The process of synthesizing, disseminating, and using research-generated knowledge to make a change in practices is a subset of the broader evidence-based practice. What is this process known as?

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?

A 31-year-old female client who has been treated by the PMHNP for 10 years tells her she has been abusing her prescription for clonazepam (Klonopin). Using the principles of motivational interviewing, which of the following would be an affirming statement?

A 29-year-old woman with a history of nonsuicidal self-injury (NSSI) presents to the PMHNP for a psychiatric evaluation. The PMHNP suspects she has borderline personality disorder. She denies current suicidal ideation but reports having suicidal "feelings" in the past. Which of the following tools will the PMHNP use to determine future suicide risk?

In 2010, the Institute of Medicine published the report The Future of Nursing, in which it stated: "Regulatory and institutional obstacles — including limits on nurses' scope of practice — should be removed so that the health system can reap the full benefit of nurses' training, skills, and knowledge in patient care." How did the American Medical Association respond?

An 18-year-old college freshman is transported to the emergency department following a call to EMS by his girlfriend, who found him unresponsive in his room. She reports no history of mental illness, no changes in mood, no suicidal ideation, and no hallucinations or other bizarre behavior. He doesn't use drugs, doesn't smoke, and rarely drinks. She says "I don't know what happened; he was out with his new fraternity brothers." What is the most likely diagnosis?

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?

A PMHNP working in a busy, multipractitioner outpatient behavioral health clinic is asked to implement a routine suicide risk screening for all clients who present to the clinic. What is the first step the PMHNP should take to implement the change process?

The PMHNP is seeing a 34-year-old male client who recently decided to stop smoking marijuana after smoking it for 15 years. He is having trouble abstaining from marijuana, even though his wife has threatened to divorce him if he continues to smoke. Using the principles of motivational interviewing, which of the following would be the most appropriate response from the PMHNP to enhance his motivation to change?

A 29-year-old pregnant woman is referred to the psychiatric-mental health nurse practitioner for medication-assisted treatment (MAT) for opioid use disorder (OUD). Which of the following will the PMHNP prescribe?

A newly licensed and board-certified PMHNP has accepted a position at an inpatient substance use treatment facility. Because opioid withdrawal and benzodiazepine withdrawal can involve similar symptoms, distinguishing between the two can be difficult. Which of the following symptoms would aid the PMHNP in making a correct diagnosis of opioid withdrawal?