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What should the pmhnp do first


Problem: 55-year-old woman reports to the PMHNP that since she accepted early retirement last year she finds that her memory has gotten worse and she has trouble sleeping at night. She denies any medical problems. What should the PMHNP do first? Need Assignment Help? • Perform a Mini-Mental State Exam and Confusion Assessment Methods Instrument • Prescribe mirtazapine 15 mg PO at bedtime to help her sleep • Encourage her to volunteer with something she feels passionate about • Refer her to her primary care provider for a physical exam

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