In establishing appointments in an outpatient clinic, the nurse would schedule which situation as highest priority:

A mother brings in an 11 year old child for an initial psychiatric evaluation. The child reports his mood changes when he is reprimanded by mother. The mother is concerned because her child checks homework over and over to be sure it is right and it is often very late before he will calm down enough to put his books away and go to bed. She doesn’t have other complaints about his behavior—he keeps his room in perfect order and helps keep order in the house. He is rigid in routine and must check under his bed five times before he will get in bed. He also must turn the lights off and on six times before he gets into bed. If he “messes up”, he must start the ritual over again. The mother is concerned because it is interfering with his sleep time. He denies hallucinations and developmentally is normal. He has never been prescribed a psychotropic. Based on this, the APRN would be prudent to recommend first line which of the following based on current evidence?

A 9-year-old boy consistently displays a pattern of argumentativeness, defiance, and disobedience toward parents and teachers. He has trouble staying in his seat at school, deliberately annoys others, often loses his temper and often blames his peers and siblings for his mistakes. These behaviors occur across various settings and significantly impact his interpersonal relationships. What is the highest probability diagnosis for the described patterns exhibited in this 9-year-old boy?

During an intake in the ED, a patient with methamphetamine-induced psychosis becomes increasingly agitated and paces with clenched fists. As the PMHNP leading the crisis team, what is the MOST appropriate initial action to prevent escalation?

Which documentation practice by a PMHNP most effectively supports patient safety, continuity of care, and legal risk reduction in psychiatric practice?

A patient recently diagnosed with schizophrenia is being discharged with follow-up care arranged. His family expresses hope that he’ll “make a full recovery in a few months.” What is the PMHNP’s BEST response?

A 9-year-old boy presents to your outpatient psychiatric practice for evaluation of behavior concerns. He is withdrawn, avoids eye contact, and becomes visibly distressed when asked about his home environment. He refuses to change clothes for gym and has a history of recurrent urinary tract infections. His foster parent describes him as “dramatic and dishonest.” What is the MOST appropriate action for the PMHNP?

Restraint and seclusion are considered appropriate treatment interventions when the patient is of imminent risk to harm self or others AND

A 21-year old is involuntarily admitted to an inpatient psychiatric facility after she was found preaching to all those passing by on a busy sidewalk with outside temperatures near freezing. The patient is generally cooperative on the unit, attending groups and showing no inclination toward violence, but she refuses to take any medication saying, “God will heal me, I am sure he will.” She preaches to other patients on the unit, causing some disruption and irritation, which led to concern by staff in her refusal for treatment. A decision is made by staff to medicate the patient against her will, and the family subsequently brought a lawsuit against the clinical team. On what basis is the lawsuit?

Who of the following is considered at high risk if considering ECT?