A 13-year-old boy has developed concentration problems in school, accompanied by a significant decline in grades. When evaluated, he explains that he has been worrying about his grandfather, with whom he is extremely close. His grandfather was recently diagnosed with Alzheimer's disease, and the boy has been helping his mother take care of him. As his grades decline, he becomes increasingly sad and his energy level drops, which further hinders his ability to pay attention in school. He also complains of being restless and unable to sleep. What is the most likely diagnosis?

A 41-year-old Malaysian man is referred to the PMHNP following an incident at work. He says a coworker insulted him, and the next thing he knows the police were called. He does not remember attacking the coworker, but he was arrested for assault. Which culture-bound syndrome should the PMHNP include in the differential diagnosis?

Following a stroke, a 71-year-old woman experiences a cognitive-linguistic disorder. Which of the following is true about expressive aphasia?

The PMHNP administers the Hoarding Rating Scale to a 58-year-old woman, and her score is 15. What does this score indicate?

The pathophysiology of anxiety disorders is thought to result from which area of the brain?

A 6-year-old boy has difficulty making friends and problems with initiating and sustaining back-and-forth conversation. He also has trouble reading social cues and sharing his feelings with others. He has a range of affect that generally seems appropriate to the situation, makes good eye contact, displays appropriate facial gestures, and has normal speech intonation. He demonstrates an interest in space ships that seems abnormally excessive in intensity and focus. He engages in little imaginative play. Which of the following diagnostic requirements for autism spectrum disorder are NOT met in this case?

A 40-year-old man tells his wife he thinks he is having a midlife crisis. In which Erikson stage does the midlife crisis occur?

A 29-year-old man presents with classic signs and symptoms of panic disorder. In addition to medication, the PMHNP will recommend which of the following forms of therapy?

A 23-year-old graduate student is appointed to be the team leader for a group project. He is so rigid and inflexible about the rubric that other members of the team get frustrated, and the project almost collapses. He insists that each section must be completed and perfected before the next section can be started. The project is eventually finished, but no one on the team will work with him again. Which disorder best reflects this man's behaviors?

A 21-year-old unmarried man has near-daily intrusive thoughts that his neighbors knock on his door at night. He tells the PMHNP he knows this knocking is just his "imagination" because the neighbors work nights and are not home. However, he feels compelled to get out of bed and open the door, no matter what time it is. He opens and closes the door repeatedly for at least an hour, sometimes longer. He says he has had this problem "in the past" and did not seek help for it. This time it has been going on at least 6 months and is becoming "problematic." It is interfering with his ability to get a good night's sleep and he is having problems at work. His roommate is also very troubled by it. The PMHNP will diagnose him with which of the following?

A pregnant 30-year-old woman complains of persistent numbness on the palmar surface of her right hand and of pain in her right arm. Her symptoms are more severe in the morning. Neurologic examination reveals a sensory deficit in the right thumb and the index and middle fingers, as well as on the lateral half of the ring finger. The patient has weakness when abducting the thumb. Which of the following is considered first-line treatment?