A 24-year-old woman with a history of major depressive disorder treated with sertraline is brought to the emergency department by her partner for evaluation of fever, vomiting, and weakness. In the emergency department, her temperature is 103°F, her heart rate is 129 beats per minute, she is agitated and restless, and she displays hyperactive reflexes. Her symptoms began several hours after she used a new medication prescribed by her primary care provider. Which of the following is most likely to be the new medication?

The PMHNP is discussing a 33-year-old male client's alcohol use disorder and his reasons for possibly wanting to change. Which of the following statements by the PMHNP would be considered summarizing?

A 23-year-old pregnant woman has been referred to the PMHNP by her OB/GYN for management of bipolar disorder. Of the following, which one is NOT an acceptable choice for this client due to teratogenic risks?

Which of the following is the correct term for the level at which one's sense of self-worth is not dependent on external relationships, circumstances, or occurrences?

A married couple brings their two children to counseling for behavioral problems. The 13-year-old son is smoking and skipping school, and the 16-year-old daughter is staying out past her curfew and sneaking out at night. According to family systems theory, who is the identified patient?

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 39-year-old woman with difficult-to-treat depression has tried all the antidepressant classes except MAOIs. She is currently taking an SSRI that will require a 5-week washout period before switching to an MAOI. Which of the following SSRIs is she currently taking?

The PMHNP has been working with a 28-year-old unmarried male client who has been late for his last three appointments. At this appointment, the nurse practitioner tells him he will need to reschedule if he runs late again. The client becomes upset and says this is why he has a hard time trusting medical professionals. “It's all about money, you don't really care about your patients.” What is the most appropriate response?

In a family therapy session, the therapist notes that the mother and oldest daughter seem to align against the father. The father and son, who is the youngest child in the family, align with each other against the mother. What are these family alliances examples of?

The PMHNP is preparing to evaluate a new client, a 39-year-old single woman. The client is charming, gregarious, and lively, and she is dressed in colorful clothing. As the session continues, she appears to be excessively emotional and attention-seeking, using dramatic language. She says, "I am just a basket case! I will probably need to come in every week." Which diagnosis would be most appropriate?

A 32-year-old woman was diagnosed with schizophrenia approximately 4 years ago. She has been stable on haloperidol for 1 year, following trials with several atypical antipsychotics. Two weeks ago, she began exhibiting mild pseudo-Parkinson's disease symptoms. Because she did not achieve symptom control on so many medications, the PMHNP is reluctant to discontinue the haloperidol and instead chooses to treat the side effect. Which class of medications is the most appropriate for treating these side effects?