A four-year-old child is referred by her pediatrician becaus…

A four-year-old child is referred by her pediatrician because since started school two months ago, her teachers have reported that she does not speak at school, with almost no verbal output. This has affected her education. The parents stated she has been able to speak Spanish fluently at home and did not have a problem last year in her Spanish-speaking daycare. Her first language is Spanish, and she speaks predominantly Spanish at home. When speaking, the child has an accent and is having difficulty finding words in English. She does not have any other communication disorder, such as childhood onset fluency disorder (formally stuttering) and is developmentally normal otherwise. What is the correct diagnosis?

A homeless man brings his four-year-old son to the emergency…

A homeless man brings his four-year-old son to the emergency department. He reports that the child has a high fever, cough and congestion for 10 days which he has been treating with acetaminophen. After an exam and testing the NP determines that the child has pneumonia. The most likely factor that caused the father to delay and bringing her son it is?

A 32-year-old man with a history of imprisonment for four co…

A 32-year-old man with a history of imprisonment for four counts of assault and robbery states that he “just does whatever he feels like”. His family reports that he has been lying and cheating since he was 12 years old. He often got into fights at school and college. He has been fired from over 12 jobs and has an alienated most of his family and friends. People with this disorder are likely to demonstrate which feature?

 The PMHMP is conducting an evaluation on a 45-year-old divo…

 The PMHMP is conducting an evaluation on a 45-year-old divorced man who has a history of depression and substance use disorder. He wants to know if the substance use disorder caused the depression, or if the depression caused the substance use disorder. What is the most appropriate response?

 A 49-year-old man with a known history of alcohol dependenc…

 A 49-year-old man with a known history of alcohol dependence and schizophrenia is brought to the psychiatric hospital because of frank delusions and visual hallucinations. Which of the following should be a diagnostic possibility for inclusion in the differential diagnosis?

 A 28-year-old man is seeking treatment for opioid use disor…

 A 28-year-old man is seeking treatment for opioid use disorder with buprenorphine. He currently takes escitalopram (Lexapro) for generalized anxiety disorder, prazosin (Minipress)for post-traumatic stress disorder-related nightmares, and alprazolam (Ativan) for panic attacks. Which of these medications should the psychiatric mental health nurse practitioner consider discontinuing prior to the induction of buprenorphine?