NR 547 Differential Dx Midterm Latest Update

NR 547 Differential Dx Midterm Latest Update

• 190 Questions with 100%

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2 dones and a rone - CORRECT ANSWER: 2 dones and a rone

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.

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?

daily weekly every 2 weeks (

monthly - CORRECT ANSWER: every 2 weeks (Correct answer)

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).

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 - CORRECT ANSWER: 1.Summarize the history and findings

2.Narrow the differential diagnosis to two or three possibilities 3.Analyze the differential by comparing and contrasting the possibilities 1 / 4

4.Probe the preceptor by asking questions about alternative approaches or uncertainties 5.Plan the management of the client's health issues 6.Select an issue from the case for self-directed learning

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 - CORRECT ANSWER: 3, 6

Adjustment Disorder with Anxiety - CORRECT ANSWER: 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.

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.

Adjustment Disorder with Anxiety examples - CORRECT ANSWER: Examples of

common stressors include loss of employment, getting married, a new disability, or a natural disaster.

Affective symptoms of schizophrenia - CORRECT ANSWER: Depression

Anxiety Suicidality

Agoraphobia - CORRECT ANSWER: involves intense fear, anxiety, or panic out of

proportion to the situation that occurs in two or more of the following specific scenarios: public transportation (bus) open spaces (parking lot or bridge) enclosed spaces (store, theater) 2 / 4

standing in a crowd or line (crowd) being outside of their home

Alogia - CORRECT ANSWER: A decrease in speech or speech content; a symptom of

schizophrenia. Also known as poverty of speech.

Amotivation - CORRECT ANSWER: Describes when someone is not motivated to

engage in an activity or behavior.

Anhedonia - CORRECT ANSWER: inability to experience pleasure

Anosognosia - CORRECT ANSWER: A patient's inability to realize that he or she is ill, which is caused by the illness itself.

Anxiety is usually comorbid with? - CORRECT ANSWER: Depression, COPD, asthma,

and diabetes

Anxiolytic agents? - CORRECT ANSWER: Buspirone

Anxiolytic Pros vs Cons - CORRECT ANSWER: PROS: ↓ adverse effects ↓ drug interactions CONS limited effectiveness

Anxiolytic time to efficacy? - CORRECT ANSWER: 2-4 weeks

Apply the Ask Suicide-Screening Questions (ASQ) Suicide Risk Screening Tool (Links to an external site.) to the scenario below. 3 / 4

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.Based on the client's ASQ score, what is the most appropriate response?

• No action is necessary as the client is not - CORRECT 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.

aripiprazole (Ability) - CORRECT ANSWER: Atypical antipsychotics

Indication: FDA approved for schizophrenia ages 13 and older

Risk:

Low metabolic risk Low risk for weight gain Low risk for orthostatic hypotension

asenapine (Saphris) - CORRECT ANSWER: Atypical antipsychotics

Indication: FDA approved for schizophrenia ages 10 and older

Special Comments: Available in sublingual and transdermal patch

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