A 13-year-old boy presents to the PMHNP accompanied by his mother, who complains of a change in behavior for the past 2 months. The mother says her son frequently loses his temper, is easily angered, is resentful, and is spiteful toward her. This behavior started approximately 4 weeks after she and the boy's father separated and the father moved out of the home. Which of the following helps the PMHNP to rule out oppositional defiant disorder (ODD)?

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 27-year-old married woman reports to the PMHNP that she is experiencing significant distress in her marriage because she "hates" going to social events, and her husband's job requires attending regular social gatherings. She avoids these activities because she is "terrified" she will do or say something embarrassing, and she has started pretending she has headaches to get out of going to them. Her husband doesn't understand why she doesn't want to go to these parties, which are typically small gatherings of less than 15 people. She admits that when she does go, they end up being "no big deal." The PMHNP will diagnose this woman with which of the following?

A 29-year-old nurse presents to the PMHNP for evaluation after a traumatic event. Two weeks ago, she was attacked by a patient on the behavioral unit where she works. She says she is having flashbacks about the event and keeps wondering "what could I have done to prevent it?" She has had several panic attacks since the incident, and she is to the point now where she is considering quitting nursing. She says, "I guess I am too weak to be a nurse if I can't handle one attack." What is her most likely diagnosis?

A mother presents to the nurse practitioner with her 10-year-old son for a routine well check and a flu shot. She asks the NP if there are any vaccines he is not up-to-date on. The NP explains that the HPV vaccine (Gardasil 9) is indicated for which of the following groups?

A 31-year-old female patient with posttraumatic stress disorder (PTSD) takes prazosin (Minipress) for PTSD-associated nightmares. According to best practice guidelines, what nonpharmacologic treatment has the highest level of evidence for the treatment of nightmares in adults with PTSD?

The mother of a 12-year-old boy is concerned about the increasing number of times he shrugs his shoulders, rapidly blinks, and clears his throat. He is not taking any medications that would cause these behaviors. Which psychiatric condition is characterized by these features?

A 25-year-old female pharmaceutical sales representative presents to the PMHNP for an evaluation due to what she calls an increasing level of anxiety about her job, which she has had for approximately 1 year. She works from a home office, and it has become unorganized and cluttered. She frequently forgets deadlines for submitting reports, and as a result she turns them in at the last minute. She has been chastised more than once by her boss for not paying attention to details on these necessary reports. Because she does not report to anyone on a day-to-day basis, she often gets completely overwhelmed by the autonomy of the job, and as a result she completely "shuts down." She knows she should be planning her time better, but she has never been good at time management or planning. During her evaluation, she reports making excellent grades until she got to college. She says she can remember not being able to pay attention to teachers as early as first grade, and her report cards frequently said she talked too much. She often got in trouble at home for not finishing chores because she was easily distracted and forgetful. Today, she says she is getting so overwhelmed and anxious about her job performance that she is thinking about quitting. She says her friends are tired of her complaining and tell her she has it "so good." She wishes someone would just tell her exactly what to do every day so she didn't have to think about anything.

Low levels of cerebral spinal fluid 5HIAA (CSF 5-HIAA) can be an indicator of which of the following?

During a psychiatric evaluation, the psychiatric-mental health nurse practitioner 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 "eating and feeding"?

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"?