A child is in the clinic for evaluation of an asthma action…
A child is in the clinic for evaluation of an asthma action plan. The primary care pediatric nurse practitioner (PNP) notes that the child’s last visit was for a pre-kindergarten physical and observes that the child is extremely anxious. What will the nurse practitioner do initially?
Read DetailsA 46-year-old man with Alcohol use disorder presents to a PM…
A 46-year-old man with Alcohol use disorder presents to a PMHNP seeking help to stop drinking. He reports consuming 8–10 beers daily for the past 15 years. He recently completed medically supervised alcohol detoxification and has remained abstinent for 10 days. He denies opioid use. Laboratory studies show mildly elevated liver enzymes but no evidence of acute hepatitis or liver failure. Which of the following medications is FDA-approved to help maintain abstinence and reduce alcohol cravings?
Read DetailsA 50-year-old man with Alcohol use disorder is admitted for…
A 50-year-old man with Alcohol use disorder is admitted for inpatient detoxification after stopping alcohol use abruptly 12 hours ago. The PMHNP explains that the clinical team will use a structured tool to regularly assess withdrawal severity and guide medication dosing. Which of the following best describes the purpose of the CIWA-Ar?
Read DetailsA 30-year-old man with schizophrenia has experienced multip…
A 30-year-old man with schizophrenia has experienced multiple psychiatric hospitalizations related to poor adherence with oral antipsychotic medication. The psychiatric-mental health nurse practitioner recommends transitioning the patient to a long-acting injectable (LAI) second-generation antipsychotic to improve adherence and reduce relapse risk.
Read DetailsA 24-year-old man is brought to the outpatient psychiatric c…
A 24-year-old man is brought to the outpatient psychiatric clinic by his mother because he has become increasingly withdrawn over the past year. He quit his job, rarely leaves his room, and speaks very little during conversations. During the interview, he maintains minimal eye contact and gives brief, delayed responses. He reports hearing “two voices arguing” about him at night and states that the television is sending him secret messages.
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