The PMHNP is working in the emergency room and has been asked to evaluate a 34 year old male with a 12 year history of drinking 6-24 beers a day, who was brought in by wife. His wife stated “When I got home from work he was acting crazy, didn’t know where he was and said he couldn’t focus. He stopped drinking cold turkey 2 days ago and hasn’t eaten a thing since”. Administering 100mg of thiamine IM or IV prior to giving any fluids or food with caloric value will prevent the emergence of which of the following?

You are seeing a patient, with a diagnosis of schizophrenia that states that he does not experience any pleasure in her life. You chart this as:

An 87-year-old male is diagnosed with Alzheimer’s dementia after negative laboratory and imaging workups for dementia. He’s prescribed donepezil by his geriatrician. Which side effect should this patient be counseled about?

You are seeing a patient that states that the government is plotting against him and that he feels his phone is being recording. Based on this information, the patient is experiencing:

You are treating a patient that quit heroin and pain pills x 5 weeks ago. He reports that he is still having trouble sleeping, always switching from hot to cold, and a strong craving to opiates. He asks you how long these symptoms will persist. The best answer is:

You are treating a patient that has chronic suicidal thoughts. Which of the following medications can reduce suicidality in patients with mood disorders?

You are treating a patient with major depressive disorder. You decide to prescribe a trial of sertraline. Which of the following should you inform the patient before initiating treatment?

Buprenorphine/naloxone makes diversion and abuse more difficult. What is the mechanism by which it achieves this effect?

You are treating a patient that has OCD, bulimia nervosa, and panic disorder with fluoxetine. Which of the following is a common side effect of this medication?

You receive an “after-hour” emergency call from a patient’s family, who has a history of alcoholism has missed his last two appointments.  The family reports that the patient agitated, seeing and hearing things, and is very disorientated. The patient’s wife reports that the patient’s last drink was 3 days ago. What do you suspect is going on with this patient?