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 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 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 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?

In an inpatient detox unit, which benzodiazepine is most appropriate for managing alcohol withdrawal symptoms in a patient with comorbid hepatic disease?

 Which of the following findings would be expected in a patient with a 20-year history of alcohol use disorder(AUD)?

Guanfacine is a treatment for ADHD. Which of the following statements about its use is true?

 Cerebellar degeneration is associated with abuse of which of the following drugs?

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 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”?

A 19-year-old female patient is referred for evaluation. She weighs approximately 78% of her ideal body weight for her height. She has been amenorrheic for several months. The patient states that she is fat and refuses to gain weight, despite appearing cachectic on physical exam. She also admits to using laxatives and diuretics daily. Which of the following findings are expected in this patient?