A client comes into the clinic with a longstanding history of depression and chronic renal failure. He is on an antidepressant and a diuretic and complains of increased depression, mild confusion, irritability, and overall apathy from being too tired to do anything. The best initial PMHNP action to take at this time is a. Increase his dose of antidepressant medication to better capture symptoms b. Change him to another antidepressant for better symptom control c. Augment his antidepressant with an atypical antipsychotic medication d. Order a comprehensive metabolic panel {Ans: D. Client symptoms are consistent with electrolyte imbalance and a physical cause of his symptoms must be ruled out first.}In the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5), how should a personality disorder be coded? a. Coded with the major psychiatric disorder b. Coded on Axis II c. Coded on Axis III d. Coded on Axis IV {Ans: A. DSM-5 no longer uses the axial system.}You are asked by a church organization to work with members within your health system to develop a flu vaccination program. According to public health principles, this is an example of what level of prevention? a. Secondary b. Preventative c.