A female patient with bipolar I disorder is being considered for initiation of lithium therapy. Which baseline laboratory assessment is most appropriate before starting treatment?

During EMDR therapy, a patient has identified the target image, negative cognition, desired positive cognition, associated emotions, and location of distress in the body. Which intervention occurs next in the EMDR process?

Which statement best describes the role of medication in the treatment of dissociative disorders?

Which medication has strong evidence supporting its use in the pharmacologic treatment of posttraumatic stress disorder (PTSD)?

A patient with posttraumatic stress disorder (PTSD) has not experienced symptom improvement after adequate trials of sertraline and paroxetine. Which medication should the PMHNP consider prescribing for the patient’s continued PTSD symptoms?

A patient presents with 6 days of elevated mood, decreased need for sleep, pressured speech, grandiosity, and excessive spending. The patient is hospitalized because of severe impairment in judgement and has developed grandiose delusions. Which diagnosis is most appropriate?

A patient with bipolar disorder is starting lamotrigine. Which strategy is most important for reducing the risk of Stevens-Johnson syndrome?

A PMHNP is assessing a patient with a history of trauma during a therapy session. Which finding best indicates that the patient has moved into the hyperarousal zone?

A 32-year-old patient with schizophrenia has been taking haloperidol for 10 days. During follow-up, he repeatedly gets out of his chair, paces around the examination room, and states, “I feel like I have to keep moving. I can’t sit still.” He denies anxiety or worsening hallucinations. Which intervention is most appropriate?

A 39-year-old patient with schizophrenia continues to experience command auditory hallucinations and persecutory delusions despite adequate trials of two different antipsychotics at therapeutic doses with confirmed adherence. The patient has also made two serious suicide attempts related to psychotic symptoms. Which treatment is most appropriate?