A vice president claims the falling number of risk raisers s…

A vice president claims the falling number of risk raisers shows that operations are improving. What is the strongest response?   Exhibit note. Left axis: percent favorable on speak-up safety and percent of employees raising a risk. Right axis: regrettable voluntary exits per quarter.

The PMHNP sees a 37- year old male who has been admitted to…

The PMHNP sees a 37- year old male who has been admitted to the hospital for chest pain. He reports a family history of heart disease in a brother and his father, who died at age 49. He is prescribed lisinopril (Prinivil) and amlodipine (Norvasc) for hypertension. The patient has never received formal mental health treatment, even though he was active military during a recent war. He reports trouble sleeping for the past several years. He has not been employed for over a year, has low motivation, and says he often feels guilty. He smokes over a pack each day and says he drinks fifth of bourbon most days of the week. He says he has tried to cut down on his drinking for several years but gets tremulous and feels terrible when he tries to cut back. He has 2 daughters, neither of which he has had contact for years. He was married at age 23 for 5 years when his wife “ran off with another man”. Early on the 3rd day on the unit, the patient begins responding to internal stimuli and refuses his medication due to fear that it is “contaminated.” He is diaphoretic, complains of headaches, and vomited twice in the last hour. His Clinical Institute Withdrawal Assessment score is 29.  Of all the following labs ordered, which is least essential?

A 23-year-old female is brought to the emergency department…

A 23-year-old female is brought to the emergency department after being found distressed in her dorm room. She shouts, “The college administration sent a hit man to kill me!” Her roommate reports that she has been saying she hears the devil’s voice threatening, “I will take your life before this is over.” Which type of delusion is this most consistent with?

A 52-year-old male with a history of schizophrenia and chron…

A 52-year-old male with a history of schizophrenia and chronic alcohol use disorder is brought to the emergency department by his daughter. She reports he stopped taking olanzapine a month ago and has been drinking approximately one quart of bourbon daily. Today, he appears confused and unsteady on his feet. On exam, he exhibits nystagmus, diplopia, ataxic gait, and responds to internal stimuli, claiming “aliens are speaking to me through the television.”Which of the following conditions should be prioritized for immediate treatment?