1. When an unstable patient asks why it is necessary to add medications to his current regimen, the PMHNP’s best response would be: “Many psychiatric illnesses involve several dysfunctioning neurotransmitter systems in the brain. Often, a single medication may only effect one or two of the dysfunctioning systems. The addition of another medication can work with the current medication in stabilizing multiple neurotransmitter systems and help to alleviate your symptoms 2. Which neurotransmitter involved in obsessive-compulsive disorder (OCD) in children and adolescents based on the common comorbidity of tic disorders. Dopamine 3. Practicum sample questions: - Reexamine the goals and objectives from your Practicum Experience Plan. Explain the step to which you reached each during the practicum experience: I have achieved this goal in that I was able to identify and develop the diagnoses of clients based on their symptoms interrelated with my preceptor's diagnoses. I could also use the DSM-5 to evaluate the diagnostic measures to confirm that the diagnosis was suitable for the patient's symptoms. I had developed in a week, and I was to assess the patient's effectiveness to their prescribed medications established on their initial presenting symptoms. I changed their treatment plan to show their subjective and objective signs at their follow-up appointments. - Reflect on the three (3) most challenging patients you encountered during the practicum experience. What was most challenging about each? The challenging patients that this writer encountered during this practicum experience were non compliant medications at 

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