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A 24-year-old woman is diagnosed with cyclothymic disorder. What is the most appropriate combination of treatment for this patient?

A client comes into the clinic with a longstanding history of depression and chronic renal failure and is on an antidepressant and a diuretic and complains of increased depression, mild confusion, irritability, and overall apathy from being too tired to do anything. Which of the following is the best initial PMHNP action to take at this time? 

In the future, if you work for a CM, you will need to discuss weekly work plans with your trade partners. In these meetings, the trade partner representative will likely make promises to you about the amount of work that they will complete in the upcoming week. Which of the following factors make a promise (commitment from trade) reliable:

The process of analyzing an activity’s inputs and outputs  in detail to identify constraints, and if the activity can be made ready for execution on the start date is also known as:

A long-term patient with depression finds that his current medication regimen is no longer sufficient to relieve his symptoms. He is currently on fluoxetine, which worked well until recently. Given the patient’s prior failure with many other antidepressants, his psychiatrist decides to switch him to an MAOI. However, because of his current use of fluoxetine, the physician must first discontinue its use to prevent serotonin syndrome. For how long should a patient stop use of fluoxetine (or other SSRIs) before beginning treatment with an MAOI? 

A 50-year-old woman presents for evaluation of depressed mood, anhedonia, anxiety, profound insomnia, poor appetite with recent weight loss, and passive suicidal ideation. Her symptoms began 2 months before the presentation. Which medication is the most appropriate to manage the patient’s symptoms? 

Your client’s serum lithium level has just come back from the laboratory with the results of 2.0 mEq/L. What should you do?

A 75-year-old man with mild dementia states he has not been taking his prescribed medications. When asked why, he states, “My grandson wanted a new car, so he’s been using my money for his car payments and gasoline. Since then, he has not been able to afford my medications, and he didn’t seem to care when I told him about it.” What is the most appropriate next step?

Which of the following best explains the concept of target symptom identification? 

A 19-year-old boy presents accompanied by his mother due to abnormal behavior for the past few days. The mother says her son has not slept for 3 days and has been expressing ideas about how he plans to cure world hunger; he has also been very energetic and has not stopped talking. The patient has no medical history and takes no medications. He denies any recreational drug, tobacco, or alcohol use. The patient is verbose, hyperactive, and fidgeting on the mental status examination. He is uninterruptible and agitated. A mood stabilizer that is also used for seizures is recommended. The patient is advised that possible side effects of this medication include weight gain and sedation. Which of the following is another possible adverse effect of this medication?