A 19-year-old man scores 10 on the Yale-Brown Obsessive Compulsive Scale. What does this score indicate?

The PMHNP has diagnosed a 9-year-old boy with attention deficit hyperactivity disorder (ADHD) and is prescribing medication. As she discusses the medication with the mother, she can see the mother is becoming visibly anxious. What does the PMHNP do next?

A 26-year-old woman presents to the psychiatric-mental health nurse (PMHNP) for an evaluation. She has a history of trauma and reports weekly flashbacks, depression, startle responses, severe anxiety, and difficulty sleeping. Which medication is FDA-approved for posttraumatic stress disorder (PTSD)?

A 10-year-old boy is brought by his mother to the PMHNP for evaluation of a sudden onset of obsessions, compulsions, and tics. During the history and exam, the PMHNP learns that the child recently had strep throat. What is the 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 6-year-old boy has difficulty making friends and problems with initiating and sustaining back-and-forth conversation. He also has trouble reading social cues and sharing his feelings with others. He has a range of affect that generally seems appropriate to the situation, makes good eye contact, displays appropriate facial gestures, and has normal speech intonation. He demonstrates an interest in space ships that seems abnormally excessive in intensity and focus. He engages in little imaginative play. Which of the following diagnostic requirements for autism spectrum disorder are NOT met in this case?

A 5-year-old boy dreams that he is riding in a car that starts flying, then turns into a monster. At the end of the dream, he dies. The boy tells his mom, "I became a ghost like Grandpa." Which of the following would be an appropriate statement by the NP to the mother?

A 29-year-old female client with posttraumatic stress disorder (PTSD) is resistant to eye movement desensitization and reprocessing therapy (EMDR) because she has heard that past traumas must be re-experienced. She said she avoids thinking about the trauma and does not want to re-live it. What is the most appropriate response?

A 2-year-old boy presents to the nurse practitioner with new onset seizures and a history of a port wine stain at birth. Which of the following is not a clinical feature of Sturge-Weber syndrome (SWS)?

A 51-year-old woman with a history of generalized anxiety disorder (GAD) has been treated with 20 mg of paroxetine (Paxil) for 6 months. The dose was increased to 40 mg at her last visit 2 weeks ago due to increased symptoms of anxiety. Now she reports “hot flashes” and significant hyperhidrosis to her psychiatric mental health nurse practitioner. Which of the following statements is NOT correct about this clinical scenario?

The PMHNP is evaluating a new 17-year-old client with a history of delinquent behavior, including a recent arrest for vandalism. The nurse practitioner suspects conduct disorder based on the client's history and current presentation. According to Erikson, such behavior is a result of the failure to resolve which psychosocial developmental stage?