A 21-year-old patient with a history of asthma presents with sudden onset shortness of breath and difficulty breathing. Which characteristics would help the nurse practitioner make a differential diagnosis of an anaphylactic reaction?

Two weeks ago, the PMHNP prescribed the antidepressant escitalopram (Lexapro) for a 28-year-old female client with generalized anxiety disorder. At her initial appointment, she scored 28 on the Hamilton Anxiety Rating Scale (HAM-A). At today’s follow-up visit, she scored 26. She reports no side effects from the Lexapro. Which of the following is the next step for the PMHNP?

The PMHNP has just diagnosed a patient with excoriation disorder. To fulfill diagnostic criteria for excoriation disorder, the skin-picking must be severe enough to result in which of the following?

The PMHNP starts a stress management class for anyone in the community who has had a loved one diagnosed with COVID-19. The goal is to help the community members avoid stressors and learn to cope with them more effectively. What type of prevention strategy is this?

A 23-year-old graduate student is appointed to be the team leader for a group project. He is so rigid and inflexible about the rubric that other members of the team get frustrated, and the project almost collapses. He insists that each section must be completed and perfected before the next section can be started. The project is eventually finished, but no one on the team will work with him again. Which disorder best reflects this man's behaviors?

In which phase of Eye Movement Desensitization and Reprocessing (EMDR) does the client activate the memory by visualizing the trauma, identify associated thoughts, and establish a baseline for emotional and physical reaction to the trauma?

A 51-year-old Black man is scheduled to undergo a colonoscopy. Which of the following is correct about the procedure?

A 56-year-old Black man presents to the nurse practitioner with complaints of pain during urination, painful ejaculation, blood in his semen, and pelvic pain. The symptoms have been present for 2 weeks. How does this patient's race impact his possible diagnosis?

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 25-year-old married woman explains to the PMHNP that she spends an inordinate amount of time tweezing her eyebrows every evening. She says she has anxiety when she looks in the mirror and sees asymmetry in her eyebrows. She tries to pull every hair that is out of place. This can take more than an hour each evening, and it is becoming problematic because she is still unhappy after tweezing. She only stops when her husband demands it, after telling her how beautiful she is and that the asymmetry is "all in her head." She still feels an urge to tweeze her eyebrows every night in an attempt to "fix" them. What diagnosis is the most appropriate?

A 53-year-old woman of Asian descent was recently diagnosed with osteoporosis. Which of the following is NOT considered a risk factor for fracture in patients with osteoporosis?