Brief Summary: Joe Hernandez is a 58-year-old man with known history of STIs who was diagnosed with HIV approx. 5 years ago. He has been divorced for 10 years, has two daughters, and was working in construction. Recently he was fired due to frequent infections, especially pneumonias requiring hospitalizations of 2-4 days at a time. […]

The PMHNP is treating a 33-year-old female with a diagnosis of Major Depressive Disorder. She presents to medication follow up on 50mg daily Zoloft, which has been efficacious for 2 months. The patient is adherent to regimen. Substance abuse screening is negative. She presents with pressured speech and labile affect, saying she has recently invested […]

The PMHNP is treating a 42-year-old woman who primarily has had episodic bipolar depression, with last manic episode occurring approximately 8 years prior. She is sexually active and taking oral birth control. The patient has been taking Trileptal 300mg twice daily for one year, and has had unremitting anergia, dysphoria and middle insomnia. Which of […]

A 26-year-old pregnant client with Type II Diabetes and a history of Bipolar I Disorder is 3 months out from her due date and has been taking her usual dose of 150mg daily Lamictal throughout pregnancy. She reports to the PMHNP at medication follow up that she has felt extremely depressed, beginning one month ago […]

How will you grade the intervention as the patient makes progress?History of present illness: Carlyn is a 76-year-old female with history of arthritis admitted 2 days ago for R posterolateral total hip replacement. She reports chronic pain of her hip. Rates the pain 10/10 in severity. She tried physical therapy without adequate relief and is […]

Marilyn’s 5-year-old daughter has the flu and needs to be admitted to the hospital for dehydration. Marilyn wants to stay overnight with her in the hospital, but the head nurse refuses her request. When Marilyn comes to you for help, you find out the hospital procedure for overnights, discuss this with Marilyn, and decide that […]

A 56-year-old female presents with complaints of “tingling pain on my left side” x 3 days with associated tenderness when clothing rubs the area. This morning she felt some small bumps along her flank. Recent history includes an upper extremity fracture injury a few weeks back with reports of a “difficult recovery” as “very stressful […]

Ms. emily she is 32 years old with no known allergies. Admitted to ward overnight after arriving to the emeregency department due to severe pain in abdomen and nausea. Emily was discharged from hospital 3 days ago following an emergency appendectomy. Emily reports persistent nausea and reluctant to eat. She describes her abdominal pain as […]

Read Scenario 2 and then answer Question 5. Scenario 2 Maria is a 39-year-old lady with multiple health issues. She requires a lifting machine and the assistance of two people to transfer her from her bed to her chair and vice versa. The machine is used for all residents in the supported independent living house […]

Ms. emily she is 32 years old with no known allergies. Admitted to ward overnight after arriving to the emeregency department due to severe pain in abdomen and nausea. Emily was discharged from hospital 3 days ago following an emergency appendectomy. Emily reports persistent nausea and reluctant to eat. She describes her abdominal pain as […]