A PMHNP student is beginning his clinical practicum in a child and adolescent psychiatry practice and quickly realizes that performing patient interviews in school-aged children is very different than performing interviews with adults.

Which of the following techniques is recommended for developing a therapeutic bond with a 10-year-old child?

A. Separating the child from the parents for the initial interview

B. Offering to play a game that the child enjoys

C. Reassuring the child that anything said is confidential

D. Offering snacks popular among children

A 77-year-old male is admitted to the emergency department from a long-term care facility where he has lived for over 3 years. He has been maintained on antipsychotic medications for years but recently required a change to a first-generation agent as his symptoms were breaking through on even high doses of olanzapine. Last evening staff reported that he was increasingly confused, and this morning he developed a fever of 102.6o F. Initial laboratory assessment must include a:

A. Urinalysis

B. Complete blood count

C. Creatine kinase

D. Complete metabolic panel

The PMHNP is performing an initial history and physical examination on a new patient who has just transferred to his care from out of state. The patient has a complex psychiatric history including schizoaffective disorder, generalized anxiety disorder, prolonged grief reaction, and adjustment disorder. His medication list indicates that he has been taking clozapine 300 mg daily for 15 months.

The PMHNP recognizes that:

A. This dose is subtherapeutic and should be increased in increments of 25 mg daily to a goal dose of 600 mg/day

B. The patient must be routinely monitored for absolute neutrophil count

C. Lithium is contraindicated in patients taking clozapine

D. Clozapine is absolutely contraindicated in patients < 18 years of age

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