The PMHNP is managing a patient with treatment-resistant schizophrenia who continues to have positive symptoms despite appropriate trials with two different antipsychotic regimens. When considering initiation of clozapine, the NP considers that which of the following apply?

A. The absolute neutrophil count must be > 1000/mm3 to start treatment

B. The first 2-3 doses should be administered in a closely monitored setting with vital signs monitored regularly

C. The medication must be ministered in accordance with the FDA REMS safety monitoring

D. The medication has significantly less medication interaction potential as compared to other antipsychotics

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YouTube: https://www.youtube.com/watch?v=GH7CZF80ghI&list=PLf0PFEPBXfq5HGfNV-GbOlYHtDwd35OeG&index=130

The PMHNP has just accepted a position at an eating disorders clinic which offers a multi-disciplinary approach to the management of eating disorders, including psychiatric comorbidities and physical health deviations. In preparing for the role, the NP reviews strategies for managing which of the following laboratory abnormalities common in patients with anorexia nervosa?

A. Hypercholesterolemia, leukopenia, low TSH

B. Anemia, hyperkalemia, low T3.

C. Hypokalemia, hypocholesterolemia, hypernatremia.

D. Anemia, low eGFR, hypernatremia.

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YouTube: https://www.youtube.com/watch?v=Ix9Xaq7uTIM&list=PLf0PFEPBXfq5HGfNV-GbOlYHtDwd35OeG&index=129

A 14-year-old patient is being managed for generalized anxiety disorder and has been responding well to fluoxetine. However, both the patient and his mother report that he has chronic difficulty falling asleep. He denies any racing thoughts at bedtime; he just cannot seem to fall asleep. His mother has been giving him melatonin gummies purchased over the counter from the pharmacy and reports that there is some improvement but would like to know what else can be done.

The PMHNP advises which of the following interventions that are recommended for adolescent insomnia? Choose all that apply.

A. The melatonin gummies should be discontinued

B. The adolescent should not be permitted screen time at least one hour before bed.

C. Establish a later bedtime

D. Eliminate daytime napping.

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YouTube: https://www.youtube.com/watch?v=ZHl59bdwpJM&list=PLf0PFEPBXfq5HGfNV-GbOlYHtDwd35OeG&index=128