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A 21-year old female diagnosed with bipolar disorder stopped taking all her medications 6 months ago and is being evaluated because she decompensated and is very depressed. She is actively taking college courses, is involved in a sorority and sexually active insisting that partners use a condom. Vital signs are WNL and BMI is 23.8. Which combination of medication is it most important to avoid in this patient?

The nurse is caring for a patient who is slightly confused and impulsive, placing them at high risk for falls. The patient also shows subtle signs of low cardiac output: BP 92/60, HR 108, capillary refill >3 seconds, slightly cool extremities, and reports mild dizziness. Which intervention should the nurse prioritize?

Based upon Katie’s case above, write one related goal to the client factor and occupation identified using all COAST format components (.5 points per component; .5 for appropriateness = 3 pt). 

You as a therapist recently attended a continuing education conference about a content specific area of your practice. You go back to work and share the information at an evidenced based roundtable discussion with your colleagues. What step of implementation science are you using? 

A 12-year-old boy presents with a history of severe mood swings, including episodes of extreme irritability and violent outbursts described by his parents as “affective storms.” Teachers report rapid shifts from laughing to yelling, pressured speech, and grandiose statements such as “I’m the smartest kid in the world.” He has a decreased need for sleep and has engaged in risky behaviors, including attempting to jump off the roof “just to prove he could fly.” Which of the following is the most appropriate diagnosis based on DSM-5 criteria?

A 29-year-old woman reports alternating episodes of elevated and depressed mood over the past year. She describes episodes in the last 12 months where she felt euphoric, talked rapidly, needed only 3–4 hours of sleep, and spent impulsively. Each of these periods lasted about 5 days and were followed by episodes of low mood, anhedonia, hypersomnia, and feelings of worthlessness lasting 2 to 3 weeks. She denies hallucinations, delusions, or history of full manic episodes. She is currently not on treatment. What is the most appropriate diagnosis?

A patient who opens their eyes on their own, has normal motor response to commands, and seems confused or disoriented in verbal response, has a total GCS score of [_______] which is classified as a [______] severity level of TBI.  

A patient who opens their eyes to a loud voice, has no verbal response, and no motor response has a total GCS score of [______] which is classified as a [______] severity level of TBI. (2pts) 

True or False: Shaken Baby Syndrome/Abusive Head Trauma is more common in children of families of lower socioeconomic status.  

Which of the following is not an expected outcome of a well-rounded continuing education course?