A 32-year-old female patient informs the psychiatric-mental…

A 32-year-old female patient informs the psychiatric-mental health nurse practitioner that she is three months pregnant. She has been stable on fluoxetine hydrochloride (Prozac) for the last two years. The patient asks whether she may safely continue this medication during her pregnancy. The nurse practitioner responds: Choose the best answer

A 21 year-old telephones an adult psychiatric and mental hea…

A 21 year-old telephones an adult psychiatric and mental health nurse practitioner to report that he has been unusually active, irritable, and unable to sleep for more than a few hours each night. He exhibits pressured speech and you may be concerned with mania based on how this individual is speaking.  This patient has been diagnosed with a major depressive disorder, and was started on fluoxetine (Prozac) a six weeks ago. The psychiatric mental health nurse practitioner is most concerned about the possibility that:

A 25 year-old man is brought in to see you because of a chan…

A 25 year-old man is brought in to see you because of a change in personality following a boating accident.  He fell off of his boat and landed head first on the dock.  He was previously friendly, happy and high functioning.  Now his speech is pressured and his mood is labile.  He has been irresponsible at work and has been fired from his job.  His memory is intact.  Which one of the following brain areas did he damage?

A patient tells you they are “fantastic, and great” when you…

A patient tells you they are “fantastic, and great” when you do your morning rounds on the behavioral health unit. However you witness them crying and have a very flat affect.  When documenting a MSE (Mental Status Exam), which charting entry would be the most objective and accurate documentation?