A 42-year-old male is brought to the clinic by his spouse, w…

A 42-year-old male is brought to the clinic by his spouse, who reports that the patient has become increasingly withdrawn and suspicious over the past two months. During the intake, the patient leans in and whispers, “I know why you’re really here. The news anchor on the 6 o’clock broadcast wore a red tie last night to signal to the neighborhood that my house is the ‘drop zone’ for the upcoming invasion. I’ve covered my windows in foil to block their tracking beams.” When the Psychiatric-Mental Health Nurse Practitioner (PMHNP) points out that the news anchor wears a red tie at least once a week, the patient remains unconvinced and states, “That’s just what they want you to think to stay under the radar.” Which of the following terms best describes the patient’s belief system?

A 63-year-old female patient with a history of generalized a…

A 63-year-old female patient with a history of generalized anxiety disorder (GAD) and chronic kidney disease (CKD stage 3) presents for follow-up. She reports worsening anxiety, restlessness, and insomnia. She previously responded well to paroxetine but stopped it due to weight gain and constipation. She has tried alprazolam intermittently but prefers a long-term, non-sedating option. Her current medications include: Metoprolol 25 mg BID Lisinopril 10 mg daily Calcium carbonate 500 mg BID Vitamin D3 1000 IU daily Her GFR is 42 mL/min/1.73m². She denies suicidal ideation or substance use. As her PMHNP, which of the following is the most appropriate pharmacologic option at this time?