You have a 23 year old female that comes into your clinic and was on lamotrigine for bipolar II. She would like to wean off the lamotrigine during her pregnancy while she is monitored for a hypomania. You do wean her off and two months later she comes in and states she is feeling depressed and she has a family member on fluoxetine and she inquires about going on fluoxetine. What is your best response with what you know about her bipolar II diagnosis:

A 16 year old client returns for follow-up appointment 3 weeks after starting on fluoxetine 20 mg daily. During the appointment you notice that her speech is a little rapid, in marked contrast to the psychomotor retardation and paucity of spontaneous speech she displayed on her first visit. Instead of looking at the floor, she now makes normal eye contact. Her affect has one from constricted to expansive. She continues to have difficulty sleeping, but her energy has improved and she states she feels “so much better.” She also has not been eating as much since she feels like she does not have time to eat since she is so much busier now that she is feeling better. What should you conclude about the shift in the client’s presentation?

The practice of medicine is focused on curing illness, while the practice of nursing applies which therapeutic concept?

When thinking about medications that help control the mania phase of bipolar. Which medication is the best option:

You have a 23-year-old patient that you started on lamotrigine for bipolar II depression. Which of the following would be an appropriate initial titration schedule: 

Jim is a 32-year-old male that presents to the clinic on recommendation of his PCP and his family. He has been having periods of expansive and elevated moods. He will believe he has been put on this Earth to solve cancer. During that time period he is working on solving cancer, he is not eating much, sleeping much, starting different projects and feels like his mind is racing. He has had periods like this in his life and he will then lose his job and has had issues with law enforcement. The longest that this has gone on is 8 days but it is very disruptive in his life. His family is with him in the appointment and they are wondering about his diagnosis. What is the most accurate statement that accurately fits this presentation:

Kim is a 45 year old female that presents to the clinic with concerns of mood variability. She has noticed that “nobody wants to be around me during that time of the month.” She is not sure how long this has been going on but notes that it has been happening “throughout the years.” She states that she was on Tik Tok and saw a content creator talk about premenstrual dysphoric disorder (PMDD). To help you better understand her clinical presentation you ask her to monitor her symptoms and track daily ratings for how many menstrual cycles to get a DSM-5-TR diagnosis of PMDD:

The interpersonal relations theory is considered the first nursing theory used to guide psychiatric-mental health nursing. Which theorist developed this theory? 

Peplau defined six roles for the nurse and created four phases of development in the nursing process. According to Peplau, which was the cornerstone of therapeutic work? 

Examine the figure below, and label structures # 1 &2 (4pts extra credit)