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
Laboratory findings for a patient with an alcohol use disorder indicate increased liver function values
and: - ✔✔increased MCV and elevated triglyceride levels.
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 psychiatric-mental health nurse
practitioner - ✔✔considers what a reasonably prudent health care provider would do [Show Less]