A patient is diagnosed with a manic episode with mixed features. The patient is especially at risk for:

A 27-year-old female presents with complaints of anxiety, tension, and anxious mood that has been occurring for the past three months. She is waking up in the middle of the night and sleeping about 6 hours a night. On the Hamilton anxiety rating scale (HAM-A) she scores 20. Based on the score of the Hamilton anxiety rating scale (HAM-A) she has:

All the following medication interventions would be reasonable as the next step in the treatment of major depressive disorder when the patient has only partially improved after six to eight weeks in response to an adequate dose of a standard SSRI antidepressant EXCEPT:

A patient with dementia related to Alzheimer’s disease has severe confusion and agitation. The PMHNP recognizes that the most appropriate intervention is:

The PMHNP has an ethical (and in most states) legal duty to warn others if a patient:

A patient with bipolar disorder is treated with lithium. The patient’s lithium level is 1.9mEq/L. This indicates:

The psychiatric condition that is most commonly associated with hypothyroidism is:  

A patient suffers from seasonal affect disorder (SAD) with seasonal onset during the winter months, the treatment of choice is:

A 25-year-old female with a diagnosis of bipolar disorder on lithium presents to the emergency department with marked tremor, ataxia, and confusion after a suspected suicide attempt less than an hour before admission. Her lithium level is 2.1 meq/L (normal 0.6-1.2meq/L). Over the next half hour, the patient becomes increasingly confused and then unresponsive. What is the next step in management?

Download the final exam instructions document, starting .R code file with comments, and .csv file. Lab Exam Instructions BankJobs.csv LabExam01LastF.R Attach your .R code file here when complete. The time limit on the exam is 90 minutes. Grades will be penalized if you exceed the allotted time. The following constitute academic integrity violations on the final exam: Communicating with anybody during your exam Having anything open on your computer besides 1 browser tab with the D2L submission area, 1 instance of RStudio with your final exam code, and 1 Windows Explorer (or Mac OS Finder) window for viewing your code folder contents Using/viewing another non-approved device during the exam (mobile phone, tablet, computer, smart watch, headphones) Accessing the built-in help documentation in RStudio during the exam Having anything on your desk area besides the following: computer, mouse, pen/pencil and a single sheet of handwritten notes (water bottles are acceptable) Being in possession of exam materials outside of exam time or discussing the final exam content with classmates past or present By continuing with the exam, you commit to understanding and abiding by these rules.