A 32-year-old male presents claiming that his father is tryi…

A 32-year-old male presents claiming that his father is trying to kill him by poisoning his food. The patient reports poor sleep for the past 5 weeks as well as auditory hallucinations. He has become increasingly withdrawn and suspicious over the past 2 months and is talking to himself. What is the appropriate diagnosis?

A 48-year-old African female is admitted with profuse sweati…

A 48-year-old African female is admitted with profuse sweating, diarrhea, abdominal cramps, vomiting, yawning, muscle aches, restlessness, and insomnia for 1 day. A physical exam reveals a BP of 155/105 mmHg and a temperature of 100°F. The patient is cold with muscle twitches and dilated pupils. She is highly motivated to detoxify. Which medication is the best choice for detoxification?

A nursing student is working at a student health center in I…

A nursing student is working at a student health center in Illinois. Steve is 19 year old college sophomore who is brought to student health by his roommate Dave who states, “I think my roommate is going crazy. He has been studying for finals and has been up for hours, pacing the room, sweating and every time I tell him to relax he says shut up or he is going to punch me in the face”. Dave is concerned Steve may have taken medication that was prescribed for Dave. To confirm the Dave’s suspicion the PMH-NP orders a Urine Drug Screen (UDS). Which medication is most likely to show up positive on Steve’s UDS?

You are treating a patient with a diagnosis of obsessive-com…

You are treating a patient with a diagnosis of obsessive-compulsive disorder. In today’s office visit, the patient reports that she is so worried about germs and states that she has only left the house twice in the past month and that she will wash her hands up to 30 times a day. You know that this symptom pattern is: