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?

During a psychiatric evaluation, the PMHNP conducts a psychiatric review of systems (ROS) in which she reviews common psychiatric symptoms that may not have been elicited in the history of present illness (HPI). Which of the following questions is most likely designed to elicit a response for the system "elimination"?

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

A 22-year-old man reports that he hears someone knocking on his door at night, but every time he answers the door, no one is there. He thinks he hears his neighbors outside talking, even when he knows they are not home. He says he knows it’s his “imagination," but he feels “compelled” to answer the door, “no matter what time of day,” even if he is sleeping. He says he has had similar episodes “in the past,” but this has been going on for at least 6 months, and it has become problematic. What is the most appropriate diagnosis?

A 7-year-old girl who was formerly completely toilet trained recently began wetting the bed at night. To determine a cause for the enuresis, the nurse practitioner should ask her parents which question or make which statement?

A 51-year-old woman is diagnosed with primary osteoarthritis (OA) of the knee. The NP will educate the woman that which of the following could have contributed to or might worsen her OA?

A 19-month-old boy has a positive result on the Modified Checklist for Autism in Toddlers (M-CHAT-R/F) screen. What does this indicate?

A 4-year-old child is preoccupied with her mother's breasts and frequently wants to gently pat them with her hands. Her mother does not visibly react to this; instead, she redirects the child to another activity. The mother is worried that if she shames her daughter about the breast patting, it might "mess her up somehow." According to Erikson, the child's behavior is considered:

According to Erikson, a 2-year-old child who is harshly punished for accidents during toilet training may experience what types of issues later in life?

The parents of a 16-year-old adolescent girl come to the PMHNP requesting treatment for her "so-called gender issues." The mother cries while the father says, "She says she has wanted to be a boy ever since she was 4 years old. This is all just nonsense. It's a phase, and the sooner she gets over it, the better." The daughter acknowledges "feeling like a boy" since the age of 4, and she currently binds her breasts. She also wants to be called by a male name. Her father wants to send her to conversion therapy offered by their church. The mother wants to know the PMHNP's opinion. Which of the following is the most appropriate response?

A 19-year-old man presents to the PMHNP for a psychiatric evaluation with a chief complaint of intrusive thoughts and compulsive behaviors. Of the following, which is considered the gold standard assessment tool for obsessive-compulsive disorder (OCD) severity?