Entries by Munene david

75 The PMHNP is treating Pam, a 13-year-old female

April 27, 2020 in /by

75 The PMHNP is treating Pam, a 13-year-old female, for moderate-to-severe major depressive disorder. In addition to cognitive behavioral therapy, the PMHNP discusses with the patient and her father the plan to begin sertraline, 50 mg daily, then titrate the dose up when tolerance is established. Pam’s father has researched this medication and is concerned […]

 

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There is a high incidence of overlap among children with bipolar disorder,

April 27, 2020 in /by

There is a high incidence of overlap among children with bipolar disorder, attention deficit hyperactivity disorder, conduct disorder, and anxiety disorders. Which of the following manic symptoms of bipolar disorder are most closely correlated to conduct disorder? A. Insomnia and irritability B. Physical restlessness and poor judgment C. Hallucinations and overeating D. Hypersexuality and inattention […]

 

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Ms. Stevenson is a 21-year-old woman who brings her 3-week-old infant

April 27, 2020 in /by

Ms. Stevenson is a 21-year-old woman who brings her 3-week-old infant to the PMHNP for an “emergency” evaluation. Ms. Stevenson has a 2-year-old who was diagnosed with rumination disorder when he was 10 months old and had to be hospitalized for tube feedings while the family started treatment. Ms. Stevenson is worried now because her […]

 

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1.     Marion is a 17-year-old female who has been referred by her high school guidance counselor for evaluation

April 27, 2020 in /by

1.     Marion is a 17-year-old female who has been referred by her high school guidance counselor for evaluation. The counselor is concerned that Marion has an eating disorder because she has seen her in the bathroom on several occasions vomiting, but there is no other indicator of illness like fever or missing school days. When considering […]

 

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