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?

After receiving a diagnosis of chronic low back pain, a 48-year-old male patient with a history of major depressive disorder and substance use disorder in partial remission asks about medication options. Which of the following is not an appropriate option given his clinical scenario?

The family of an 81-year-old woman asks the PMHNP to refrain from telling her that the most recent MRI reflects suspected Parkinson's disease. They reason that at her age, there is no point. Honesty is one of a PMHNP's core values, and not telling her client about the diagnosis would violate her values. What is this an example of?

The PMHNP is conducting an evaluation on a 45-year-old divorced man who has a history of depression and substance use disorder. He wants to know if the substance use disorder caused the depression, or if the depression caused the substance use disorder. What is the most appropriate response?

A new nurse practitioner accepts a position in a private clinic. She will be an independent contractor and bill for herself. She understands her scope of practice and standards of practice. As a new nurse practitioner, she is expected to be competent in all of the following core competencies EXCEPT which one?

The PMHNP submitted an original research paper to a journal for publication, but it was rejected due to lack of internal validity. Which of the following most accurately defines internal validity?

A 31-year-old female client who has been treated by the PMHNP for 10 years tells her she has been abusing her prescription for clonazepam (Klonopin). Using the principles of motivational interviewing, which of the following would be an affirming statement?

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?

Ethics are an important aspect of the nurse practitioner role. Ethics consist of moral duties, obligations, and responsibilities. Which of the following terms refers to the ethical principle that asserts nurses should be fair in all aspects of care?

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

A 36-year-old female client presents to the psychiatric-mental health nurse practitioner. She has been stable for 1 year but says her buprenorphine regimen has not been working since she started a new medication prescribed by her primary care provider. Which medication most likely contributed to the decrease in buprenorphine efficacy?