Question1

When an unstable patient asks why it is necessary to add medications to his current regimen, the PMHNP’s best response would be:

Answer: “Many psychiatric illnesses involve several dys-functioning neurotransmitter systems in the brain. Often, a single medication may only effect one or two of the dys-functioning systems. The addition of another medication can work with the current medication in stabilizing multiple neurotransmitter systems and help to alleviate your symptoms.”

• Question 2

points The PMHNP is meeting with a new mother who would like to begin taking medication again to treat her bipolar depression; she is breastfeeding her 2-month old daughter. The PMHNP recognizes that which of the following medications is contraindicated for this patient?

Selected Answer:

C.Lithium(Lithobid)

• Question 3

Mr. Gordon is a middle-aged client who was started of antidepressant monotherapy for depression. After beginning this medication, the PMHNP noticed that this

client seemed to swing into a hypomanic episode. What can the PMHNP infer from this behavior change?