A 16-year-old girl is brought to the PMHNP by her mother for evaluation. The mother thinks her daughter is "crazy" because she wants a nose job. The girl says she looks "hideous” with her big nose, and she will get plastic surgery as soon as she can afford it. Upon examination, the girl denies excessive preoccupation with her appearance, such as repetitive behaviors or mental acts. She says she does not compare her nose to other people's, nor does she make attempts to hide her nose. She says she is not "crazy" and that plastic surgery is common. The mother is upset because her daughter is "too beautiful" to need surgery. Which diagnosis would be most appropriate?

A 39-year-old pregnant woman in labor with preeclampsia develops chest tenderness and right upper quadrant pain, as well as pain when breathing deeply. Her lab results are as follows: hemoglobin 7.8 g/dL; aspartate aminotransferase 313 U/L; alanine aminotransferase 225 U/L; platelets 85,000/mcL. Which of the following most closely aligns with this clinical scenario?

A 48-year-old woman presents to the nurse practitioner with a history of nonspecific back pain between the lower rib margin and the gluteal folds for 3 months. She reports significant emotional distress and functional impairment related to this ongoing pain. She denies a history of injury or trauma to her back or neck. Which of the following is INCORRECT about chronic lower back pain?

A 66-year-old woman presents to the nurse practitioner with complaints of dyspnea, syncope, and palpitations. She believes she is having anxiety, but she has no history of mental health issues and is undergoing no major stressors. Which findings on physical exam would lead the NP to suspect atrial fibrillation?

A 34-year-old Hispanic woman who is 8 weeks pregnant presents to the nurse practitioner for a prenatal visit. Which of the following is primary prevention for reducing this patient's risk of developing coronary heart disease?

A 66-year-old woman with suspected atrial fibrillation wants to know why she is being asked to wear a Holter monitor for 24 hours. Which of the following is the appropriate response?

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 56-year-old man presents to the PMHNP, stating he was sent by his wife. He explains he used to own a video rental store, and as a result, he has a large collection of VHS tapes. He continues to collect these "antiques" and does not see any problem with this because they are valuable. He admits he never watches them, because he can never decide which one to watch, and he doesn't have a lot of time. He has started running out of space to keep the tapes, and he admits many of them are probably ruined because they have been housed outside in a hot storage unit. Which diagnosis is most appropriate?

A 36-year-old woman presents with pain, aching, stiffness, and swelling in her hands for 6 months. She reports a family history of rheumatoid arthritis (RA). Which of the following is NOT a risk factor for RA?

A 47-year-old man only travels by train despite the necessity of frequently traveling long distances for his job. This causes significant difficulty, since the train trips are much longer than the plane rides and he misses important meetings. He has tried flying on several occasions, only to have a panic attack each time, even when the flight was smooth with no turbulence. Which of the following is the correct diagnosis?

A 59-year-old woman diagnosed with moderate osteoarthritis (OA) of the right knee asks the nurse practitioner about her treatment options. Which of the following is NOT considered an option for a patient with moderate OA of the knee?