Blog

Which factor is not a consideration when selecting therapeutic interventions for major depressive disorder?

A 34 year old male diagnosed with schizophrenia 10 years ago is noncompliant with risperidone (Risperdal) prescribed at 3 mg twice a day. He has been homeless for months and is brought to an acute care facility exhibiting vivid hallucinations and strong delusions. Pulse and BP are elevated upon admission. Weight is 245 and BMI 32.2. The most appropriate medication regimen for this patient is

A 38 year old male diagnosed with schizophrenia at age 22 is brought to emergency department exhibiting fixed, involuntary, upward deviation of the eyes along with neck spasms and jaw clenching. Treatment of choice is 

The intensity of withdrawal from recent use of opiates such as heroin and methadone is increased by administration of 

An APRN sees a 35 year old patient who was diagnosed with schizophrenia 10 years ago. The patient reports that over the past month, he has noticed involuntary facial grimaces, which you note during the conversation you have with him. He also reports increased difficulty with ease of movements in his arms. Which of the following underlies these symptoms?

Serotonin, histamine, dopamine and norepinephrine are lowest during ______________ and peak during _________________.

 An APRN diagnoses a 26 year old patient with major depressive disorder and social anxiety disorder. The patient has tried numerous antidepressants in the past without much success. The APRN decides to prescribe phenelzine (Nardil) after gathering a thorough past psychiatric history. The patient is currently taking fluoxetine (Prozac) 60 mg daily and has been compliant. Which recommendation and instructions must the APRN to give the patient?

Communication between neurons is always

A number of factors affect the setting of circadian rhythms, but ________________ is the most powerful synchronizer.

A 24 year old male diagnosed with schizophrenia 5 years ago recently had an increase in olanzapine (Zyprexa) by APRN. He has been prescribed citalopram (Celexa) for ten years to manage mood symptoms. He is brought to emergency department with symptoms high fever, recent cognitive changes, confusion and severe rigidity in his muscles. The APRN recognizes