A 17 year old male is attending his post hospital discharge…
A 17 year old male is attending his post hospital discharge appointment where he was diagnosed with early onset schizophrenia after a first episode psychotic event. He has been taking risperidone 4 mg by mouth QHS. Which of the following is the top priority during this first encounter with the PMHNP?
Read DetailsYou are the PMHNP who is seeing a new patient for symptoms o…
You are the PMHNP who is seeing a new patient for symptoms of depression. There are no identifying triggers for the symptoms. According to the DSM-5, you know that in order to diagnose Major depressive disorder (MDD), one of the following 2 symptoms have to be present:
Read DetailsA 10-year-old boy who had been prescribed fluoxetine (Prozac…
A 10-year-old boy who had been prescribed fluoxetine (Prozac) for major depressive disorder presents to the psychiatric emergency department for running in to the street in front of a car on the way home from school. In the ED, he has been selectively mute, but the PMHNP was able to elicit his desire to be dead. He has been medically cleared. Which of the following symptoms often are endorsed or observed for children with MDD compared to adults
Read DetailsA 44-year-old female patient was told by her spouse 1 week a…
A 44-year-old female patient was told by her spouse 1 week ago that they wanted to get divorced. They have 3 small children together. The patient present to you as the PMHNP with symptoms of depression and anxiety; however, do not meet full criteria for major depressive disorder or generalized anxiety disorder and have no mental health history. Which of the following is the most likely diagnosis?
Read DetailsA 22-year-old college graduate admits he has been sleeping m…
A 22-year-old college graduate admits he has been sleeping more than usual for the past month, sometimes up to 14 hours a night. However, he still feels significantly fatigued throughout his normal waking hours. He has no romantic relationships in his life, and his appetite has decreased, resulting in a 10 lb weight loss over the past month. When asked about his weight loss, he says that sometimes making the decision on what to eat is difficult. He also recently quit his band, saying that he is no longer interested in drumming. He denies recent triggers. Which of the following issues is this patient most likely experiencing?
Read DetailsA patient has experienced 2 severe depressive episodes that…
A patient has experienced 2 severe depressive episodes that lasted 4 and 6 weeks, during which he had decreased energy, loss of appetite, insomnia and suicidal ideation. The patient also had one hypomanic episode that lasted about 5 days. None of these episodes required hospitalization. The PMHNP knows these symptoms are consistent with:
Read DetailsA 59-year-old man has been seeing the PMHNP for treatment of…
A 59-year-old man has been seeing the PMHNP for treatment of schizophrenia. He was first diagnosed when he was 21 years old. He remains medication adherent. In getting to know the patient, it is revealed that he has very few social interactions, prefers to be alone, and has never had a romantic interest or desire to pursue one. Which type of symptoms is pervasive in this clinical presentation?
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