Which assessment question by the clinician BEST reflects the process of concordance? 

Billy is a 15-year-old male that comes to your clinic with concerns of mood instability and irritability. You suspect a bipolar II diagnosis, but this is hard to diagnose in adolescents. His mom is on lamotrigine, and you suspect lamotrigine will help with his irritability and mood instability. What is important to discuss with Billy and his mom regarding the side effects of lamotrigine: 

Depakote and lamotrigine have an interaction that providers need to be aware of. When educating a patient on this combination what is your best response: 

Ms. Thomas has been diagnosed with major depressive disorder and is placed on fluoxetine 20 mg for her depression. For the PMHNP to effectively monitor her use of the medication, which of the following actions should be part of ongoing care?

Persistent depressive disorder can be present in the child/adolescent population. According to the DSM-5-TR how long would a child/adolescent patient need to have symptoms to be diagnosed with persistent depressive disorder: 

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:

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?

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: 

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

Correctly balance the following equation: