Trauma-focused interventions for children and adolescents include:

A 58 year old patient seen by the APRN complains a great deal of trouble remaining asleep at night (has multiple awakenings), says she has lost interest in going out with friends, expresses feelings of worthlessness and reports suicidal thoughts. She denies use of alcohol or drugs. She has been intentionally cutting back on food intake, had an 8 pound weight increase over the last month with a current BMI of 26.8. Vital signs are all WNL. She tells the APRN that methylphenidate may help with symptoms because she has taken it in the past to help with focus. Which of the following is essential to obtain in regard to differential diagnoses given the above information?

A 9-year-old child with a history of extensive trauma, including physical abuse and witnessing domestic violence, continues to show some PTSD symptoms and peer difficulties. Despite these challenges, the child demonstrates determination and a positive outlook in working to overcome adversity. What is the most appropriate action for the PMHNP?

A 21-year old female diagnosed with bipolar disorder stopped taking all her medications 6 months ago and is being evaluated because she decompensated and is very depressed. She is actively taking college courses, is involved in a sorority and sexually active insisting that partners use a condom. Vital signs are WNL and BMI is 23.8. Which combination of medication is it most important to avoid in this patient?

A 39-year old patient is brought to the emergency department by his wife complaining of blurred vision, severe headache, nausea and vomiting. They had just come from a restaurant where he ordered caviar as an appetizer and then ate some of his favorite foods such as a fresh salad with swiss cheese and hard salami, chicken smothered in Canadian cheddar and he drank a glass of cabernet sauvignon with dinner. His current medications include selegiline (Emsam) 6 mg every morning and Eskalith (lithium) 450 mg BID to treat a mood disorder. The most likely cause of his symptoms is

You are completing transfer training with your client. You decide to structure your OT session by having your client complete multiple transfers from multiple daily surfaces, without having to master each transfer before moving onto another transfer. This type of practice you are implementing is called what? 

You are an OT and have received orders to evaluate and treat an individual with a head injury. He is several months post injury. He was in rehab previously and received OT, PT, and ST. He lives at home with his parents and has had difficulty adjusting to this injury due to decreased executive functioning skills. Choose the BEST ecologically valid assessment tool that will give you the information as to his functional deficits.

The best evidence for efficacy and improved long term outcomes in treatment of post traumatic stress disorder in children and adolescents is

A 52-year-old Black woman presents to the clinic with uncontrolled type 2 diabetes and early signs of heart disease. She reports difficulty affording medications and healthy food, limited access to transportation, and that she often delays care because of work and family responsibilities. Which statement best identifies how health disparities are contributing to this patient’s situation?

A 24-year-old patient presents with history of gradually worsening headaches. She reports experiencing episodic headaches since adolescence, similar to her mother’s. The headaches typically begin in the morning, are unilateral and throbbing behind the right eye, and are accompanied by nausea and vomiting. Symptoms often persist throughout the day but improve with rest in a dark room. Ibuprofen is effective when taken early.  Recently, the headaches have increased in frequency, occurring two to three times per week and interfering with her work as a paralegal. She expressed concern about job performance and potential job loss.  She has tried yoga and mindfulness-based stress reduction, but her symptoms persist.  She does not smoke tobacco, drink alcohol, or use illicit drugs. She recently discontinued oral contraceptive pills in preparation for pregnancy. Her vital signs and physical exam are unremarkable What is the most appropriate next step in managing this patient?