A 49-year-old man with a known history of alcohol dependenc…

 A 49-year-old man with a known history of alcohol dependence and schizophrenia is brought to the psychiatric hospital because of frank delusions and visual hallucinations. Which of the following should be a diagnostic possibility for inclusion in the differential diagnosis?

 The PMHMP is conducting an evaluation on a 45-year-old divo…

 The PMHMP is conducting an evaluation on a 45-year-old divorced man who has a history of depression and substance use disorder. He wants to know if the substance use disorder caused the depression, or if the depression caused the substance use disorder. What is the most appropriate response?

 A 28-year-old man is seeking treatment for opioid use disor…

 A 28-year-old man is seeking treatment for opioid use disorder with buprenorphine. He currently takes escitalopram (Lexapro) for generalized anxiety disorder, prazosin (Minipress)for post-traumatic stress disorder-related nightmares, and alprazolam (Ativan) for panic attacks. Which of these medications should the psychiatric mental health nurse practitioner consider discontinuing prior to the induction of buprenorphine?

You are treating a 14-year-old male for attention deficit hy…

You are treating a 14-year-old male for attention deficit hyperactivity disorder who has a family history of bipolar disorder. As a PMHNP familiar with symptoms of both ADHD and pediatric bipolar disorder, you know the following are overlapping symptoms of both disorders:

 During a psychiatric evaluation, the PMHNP conducts a psych…

 During a psychiatric evaluation, the PMHNP conducts a psychiatric review of systems (ROS), in which he/she reviews common psychiatric symptoms that may not have been elicited in the history of the present illness (HPI). Which of the following questions is most likely designed to elicit a response for the system “substances and other addictions”?