Your patient in the partial hospitalization program (PHP) ha…

Your patient in the partial hospitalization program (PHP) has come in for his appointment today.  You are running behind and front desk staff notifies the patient that there will be about a 10-minute delay.  The patient begins shouting at the front desk staff that this isn’t fair and kicks over the trash can in the lobby.  Then he picks up an object from the trash and proceeds to throw it toward the administrative staff and is threatening harm to the staff.   The chart indicates no allergies.  What is the most important intervention at this point?

You are the PMHNP performing consults in the emergency depar…

You are the PMHNP performing consults in the emergency department. You get a call to see an emergency department patient who was brought in by the police when he was found wandering around the neighborhood at 2 am without any clothes on in winter. His toxicology screen is positive for fentanyl and cocaine, negative for alcohol and other substances. By the time you get to the emergency department, you are told that the patient has eloped after telling staff that he doesn’t need any help with his drug use and that it’s not a problem. What stage of change is this patient exhibiting (per the Transtheoretical Model of Change)?

O is a 25 year old, obese trans male referred to your office…

O is a 25 year old, obese trans male referred to your office by their PCP for a mental health referral for top surgery. When discussing expected outcomes from top surgery, O reports that “everything will get better” after top surgery. What is the best response for the APRN-PMHNP to provide?

The PMHNP is evaluating a new patient in the outpatient psyc…

The PMHNP is evaluating a new patient in the outpatient psychiatric clinic with a complaint of “bizarre and odd behaviors”. While evaluating T.O., she seems to be laughing and denying that anything is wrong with her and everyone is “just out to get me.” She also states that she does not need any treatment. You have evidence that she has been showing up to gas stations and demanding them to take her soda back because it was contaminated with poison. She also has been putting foil on her windows and TV so the government cannot see her. Which of the following statements is true?

A wife telephones an adult psychiatric and mental health nur…

A wife telephones an adult psychiatric and mental health nurse practitioner to report that her 54-year-old husband has been unusually active, irritable, and unable to sleep for more than a few hours each night. The husband has been diagnosed with a major depressive disorder and has been taking fluoxetine (Prozac) for four weeks. The nurse practitioner is most concerned about the possibility that: