A psychiatric-mental health nurse practitioner is employed at an inpatient substance abuse facility. A new patient is a 33-year-old man who recently overdosed on fentanyl and had to be resuscitated with naloxone. Activation of which opioid receptor triggers respiratory depression?

The PMHNP is evaluating a 47-year-old man admitted to the substance abuse facility where she is rounding. His pulse is 105 and he is sweating. He has bilateral hand tremors and is nauseated, restless, and agitated. He says he has not slept in 24 hours. What is his most likely diagnosis?

A 21-year-old man known to paramedics as an IV heroin user is found unconscious in the park. Paramedics are unable to revive him using naloxone or flumazenil. An autopsy determines that the man had infective endocarditis (IE). What is the pathophysiology associated with this disease?

Which of the following symptoms can occur as a result of intoxication with alcohol, an inhalant, or a sedative, hypnotic, or anxiolytic?

A 28-year-old man is seeking treatment for opioid use disorder with buprenorphine. He currently takes escitalopram for generalized anxiety disorder, prazosin for posttraumatic stress disorder-related nightmares, and alprazolam for panic attacks. Which of these medications should the psychiatric-mental health nurse practitioner consider discontinuing prior to induction of buprenorphine?

In quantitative research, inferential statistics are numerical values that enable a researcher to reach conclusions that extend beyond the immediate data alone. Which inferential statistic tests the relationship between two variables?

A 17-year-old boy presents to the psychiatric-mental health nurse practitioner at the request of his mother. He has a chief complaint of anxiety. During the evaluation, he states that he worries about his friends who engage in risky behavior when they drink. He says he “sometimes” drinks on weekends, but his father was an alcoholic so he would never let it get “that far.” Which of the following is an effective screening tool for substance use and high-risk behaviors in children and adolescents?

A nurse practitioner makes a medical error in which she administers gentamycin intravenously in her clinic without checking any lab work. As a result, her patient loses hearing. Why is this considered a civil case rather than a criminal case?

The PMHNP is working at an outpatient substance use facility clinic that provides treatment with buprenorphine. Which of the following is the clinic most likely to use in its policies and procedures prior to the induction of buprenorphine?

The PMHNP wants to motivate a 35-year-old father with children to enter treatment for alcohol use disorder, but so far the client has not indicated he is interested in doing so. What would be an appropriate line of questioning?

A 36-year-old female client presents to the psychiatric-mental health nurse practitioner. She has been stable for 1 year but says her buprenorphine regimen has not been working since she started a new medication prescribed by her primary care provider. Which medication most likely contributed to the decrease in buprenorphine efficacy?