A 45-year-old patient presents to the clinic concerned that they may have brain cancer. They report that, since a coworker was diagnosed with brain cancer 5 years ago, they have spent > 3 hours per day reading about brain cancer treatment in anticipation of being diagnosed themself. They have had 11 MRIs performed of their […]

A 24-year-old patient with a history of bipolar I disorder presents to the clinic and reports excessive fatigue over the past 2 months. The patient also has an increased need for sleep, difficulty concentrating, and constipation. The patient has been taking lithium (Lithobid) 600 mg twice daily for > 2 years with achievement of euthymia […]

A 25-year-old patient with a history of panic disorder is brought to the ED by ambulance and accompanied by their partner. On arrival, the patient has dysphoria, tremors, visual hallucinations, and seizures. The patient’s partner tells the nurse practitioner that the patient has been feeling unwell since running out of prescribed medication 3 days ago. […]

Mary Korn is a 59 year old patient hospital with pneumonia, is being discharged to rehab. using APA format The nurse case manager has identified that the patient is a high risk for readmission and sends a message to her rehab center. What critical information should be included in the communication of the acute care […]

An 8-year-old patient presents to the clinic with a parent, who reports that the patient frequently daydreams, makes careless mistakes, and has difficulty with organization. The patient often avoids academic tasks and needs help focusing on many activities for long periods. Sometimes, the patient’s mind seems elsewhere, and they do not answer when asked questions. […]

A 31-year-old woman presents to the clinic for a routine physical. She has a history of mitral stenosis. She has no concerns about symptoms today. Routine lab results and vital signs are within expected limits. Which of the following is the highest priority for this patient? Annual monitoring Antibiotic prophylaxis for infective endocarditis Anticoagulation therapy […]

A nurse practitioner is preparing to meet with a 32-year-old patient in the inpatient psychiatric unit. They were admitted after an 8-day period of grandiose delusions, pressured speech, minimal sleep, and odd behaviors, including walking in the middle of a busy street and yelling at passing cars. The patient was stopped by police and became […]

A 21-year-old patient with schizoaffective disorder experienced a major reduction in mood and psychotic symptoms while taking risperidone (Risperdal). However, they also developed muscle rigidity and an ongoing tremor. They decline to take another medication to treat these side effects. Instead, they would prefer to try a different antipsychotic medication. They have a history of […]

A 16-year-old patient is assessed in the school mental health office. The patient reports experiencing shortness of breath, sweating, nausea, and numbness and tingling in their fingers. The student reports that the symptoms started unexpectedly while they were seated in class and lasted several minutes but have now resolved. The student tells the nurse that […]

A 16-year-old patient is seen in the outpatient clinic for a scheduled follow-up exam. The nurse practitioner is aware that the patient’s parent was killed in a motor vehicle collision a few months ago. The patient has limited verbal interaction and does not mention the fatal collision. Which of the following is the most effective […]