Mental Health Nurse Practitioner Board Review Sample Question 1
A 34-year-old male patient with a 4-year history of Bipolar disorder has been stable on Lithium 300mg TID (three times daily) for the last six months. He comes in for a lithium level blood draw and tells you he has been working in construction and trying to get in better shape by running for 30 minutes 5 times a week. You are concerned he may be dehydrated. Which of the following laboratory values confirms the NP’s suspicion of dehydration?
- AHematocrit 43%
- BGlomerular Filtration Rate (GFR) >60 mL/min
- CCreatinine 1.0mg/dl
- DSpecific Gravity 1.045
Mental Health Nurse Practitioner Board Review Sample Question 2
On 6/17/2015, A.R. comes into the clinic for an initial evaluation for anxiety. You note during the physical exam he has diaphoresis, tachycardia and BP 167/98. He states he has not been feeling well and is “anxious”. He also states he needs something “new” for his anxiety because it is “so bad because I have a lot of stress”. You as his provider decide to pull an INSPECT report, which is Indiana’s prescription monitoring program. The report states that another provider gave him Xanax 1 mg tabs #60 on 6/7/2015 with directions to take q 8 PRN, with no refills. When A. R. is confronted about the report and how he is out so soon, he states he has been out of the Xanax for 2 days and then continues to insist he was given only 10 tabs and the report is an error. Your next step in his treatment would be:
- AGo ahead and give him 1 week of Xanax because he is stressed out.
- BDo not give him any meds and discharge him for lying.
- CEducate him on the signs and symptoms of detoxification and that he may be very ill and needs to be evaluated at the nearest ED and that you will call an ambulance for him.
- DGive him Klonopin 1 mg TID for 1 month with no refills.
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