A 20-year-old female is admitted to the hospital with severe malnutrition, bradycardia, and electrolyte imbalances. She has a history of restrictive eating, intense fear of weight gain, and distorted body image. The PMHNP assesses the patient’s condition. Which significant medical consequence associated with the disorder she presents with to the hospital is of highest priority?

A 27 year old male presents to the APRN with symptoms of back pain and severe headaches, which he attributes to falling from his roof two months ago. He gives the APRN disability papers to be completed based on his report that pain is so severe, he will not be able to return to active employment. His brother has been sending him monthly checks to help him get through financially until he is able to acquire funding elsewhere. The APRN knows from talking with the patients wife several weeks ago that no such injury actually occurred. This is considered 

A 9-year-old boy exhibiting argumentativeness, defiance, and disobedience is brought in by his mother for an initial psychiatric interview. He is occasionally aggressive and blames others for his problems. In considering pharmacological intervention, the PMHNP recognizes ___________ is FDA approved to treat this disorder.

Partialism is

The APRN sees a 10 year old patient for an initial evaluation. The patient is medication naïve and has exhibited four to five episodes of aggressive impulses during school over the past four months, which led to two out of school suspensions. No injuries occurred but in one instance, a desk was damaged. The patient admits that he blew things out of proportion, says he feels as though he has trouble dealing with his anger, and he “lashes out without really thinking about consequences”. The most appropriate recommendation for treatment based on current evidence is

The APRN sees a 24-year old female for an initial evaluation. The patient is tearful because she cannot lose weight. BMI is 29.2. When asked about eating patterns, it becomes evident that the patient binges at least once a week on foods such as caramels, mints, and marshmallows. She says when these things are around, “I have to eat it until it is gone.” She has felt out of control with these binges for the past four months. She denies purging. She denies symptoms of depression and has been able to get to work every day on time although is having difficulty focusing on her work. The most appropriate of the following interventions is

A 9-year-old boy is brought to the clinic due to recurrent soiling and involuntary bowel movements, impacting his social interactions and causing great embarrassment for the child. The parents seek interventions to address the issue. Which approach should be used first by the PMHNP to address encopresis in this 9-year-old boy?

An 8-year old boy who is being treated for nocturnal enuresis does not respond to behavioral methods, so the parents ask for pharmacotherapy for the ongoing problem because the child suffers from much embarrassment and remorse. One medication that has shown some success in reducing nocturnal enuresis is

A patient reports extreme difficulty parting with possessions, and the accumulation of  possessions in her house has cluttered all the living areas to the point of not being able to walk through the house. She is late to work many days because she cannot find what she needs. Evidence from research shows which of the following to be the most effective to decrease symptoms?

In establishing appointments in an outpatient clinic, the nurse would schedule which situation as highest priority: