A patient with recurrent depressive episodes is started on a…
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?
Read DetailsA patient with bipolar I disorder is currently experiencing…
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?
Read DetailsA patient with posttraumatic stress disorder (PTSD) has not…
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?
Read DetailsA patient presents with 6 days of elevated mood, decreased n…
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?
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