A 17-year-old boy presents to the psychiatric-mental health nurse practitioner at the request of his mother. He has a chief complaint of anxiety. During the evaluation, he states that he worries about his friends who engage in risky behavior when they drink. He says he “sometimes” drinks on weekends, but his father was an alcoholic so he would never let it get “that far.” Which of the following is an effective screening tool for substance use and high-risk behaviors in children and adolescents?

What is a distinguishing factor between competency and informed consent?

Which of the following explains why children are considered a vulnerable population?

A 7-year-old boy has just been diagnosed with attention deficit hyperactivity disorder (ADHD). His parents want to try nonpharmacologic treatments. Which of the following is not a valid nonpharmacologic treatment for ADHD?

A psychiatric-mental health nurse practitioner recently began prescribing controlled substances that are part of a medication-assisted treatment (MAT) program for opioid abuse. The PMHNP must check the prescription drug monitoring program (PMP) website at least every 90 days for patients who receive these prescriptions. Which of the following best describes the purpose of the PMP?

A 45-year-old man with chronic alcoholism appears in the emergency department with disorientation and confusion. A neurologic examination shows ataxia and disconjugate eye movements. What is the most appropriate treatment?

A 22-year-old female client with bipolar disorder is late for her medication follow-up appointment with the PMHNP. She calls the office and reports she is lost, although she has been to the office many times. When she arrives, she is manic. She expresses psychotic delusions that people are "out to get" her, and she says she will shoot if she "has to." She does not want to be hospitalized. She states, "I am more clear-headed than I have ever been." What should be the nurse practitioner's next steps?

Which of the following are considered the four cultural and influential determinants of health?

A 28-year-old woman is referred to the PMHNP for persistent insomnia and depression after being treated in the emergency department of her local hospital for headaches, stomach pain, and various other physical complaints five times in the past 6 months. Which findings on the mental status exam would lead the PMHNP to suspect intimate partner violence?

A 41-year-old male client has been undergoing treatment for depression for many years and has chronic suicidal ideation. The PMHNP administered the Beck Hopelessness Scale at the client's last visit, in order to determine the context of his suicidality. He scored an 8. What does this score represent?

Which of the following symptoms can occur as a result of intoxication with alcohol, an inhalant, or a sedative, hypnotic, or anxiolytic?