The Confusion Assessment Method (CAM) instrument includes four features found to have the greatest ability to distinguish delirium from other types of cognitive impairment. The four features are:

A patient calls your office stating that he is experiencing a rash with some painful blisters, mostly on his lips and in his mouth. He felt mildly flu like a for the last couple of days as well. You look in his record and he was just in the office, where he received a increase in his dose of lamotrigine. What is the best course of action for the PMHNP?

Adam is a 23 year old Asian American male who calls your office to report a rash.  He reports that he is experiencing swelling in his face, has a fever, has purpura on his arms and legs.  He was treated for an infection in the ED with a medication that he can’t remember but it was intravenous and started with a V.   He is currently taking carbamazepine.  The most likely concern with Adam is:

You are treating a 26 year old female patient who is 24 weeks pregnant. She is bipolar and is stable on lurasidone 60mg daily. What third trimester symptoms do you need to consider and discuss with the patient? 

Tracy is a 24-year-old female who had her first hypomanic episode last month and presents to the PMHNP, now with symptoms consistent with major depressive episode. She is sexually active with a male partner and does not have plans to get pregnant, but she is not currently using birth control. First line pharmacotherapy for her would be which of the following:

Frontotemporal dementia (Pick disease) differs from Alzheimer’s disease and Lewy Body dementia in that:

Delirium is most commonly misdiagnosed as which of the following:

All of the following are correct regarding Valproic acid EXCEPT: 

Gerald is a 65-year-old male who is brought in to the ED with acute changes in his behavior, including psychosis.  You have been asked to consult.  He has a history of bipolar I disorder and he takes valproate DR 750 mg PO BID.  His current VPA level is 80.  The ED physician has recommended in-patient monitoring for Gerald.  You would expect the in-patient psychiatrist to:

Which major neurocognitive disorder (dementia) is characterized by a marked changes in personality and behaviors with disinhibition?