You have a 45 yo patient with schizophrenia who does not take medications regularly due to forgetting, however they have a VNA 2 days a week to help take medications on those days. You have discussed the option of a long acting injectable, but they would prefer to try another oral medication first. What medication […]

The caregiver of a 10-year-old child calls the primary care clinic. The caregiver reports the child has had vomiting and diarrhea for 48 hours. The child has not had any urine output for 12 hours, appears pale, has no tears when crying,and is so weak they require assistance to the bathroom. What is most appropriate […]

An 8-year-old patient presents to the clinic with a productive cough for over 1 week and a fever for the past 3 days. Childhood immunizations are up to date. Vital signs include a respiratory rate of 25 breaths per minute, heart rate of 115 beats per minute and a pulse oximetry reading of 93%. There […]

 Aryan is a 17-year-old male with Duchenne muscular dystrophy (DMD) who lives with his mother, father, and 14-year-old sister. Aryan’s DMD is progressing, and he was recently hospitalized for pneumonia. At discharge, home hospice services were initiated due to Aryan’s advanced DMD with cardiomyopathy and pneumonia complications. Aryan’s family has had to reduce the recommended […]

A 57-year-old woman with a history of treatment-resistant depression presents for follow-up. She has not responded adequately to multiple medication combinations and appropriate psychotherapy. She reports being fired from her job recently due to lack of motivation and fatigue from lack of sleep. She says her depression severity is 9/10 and that she feels hopeless. […]

Diego Garcia is a 32-year-old male brought to the ED. He slipped on ice and fell and now has significant swelling and pain in the right upper extremity. The client is alert and guarding his wrist and hand. The arm looks swollen and reddish. He reports pain level 8/10. An X-ray shows right lower arm […]

A 35-year-old man presents for evaluation of recent weight gain. He describes eating a large amount of food in a 2-hour period at least once per week. He eats more rapidly than normal, eats until he is uncomfortably full, and eats large amounts of food when not physically hungry. This behavior has been ongoing for […]

A 23-year-old female presents to the clinic with a history of episodes of consuming an excessive amount of food over the past four months. She is diagnosed with binge eating disorder, and cognitive-behavioral therapy (CBT) is advised. After all the options are discussed, she decides not to enroll in any psychotherapy. What is the next […]

Delia is a 17-year-old who was referred to outpatient therapy to help her manage her panic attacks. During the assessment, the clinician discovers the attacks are happening weekly. While Delia is able to hide the attack in the moment, they are physically and psychologically troubling to her. Until recently, Delia was able to control the […]

A two-month-old infant is hospitalized for repair of a ventricular septal defect. During your admission assessment and family history, the child’s mother confides to you that she smoked marijuana when she was seven months pregnant and she is very upset that this caused her child’s heart defect. Your best response would be which of the […]