A patient with bipolar I disorder is prescribed lithium. Which statement by the patient indicates an accurate understanding of lithium-related psychoeducation?

A patient with recurrent depressive episodes is started on an antidepressant. Two weeks later, the patient develops elevated mood, decreased need for sleep, pressured speech, grandiosity, and increased goal-directed activity. The symptoms persist after the antidepressant is discontinued. Which finding is most significant for the PMHNP when determining the diagnosis?

A patient with bipolar I disorder is currently experiencing a manic episode. In addition to elevated mood, increased energy, decreased need for sleep, and pressured speech, the patient has persistent sadness, loss of interest, fatigue, and recurrent thoughts of death during most days of the episode. Which specifier is most appropriate?

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?