An EMT is gathering the history of a patient who has called 911 for a medical complaint. When asked the reason for calling 911, the patient states “I feel bad all over”, the EMT then asks the patient “Can you describe what the bad feeling feels like?” Which of the following “listening” techniques did the EMT utilize in this situation?
The primary goal in treating pediatric anxiety disorders wit…
The primary goal in treating pediatric anxiety disorders with cognitive behavioral therapy is to
A 14 year old female stammers and feels totally foolish when…
A 14 year old female stammers and feels totally foolish when one of her classmates or her teacher asks her a question during class. She hopes to remain unnoticed because she thinks others will judge her and she will feel humiliated. The most likely diagnosis is
During and initial interview, the patient reports that she h…
During and initial interview, the patient reports that she has a very hard time concentrating much of the time, she has problems initiating sleep, she feels tired much of the time and she worries a great deal about how well she is treating her children and what others might be thinking of the way she is disciplining her children. She tells the APN that several times a week she feels like her throat is closing up, her heart pounds and she feels like she is “going crazy”. She requests a prescription for Ritalin because of poor concentration. Your evaluation of her symptoms leads you to a diagnosis of
I was able to remove the Proctorio and Respondus extensions…
I was able to remove the Proctorio and Respondus extensions (if applicable) and download the Honor Lock proctoring extension to complete this question.
The APRN doing a psychiatric evaluation notes new onset of f…
The APRN doing a psychiatric evaluation notes new onset of facial weakness on one side of the patient’s face that involves the forehead and lower portions of the face. Which cranial nerve is affected?
The APRN sees a 46-year old patient for an initial psychiatr…
The APRN sees a 46-year old patient for an initial psychiatric interview for depressed mood. The patient recently lost weight, has little motivation and admits feeling sad much of the time on most days, saying, “I think about suicide nearly every day lately and I can’t get out of this hole. I can’t stop thinking that God must hate me, and I’m being punished for my sins.” The most appropriate response is:
A 16-year old female is referred to PMHNP for a score of 10…
A 16-year old female is referred to PMHNP for a score of 10 on the PHQ-9. She is medication-naïve and presents as short-tempered, irritable, and responds to questions with cynical, clipped answers. She complains of poor sleep and feeling tired over the past 6 months after her boyfriend broke up with her. She watches a lot of TV and likes to be alone in her room. Her BMI is 26, weight is 6 lb less than a month ago and vital signs are WNL. She recently quit the yearbook staff and says she’s no longer interested in going to college. Which of the following according to the current DSM differentiates her disorder from the same disorder in an adult patient?
A 22-year-old woman reports frequent sudden tearfulness, moo…
A 22-year-old woman reports frequent sudden tearfulness, mood swings, extreme irritability, and fatigue a week before beginning her period. These symptoms significantly negatively impact her functioning during this time. The symptoms improve within a few days after menstruation begins. What is the initial treatment recommendation with follow up in one month?
A 64 year old patient seen by the APRN complains of multiple…
A 64 year old patient seen by the APRN complains of multiple physical ailments, much fatigue and physical restlessness. She fidgets through out the interview. The patient reports much difficulty remaining asleep at night for the past month and admits that she has lost interest in going out with friends in her social circle. She expresses guilt about many things in her earlier life and reports occasional suicidal thoughts. She no longer associates with her closest friends. Weight is unchanged, vital signs are in normal range. The APRN strongly suspects and further assesses for