A 37-year-old male hospitalized for chest pain reports drink…
A 37-year-old male hospitalized for chest pain reports drinking nearly a fifth of bourbon daily. He says, “I know the drinking is bad. I’ve tried to quit so many times, but every time I get the shakes and feel worse. I don’t know if I can do it.”As the psychiatric mental health nurse practitioner, which of the following is the most appropriate motivational interviewing response?
Read DetailsA 54-year-old male with a history of alcohol use disorder pr…
A 54-year-old male with a history of alcohol use disorder presents to the emergency department 10 hours after his last drink. He appears anxious, diaphoretic, and reports tremors and nausea. The nurse documents a Clinical Institute Withdrawal Assessment–Alcohol Revised (CIWA-Ar) score of 18. Which of the following best describes the clinical significance of the CIWA-Ar score in this scenario?
Read DetailsThe nurse practitioner receives a call from a patient with s…
The nurse practitioner receives a call from a patient with schizophrenia who has taken clozapine (Clozaril) 400 mg daily for over a year. The patient reports feeling physically ill, including malaise, sore throat, and fever. The nurse practitioner orders a complete blood count stat to rule out agranulocytosis. The result is an absolute neutrophil count (ANC)
Read DetailsA 38-year-old female presents with auditory hallucinations a…
A 38-year-old female presents with auditory hallucinations and disorganized behavior that has been evident for at least three months causing much concern for her significant other. The patient returns for a follow up visit in three weeks. Her thinking is organized and hallucinations are denied. There is no evidence of psychotic symptoms. Both she and her partner outline symptoms of continued mood disturbance, including low energy, low appetite, low motivation, frequent crying episodes and no interest in doing things she previously enjoyed. Which diagnosis best explains her presentation?
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