiatric-Mental Health Across the Lifespan Practicum What is a primary principle of Dementia treatment? treatment plans should be client-specific to fit the needs of the client and caregivers What is the anticipated outcome for a client with Dementia who had been prescribed Memantine? decreased agitation Inattention and a variable level of consciousness are the hallmark symptoms of which condition? Delirium Which client is the best candidate for electroconvulsive therapy for major depressive disorder? A 29-year-old who continues to experience symptoms of major depressive disorder two months after adding amitriptyline to their daily regimen of paroxetine
