NR607 Week 1 Questions with proven Answer The PMHNP (Psychiatric Mental Health Nurse Practitioner) is providing care to a 29-year-old client who presents with persistent sadness and hopelessness for the last two months. She is having difficulty sleeping and has a decreased appetite. This is the patient's first contact with with the healthcare system about her concerns.
PMHNP role:
Acute PMHNP Care Telehealth Case Management Primary Care Pharmacologic Intervention Crisis Intervention Partial Hospitalization/Intensive Outpatient Tx Community-Based Care Self-Employment
Psychotherapy - Answer:Primary Care
Rationale: This is the client's initial contact with the healthcare system about her concerns The client has experienced depressive symptoms. The PMHNP prescribes a selective serotonin reuptake inhibitor (SSRI).
PMHNP role:
Acute PMHNP Care Telehealth 1 / 3
Case Management Primary Care Pharmacologic Intervention Crisis Intervention Partial Hospitalization/Intensive Outpatient Tx Community-Based Care Self-Employment
Psychotherapy - Answer:Pharmacologic Intervention
Rationale: The PMHNP is prescribing psychopharmacotherapy for the client
The PMHNP provides the client with some mindfulness techniques to try at home.
PMHNP role:
Acute PMHNP Care Telehealth Case Management Primary Care Pharmacologic Intervention Crisis Intervention Partial Hospitalization/Intensive Outpatient Tx Community-Based Care Self-Employment
Psychotherapy - Answer:Psychotherapy
Rationale: The PMHNP is utilizing a psychotherapeutic approach to help the client gain insight 2 / 3
Two weeks after starting on the SSRI, the client begins to experience suicidal ideations and develops a plan to kill herself. A friend brings the client to the emergency room. The PMHNP meets the client at the emergency room and collaborates with the physician to coordinate care.
PMHNP role:
Acute PMHNP Care Telehealth Case Management Primary Care Pharmacologic Intervention Crisis Intervention Partial Hospitalization/Intensive Outpatient Tx Community-Based Care Self-Employment
Psychotherapy - Answer:Crisis Intervention
Rationale: Suicidal ideation with a plan is a psychiatric emergency requiring immediate intervention.The client is admitted to the psychiatric and behavioral health unit at the local hospital for a 72-hour observation where the PMHNP works with her team providing treatment. The client remains hospitalized for a week while her medications are managed. The client attends individual and group therapy sessions.
PMHNP role:
Acute PMHNP Care Telehealth Case Management Primary Care Pharmacologic Intervention Crisis Intervention
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