Midterm Exam: NR 547 NR547

Midterm Exam: NR 547 / NR547

(Latest Update 2025 / 2026) Differential Diagnosis in Psychiatric- Mental Health across the Lifespan Practicum | Questions and Answers | 100% Correct | Grade A - Chamberlain

Question:

Which of the following medications may increase the risk for suicide in children and adolescents? Select all that apply.

• fluvoxamine
• fluoxetine
• sertraline
• venlafaxine
• citalopram

Answer:

fluvoxamine (Correct answer) fluoxetine (Correct answer) sertraline (Correct answer) venlafaxine (Correct answer) 1 / 4

citalopram (Correct answer)

Rationale: The United States Food and Drug Administration (FDA) issued a

black box warning for nine antidepressants related to an increased risk of suicide in children and adolescents. The medications include citalopram, fluvoxamine, paroxetine, fluoxetine, sertraline, venlafaxine, mirtazapine, nefazodone, and bupropion.

Question:

Obsessions:

Answer:

Did I forget to turn the stove off?" Fear of germs Continued thoughts of harming another person

Question:

Compulsions

Answer:

Checking the lock on the door multiple times Taking several hours to eat a meal Counting Repetitive prayers 2 / 4

Question:

Obsessive-Compulsive Disorder

Answer:

Clients with obsessive-compulsive disorder may experience obsessions, compulsions, or both. Typically, clients with obsessions or compulsions recognize that the thoughts and behaviors are excessive or irrational. Clients may feel the need to control their thoughts and place high importance on perfectionism (American Psychiatric Association [APA], 2022). OCD is most often diagnosed by age 35. Adverse childhood events are associated with an increased risk of developing OCD (APA, 2022). Clients who have OCD may have difficulty maintaining relationships or employment.

Question:

Trichotillomania

Answer:

Hair-pulling disorder, or trichotillomania, involves the client pulling out hair on their scalp, eyebrows, eyelids, or any other area where hair grows. Clients who have trichotillomania may pull their hair intermittently or for hours at a time (APA, 2022). Clients typically experience distress due to hair pulling and may avoid social or occupational opportunities due to embarrassment. Many clients develop patterns or rituals related to hair pulling, such as pulling only one color of hair or biting the hair upon removal (APA, 2022).Trichotillomania is ten times more common in females and often begins as the client enters puberty (APA, 2022).

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Question:

Excoriation

Answer:

Excoriation involves a client picking at their skin. Clients may pick at pimples, scabs, or healthy skin (APA, 2022). Clients may pick with their fingernails or with a tool and spend a significant amount of time picking (APA, 2022). Skin picking is more common in women than men and often begins with puberty.

Question:

Yale-Brown Obsessive Compulsive Scale (Y-BOCS)Links to an external site.

Answer:

to screen for OCD.

Question:

Generalized Anxiety Disorder (GAD)

Answer:

According to the National Institute of Mental Health (NIMH, n.d.a), approximately 3% of the population of the United States has experienced GAD in the past year. Approximately 6% of U.S. adults will experience GAD at some point in their lifetime. GAD is twice as common in women as in men (NIMH, n.d.a).GAD is characterized by persistent, uncontrollable worry about ordinary, everyday situations. Functional neuroimaging studies of GAD show increased activation of the amygdala and reduced activation in the prefrontal cortex,

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