ANCC Domain 3 Q&A

A patient presents for a clinic appointment and tells the psychiatric mental health nurse practitioner (PMHNP), "My depression is a little better, but I read about acupuncture, and I want to add this to my treatment." What is the PMHNPs best response to this patient? a. Integrative therapies have no effectiveness in improving depressive symptoms and if your depression has not improved and you have not achieved remission of your symptoms, I recommend that we increase your antidepressant b. Integrative therapies such as acupuncture are not well studied, and I cannot recommend that you add this to your current treatment c. Acupuncture is one of many integrative therapies, but it has the least effectiveness in improving depression d. Acupuncture has been found to help some individuals with depression. While the data is limited, if this is something you would like to consider, let's talk about where you might find a reputable practitioner for acupuncture treatments. - Answer- d. Acupuncture has been found to help some individuals with depression. While the data is limited, if this is something you would like to consider, let's talk about where you might find a reputable practitioner for acupuncture treatments. You are seeing a female patient who is morbidly obese. She also suffers from major depression, anxiety, and antidepressant-induced decreased libido. She has been stabilized on Desvenlafaxine (Pristiq) 50 mg 1 PO QAM and Bupropion (Wellbutrin) 50 mg. She also take Mononessa (Ortho-Cyclen) 1 PO QAM and Vitamin D 1000 IU PO QAM. She has had trouble maintaining weight loss on diet support programs, diet medications, and self-directed food reduction plans. She asks you about using Phentermine to help her lose weight. You discuss options with her and decide to: A. Prescribe a one month course of Phentermine and Topiramate (Qsymia) 7.5/46 for 30 days. Have her return to the clinic in 1 month for a checkup. B. Prescribe a one month course of Phentermine (Adipex-P) 37.5 mg PO QAM. Have her come back in one month for a check-up C. Prescribe a 1 month course of Topiramate (Topamax) 50 mg 1 PO QHS. Have the patient come back in 1 month for a checkup. Let the patient know that you may have to increase the dosage at one-month intervals. D. Discontinue her current Bupropion. Prescribe Bupropion and Naloxone (Contrave) 90mg/8mg for one week. Have her come back in one week for a check-up. You may have to increase the dosage at one-week intervals. - Answer- D. Discontinue her current Bupropion. Prescribe Bupropion and Naloxone (Contrave) 90mg/8mg for one week. Have her come back in one week for a check-up. You may have to increase the dosage at one-week intervals. Which is the only medication that is approved by the U.S. Food and Drug Administration (FDA) to treat depression in children? A. Fluoxetine (Prozac) B. Citalopram (Celexa) C. Parox