In the assessment of pediatric depression, which of the following symptoms is more common in children compared to adults?

You are newly seeing a 39-year-old Native American male (Benny) who has a history of alcohol use disorder, severe, and he’s been sober for about 18 hours, since being admitted to the detox facility over the weekend. He has diabetes, chronic pain from a disc injury, obesity, and he abuses no other substances.  He is terrified he will relapse and continue to use, even after he completes the anticipated detoxification and residential rehabilitation for 14 days.  He asks, “I just need a medication that will stop me from drinking.”  What is the most appropriate response?

Dialectical Behavioral Therapy (DBT) assumptions include all of the following EXCEPT:

O is a 25 year old, obese trans male referred to your office by their PCP for a mental health referral for top surgery. When discussing expected outcomes from top surgery, O reports that “everything will get better” after top surgery. What is the best response for the APRN-PMHNP to provide?

A patient has been taking escitalopram (Lexapro) 10 mg daily for four weeks. Initially, the patient reported depression and suicidal thoughts. The patient’s sleep, appetite, energy, and appearance have now begun to improve. Which statement applies to this patient?

Which of the following patient scenarios carries the highest risk for suicide:

You are the PMHNP performing consults in the emergency department. You get a call to see an emergency department patient who was brought in by the police when he was found wandering around the neighborhood at 2 am without any clothes on in winter. His toxicology screen is positive for fentanyl and cocaine, negative for alcohol and other substances. By the time you get to the emergency department, you are told that the patient has eloped after telling staff that he doesn’t need any help with his drug use and that it’s not a problem. What stage of change is this patient exhibiting (per the Transtheoretical Model of Change)?

A patient has generalized anxiety disorder and wants to try complementary therapy in addition to medication. The complementary therapy that is most likely to provide some relief of symptoms is:

The PMHNP has been working with a 31 year old male patient for about six months. Today, the patient endorses suicidal ideation without intent or plan, and shares that these feelings have been present for about a year and they come and go. He cannot identify any particular stressor associated with the feelings. This patient denies past suicide attempts. The PMHNP completes the Columbia-Suicide Severity Rating Scale, and the patient rates as low risk. What is the most likely next step based on this information? 

A 14-year-old experiencing passive suicidal ideation without a plan or intent should first be: