Entries by Munene david

a new patient arrives at the office for treatment for depression

a new patient arrives at the office for treatment for depression. the patient reports taking simvastatin and lisinopril. when selecting an antidepressant the psychiatric mental health nurse eliminates prozac, base on the knowledge that the combination can lead to increase plasma levels of statin, resulting in an increased risk of muscle damage and rhabdomyolysis. the […]

 

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Caylee is a 5-year-old girl who is referred for evaluation by child protective services

Caylee is a 5-year-old girl who is referred for evaluation by child protective services. She was recently removed from her biological family and placed in foster care as her home environment was reportedly unsafe due to conditions of extreme neglect. Her foster mother reports that Caylee is very quiet and withdrawn and always appears sad […]

 

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9 Eileen is a 23-month-old girl who is being evaluated for autism

9 Eileen is a 23-month-old girl who is being evaluated for autism spectrum disorder because her pediatrician is concerned about the presence of developmental red flags. She has just a few words of speech and has not put together any meaningful two-word phrases. While taking a history from Eileen’s mother the PMHNP learns that for […]

 

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12 Which of the following symptom clusters is most likely in a 16-year-old male with major depressive disorder?

12 Which of the following symptom clusters is most likely in a 16-year-old male with major depressive disorder? A. Disturbance of mood, loss of interest, and mood-congruent hallucinations B. Irritability, persistent abdominal complaints, and insomnia C. Decreased concentration, social withdrawal, and substance abuse D. Pervasive anhedonia, hopelessness, and severe psychomotor retardation   Looking for a […]

 

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