Prior to starting a patient suspected of having bipolar with mania on a mood stabilizer the nurse practitioner orders a thyroid panel to rule out a disorder based on the patient’s symptoms, which include tremor tachycardia profuse sweating and:
Read DetailsYou have diagnosed this patient with depression and anxiety, based on her current symptoms. This patient has a history of suicidal thoughts, and one suicide prior suicide attempt (an overdoes on prescription medications). You are reviewing your orders in preparation of discharging the patient. You would question sending the patient home with a prescription of which of the following medications?
Read DetailsA 73-year-old male presents with depression and low energy for the past month. He has no significant medical issues. Memory and cognition are intact. You prescribe his paroxetine 20mg PO QAM for depression. Two weeks later he is brought into the emergency room by his family with disorientation, nausea and weakness. Which laboratory test is most likely to establish his diagnosis?
Read DetailsA patient tells you they are “fantastic, and great” when you do your morning rounds on the behavioral health unit. However you witness them crying and have a very flat affect. When documenting a MSE (Mental Status Exam), which charting entry would be the most objective and accurate documentation?
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