The PMHNP is evaluating a 66 year old new a patient referred by a primary care provider with depression who has a history of prolonged QTc.  Which of the following medications is most concerning on the patient’s medication list?

A.R. comes into your outpatient behavioral health clinic for an initial evaluation for anxiety. You note during the physical exam he has tremulousness, diaphoresis, tachycardia and BP 167/98. He states he has not been feeling well and is “anxious”. He also states he needs something “new” for his anxiety because it is “so bad because I have a lot of stress”. You pull the OARRS report, Ohio’s prescription monitoring program, which indicates that another provider gave him Xanax 1 mg tabs #60 ten days ago. The quantity of 60 was meant to be a 30 day supply per OARRS.  When A. R. is questioned about this, he states he has been out of the Xanax for 2 days and insists that he was given only 10 tabs and the report is an error. His voice begins to get loud and he clutches at his chest. He says the stress of having to explain this to you is giving him chest pain. What is the most appropriate action to take next?

Refer to information from the previous question. As you are reviewing Jane’s psychiatric history, she reports she was previously treated with an anti-depressant/anxiolytic that she took at night. She stopped taking it after a month as it made her too sleepy, caused weight gain, and negatively impacted her sexual health. Which medication is most likely?

Which of the following is correct regarding the patient’s arterial blood gas reading?  pH 7.6, PaCO2 25, HCO3- 24, PaO2 89

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: