A 14-year-old patient has nonspecific complaints about pain in his or her legs. The
physical examination is unremarkable. Laboratory results are within
... [Show More] normal limits
except for a markedly elevated alkaline phosphatase level. The psychiatric-mental
health nurse practitioner: - interprets the findings as normally occurring during a
rapid adolescent growth spurt.
A new patient arrives at the office for treatment for depression. The patient reports
taking simvastatin (Zocor) and lisinopril (Zestril). When selecting an
antidepressant, the psychiatric-mental health nurse practitioner eliminates
fluoxetine (Prozac), based on the knowledge that the combination can lead to
increased plasma levels of the statin, resulting in an increased risk of muscle
damage and rhabdomyolysis. The nurse practitioner's reason is that: - one
medication is a CYP450 3A4 substrate and one is a CYP450 3A4 inhibitor.
A 28-year-old patient who is psychotic arrives at the clinic with family members
but refuses to meet if the family members are present. The psychiatric-mental
health nurse practitioner: - asks the family members to leave for the appointment.
The psychiatric-mental health nurse practitioner is responsible for initiating quality
improvement at a community mental health clinic. The effective strategy for
evaluating the clinic's services is to: - use a survey to elicit patient satisfaction
responses.
The psychiatric-mental health nurse practitioner evaluates a new adult patient via
telemedicine. The patient has questions about a new medication that he or she
recently started. The nurse practitioner decides to provide psychoeducation and to:
- e-mail drug information and resources.
Any court of law that evaluates the standards of care provided by a psychiatricmental health nurse practitioner: - considers what a reasonably prudent health care
provider would do.
The psychiatric-mental health nurse practitioner and a team of local mental health
professionals are asked to provide crisis counseling service, after a gunman
recently took a class hostage at a local elementary school, wounded several
students, and then shot himself. In preparing for this assignment, the nursepractitioner recognizes that: - a child's developmental stage will influence his or
her response to catastrophic stress.
Which community-based program is a tertiary level intervention? - Partial
hospitalization program that provides intensive group therapy for rehabilitation. [Show Less]