{"id":127219,"date":"2023-11-26T10:26:58","date_gmt":"2023-11-26T10:26:58","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=127219"},"modified":"2023-11-26T10:27:00","modified_gmt":"2023-11-26T10:27:00","slug":"final-exam-nr547-nr-547-latest-2023-2024-differential-diagnosis-in-psychiatric-mental-health-across-the-lifespan-practicum-exam-review-weeks-5-8-covered-complete-guide-with-questions-and-verifi","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/11\/26\/final-exam-nr547-nr-547-latest-2023-2024-differential-diagnosis-in-psychiatric-mental-health-across-the-lifespan-practicum-exam-review-weeks-5-8-covered-complete-guide-with-questions-and-verifi\/","title":{"rendered":"Final Exam: NR547\/ NR 547 (Latest 2023\/ 2024) Differential Diagnosis in Psychiatric-Mental Health Across the Lifespan Practicum Exam Review| Weeks 5-8 Covered| Complete Guide with Questions and Verified Answers- Chamberlain"},"content":{"rendered":"\n<p>Final Exam: NR547\/ NR 547 (Latest 2023\/ 2024) Differential Diagnosis in Psychiatric-Mental Health Across the Lifespan Practicum Exam Review| Weeks 5-8 Covered| Complete Guide with Questions and Verified Answers- Chamberlain<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><a href=\"https:\/\/learnexams.com\/search\/study?query=\" target=\"_blank\" rel=\"noopener\"><img decoding=\"async\" src=\"https:\/\/learnexams.com\/blog\/wp-content\/uploads\/2023\/11\/download-2023-11-26T132546.863-725x1024.png\" alt=\"\" class=\"wp-image-127220\"\/><\/a><\/figure>\n\n\n\n<p>Final Exam: NR547\/ NR 547 (Latest 2023\/ 2024) Differential<br>Diagnosis in Psychiatric-Mental Health Across the Lifespan<br>Practicum Exam Review| Weeks 5-8 Covered| Complete<br>Guide with Questions and Verified Answers- Chamberlain<br>Q: Suicide in the U.S.<br>Answer:<br>-Approximately 2\/3 of clients with depression contemplate suicide<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>10-15% die by suicide<br>-Suicide is the second leading cause of death between the ages of 10-24 years<br>-Almost 2 million adolescents attempt suicide each year<br>-One in four older adults suicide attempts are fatal<br>-One in 200 adolescent suicide attempts are fatal<br>-Conversations about suicidal ideation are critical<\/li>\n\n\n\n<li>Screening tools such as the National Institutes of Health (NIH) Ask Suicide-Screening<br>Questions (ASQ) are helpful resources to support these conversations.<br>Q: Risk factors for suicide:<br>Answer:<br>-family history of suicide<br>-history of depression<br>-drug and alcohol use<br>-history of school difficulties<br>-high achiever<br>-anxiety<br>-having been bullied<br>-access to lethal means<br>-exposure to others with previous thoughts or actions of suicide<br>-incarceration<br>-traumatic life events or relationship issues<br>-identifying as LGBTQ+<br>-Native American descent<br>Q: Depression Lifespan Considerations: Older Adults<\/li>\n<\/ul>\n\n\n\n<p>Answer:<br>second leading cause of disability after cardiovascular disease<br>-impacts around 7% of the geriatric population<br>-often underreport symptoms of depression<br>-not a normal part of the aging process<br>-Risk factors:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Chronic illness<\/li>\n\n\n\n<li>Disability\/ loss of mobility<\/li>\n\n\n\n<li>Change in living situation<\/li>\n\n\n\n<li>Role transitions<\/li>\n\n\n\n<li>Loss of independence<\/li>\n\n\n\n<li>Bereavement<\/li>\n\n\n\n<li>Economic hardships<br>Q: Depression Lifespan Considerations: Older Adults, pertinent information for an interview<br>Answer:<br>-socialization, including recent changes or loss<br>-ability to complete activities of daily living (ADLs)<br>-typical physical activity<br>-appetite changes<br>-weight loss or gain<br>-psychotic symptoms<br>-suicidal thoughts or ideations<br>Q: Bipolar Lifespan considerations: older adults<br>Answer:<br>Approximately 10% of bipolar cases are diagnosed after the age of 50<br>-mania is more likely to be expressed as agitation or irritability rather than euphoria<br>-more likely to experience mixed episodes<br>-Late-onset bipolar disorder may be difficult to distinguish from dementia<br>Q: Geriatric Depression Scale (GDS)<\/li>\n<\/ul>\n\n\n\n<p>Answer:<br>self-reporting tool that may be used to diagnose and treat depression<br>0-4: No depression<br>No treatment indicated<br>5-8: Mild depression<br>Pharmacologic or psychotherapeutic treatment may be indicated<br>Base treatment on duration of symptoms and functional impairment<br>9-11: Moderate depression<br>Pharmacologic, psychotherapeutic, or combination treatment indicated<br>12-15: Severe depression<br>Pharmacologic, psychotherapeutic, or combination treatment indicated<br>Q: It is important to evaluate <strong><em><strong><em>___<\/em><\/strong><\/em><\/strong> when depression is suspected<br>Answer:<br>cognitive function<br>-Older clients may have associated memory loss, slowed processing, or impaired executive<br>functioning<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Depression is an independent risk factor for dementia<\/li>\n\n\n\n<li>A Mini-Cog or other cognitive screening tool can provide a baseline assessment for clients<br>Q: In clients who have dementia, self-reporting scales, such as the GDS, may be inappropriate.<br>The <strong><em><strong><em>______________________<\/em><\/strong><\/em><\/strong> may be used as an alternative<br>Answer:<br>Cornell Rating Scale for Depression in Dementia<br>Q: goal of treatment for older adults experiencing depression<br>Answer:<br>achieve symptom remission<\/li>\n<\/ul>\n\n\n\n<p>-Options<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>pharmacotherapy<\/li>\n\n\n\n<li>psychotherapy<\/li>\n\n\n\n<li>psychosocial interventions<br>Q: Depression tx for older adult: Pharmacologic<br>Answer:<br>SSRIs &amp; SNRIs<br>-Escitalopram, citalopram, and sertraline have fewer drug-drug interactions than other<br>medications and are appropriate choices for initial therapy in older adults taking multiple<br>medications<br>Q: Depression tx for older adult: Nonpharmacologic<br>Answer:<br>Engagement<br>Social support<br>Exercise<br>Relaxation<br>Q: DIGFAST<br>Answer:<br>mnemonic that may be helpful to assess for bipolar disorder in the clinical setting:<br>Distractibility<br>Impulsivity<br>Grandiosity<br>Flight of ideas<br>Activity level<br>Sleep<br>Talkativeness<br>Powered by <a href=\"https:\/\/learnexams.com\/search\/study?query=\" target=\"_blank\" rel=\"noopener\">https:\/\/learnexams.com\/search\/study?query=<\/a><\/li>\n<\/ul>\n\n\n\n<div data-wp-interactive=\"core\/file\" class=\"wp-block-file\"><object data-wp-bind--hidden=\"!state.hasPdfPreview\" hidden class=\"wp-block-file__embed\" data=\"https:\/\/learnexams.com\/blog\/wp-content\/uploads\/2023\/11\/FINAL-EXAM-NR547-NR-547-LATEST-2023-2024-DIFFERENTIAL-DIAGNOSIS-IN-PSYCHIATRIC-MENTAL-HEALTH-ACROSS-THE-LIFESPAN-PRACTICUM-EXAM-REVIEW-WEEKS-5-8-COVERED-COMPLETE-GUIDE-.pdf\" 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[&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center 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