A 32-year-old patient diagnosed with Obsessive-Compulsive Disorder (OCD) and Bipolar Disorder presents with recurring intrusive thoughts related to cleanliness and compulsive hand-washing. They report periods of heightened energy and impulsivity alternating with depressive episodes. Current treatment includes mood stabilizers lithium and exposure-response prevention therapy for OCD.
Peer response
The development of advanced practice nursing roles globally shows how important quality and safety competencies are in guiding practice. When looking at the variability in education, regulation, and scope of practice across countries, it becomes clear that standardized competencies are essential to ensure safe and consistent care (Wheeler et