The PMHNP is considering the case of a patient who is struggling with significant depressive symptoms following a difficult divorce. The symptoms are having a direct impact on her life, and she has even had written warnings at work about excessive lateness and calling in sick. The patient is very resistant to medication. The NP realizes that the patient’s situation is remarkably similar to what she herself experienced during her divorce five years ago. She considers sharing her experience with the patient.

The NP considers which of the following regarding self-disclosure?

A. The NP is experiencing countertransference

B. It is an ethical violation and should be avoided

C. There is a significant risk of dysfunctional attachment

D. It is appropriate when used to facilitate patient goals

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