A 23-year-old pregnant woman has been referred to the PMHNP by her OB/GYN for management of bipolar disorder. Lithium should be avoided in the first trimester due to which potential teratogenic risk?

A genetics report for a patient with bipolar disorder shows lamotrigine (Lamictal) should be an effective treatment for them. The PMHNP will slowly titrate the dose of lamotrigine for which of the following reasons?

The PMHNP is conducting an Abnormal Involuntary Movement Scale (AIMS) test on her 67-year-old client, who was recently initiated on ziprasidone (Geodon). What does the AIMS test assess?

The PMHNP is treating a 76-year-old woman with an atypical antipsychotic who is exhibiting extrapyramidal symptoms (EPS). The PMHNP understands that for EPS symptoms to decrease, which neurotransmitter must be decreased?

A 59-year-old woman with a history of breast cancer is taking tamoxifen to reduce recurrence risk. She is depressed and reports difficulty sleeping and hot flashes since initiating tamoxifen (a CYP2D6 substrate). Which of the following antidepressants is most appropriate?

A 42-year-old recently divorced female client is referred to therapy by the PMHNP. The therapist asks the client, "If you woke up tomorrow and all your problems were solved, what would that look like?"
What is this an example of?

A 28-year-old woman with a history of unstable interpersonal relationships, self-harm, suicide attempts, mood lability, substance abuse, and extreme irritability presents to the psychiatric nurse practitioner for an evaluation. She states, “I just want to know what’s wrong with me. I feel like I spend 95% of my time either angry or on the floor crying in the fetal position.” The PMHNP suspects this client has borderline personality disorder. In this scenario, how would the discomfort the client experiences as a result of her behaviors best be described?

A 40-year-old man has been taking fluoxetine (Prozac) for seasonal depression for the past 3 months, as prescribed by his psychiatric-mental health nurse practitioner. He believes his symptoms are well controlled. The patient's primary care provider recently prescribed atorvastatin (Lipitor) for hypercholesterolemia. Today, he complains of muscle and joint pain. The PMHNP suspects possible rhabdomyolysis.
Which answer choice describes the reason for this?

The PMHNP is evaluating a 67-year-old client who recently started the medication risperidone (Risperdal). As part of the evaluation, she asks the patient to open her mouth and then stick her tongue out. What assessment is the PMHNP conducting?

A decrease in which neurotransmitter, produced in the raphe nuclei of the brainstem, can result in depression, anxiety, and obsessive-compulsive disorder?

A 49-year-old man presents to the PMHNP for his regular medication management appointment. He has schizophrenia and has been treated with thioridazine (Mellaril) for the past 15 years. The PMHNP decides to switch this patient to a different antipsychotic due to which serious long-term consequence of high-dose thioridazine?