A 13-year-old girl begins to have episodes of temper outbursts that are out of proportion to the situation. Which of the following is a possible diagnosis?

In addition to the physical exam and functional assessment, which of the following is used to assess response to treatment for rheumatoid arthritis?

A 22-year-old woman diagnosed with bipolar disorder missed her last two appointments with the PMHNP after she was started on lithium (Eskalith). Her mother brought her to a third appointment. The patient was excited to see the PMHNP, as evidenced by her rapid rate of speech and discussion about the book she was writing. The patient went on to say that God had spoken directly to her and given her a message that only she could give to the world. She said she hadn’t been able to sleep for at least 1 week because she had been so busy working on this book, but she felt “absolutely incredible” despite her lack of sleep. Both the patient and the mother insist she has not stopped taking her medication. The PMHNP orders laboratory studies, including a lithium level. Which level of lithium will be subtherapeutic and indicate a need for an increased dose?

The PMHNP is conducting a mental status exam (MSE) on a new client. He asks her to explain the meaning of the proverb, "A rolling stone gathers no moss." The PMHNP understands that the proverb portion of the MSE tests functioning in which areas of the brain?

The major characteristic that differentiates between delirium and dementia of Alzheimer’s type (DAT) is:

In bipolar disorder, it is theorized that initial episodes are likely triggered by major life events that cause the brain to become overly sensitive to electrical stimulation. Successive episodes grow increasingly more autonomous due to neuronal misfiring. Which term represents this concept?

A 68-year-old male patient on an inpatient geropsychiatric unit scored 3 on the Lewy Body Composite Risk Score (LBCRS). What does this score indicate?

The psychiatric-mental health nurse practitioner evaluates an 81-year-old man who was admitted to the hospital 3 days ago for community-acquired pneumonia and dehydration. Today, he has an altered level of consciousness and is only oriented to person. The nurses report he has become withdrawn and has refused to eat. He has no previous psychiatric history. Based on this scenario, what medication should the PMHNP prescribe for agitation as needed?

A 37-year-old woman who gave birth to twins 24 hours ago suddenly develops blurred vision, severe headaches, and upper abdominal pain under the ribs on her right side. Her last blood pressure reading was 146/92 mm Hg. Which of the following is the most appropriate treatment?

A 23-year-old woman presents to the PMHNP with a chief complaint of "nervous tension." After a full evaluation and the administration of the Hamilton Anxiety Scale (HAM-A), the PMHNP diagnoses her with generalized anxiety disorder. He plans to use today's HAM-A score as a baseline and then readminister the scale at every follow-up appointment to monitor treatment. Her score today is 20. What does this score indicate?

Which of the following aspects of bipolar disorder predicts a favorable response to lithium treatment?