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 40-year-old man tells his wife he thinks he is having a midlife crisis. In which Erikson stage does the midlife crisis occur?

The mother of an 8-year-old boy brings the child to the psychiatric-mental health nurse practitioner for an evaluation. She states that she thinks her son has ADHD. The mother says the boy’s father is reluctant to try medication and believes the boy just needs to “focus.” The mother wants to try medication and somehow show the father that it will help her son. Which of the following is a tool that could be used to objectively measure behavior changes prior to and during medication administration?

A 31-year-old female patient with posttraumatic stress disorder (PTSD) takes prazosin (Minipress) for PTSD-associated nightmares. According to best practice guidelines, what nonpharmacologic treatment has the highest level of evidence for the treatment of nightmares in adults with PTSD?

A 22-year-old man reports that he hears someone knocking on his door at night, but every time he answers the door, no one is there. He thinks he hears his neighbors outside talking, even when he knows they are not home. He says he knows it’s his “imagination," but he feels “compelled” to answer the door, “no matter what time of day,” even if he is sleeping. He says he has had similar episodes “in the past,” but this has been going on for at least 6 months, and it has become problematic. What is the most appropriate diagnosis?

A 23-year-old woman presents to the PMHNP with a chief complaint of "nervous tension." After a full evaluation and the administration of the Hamilton Anxiety Scale (HAM-A), the PMHNP diagnoses her with generalized anxiety disorder. He plans to use today's HAM-A score as a baseline and then readminister the scale at every follow-up appointment to monitor treatment. Her score today is 20. What does this score indicate?

An 8-year-old girl presents with a history of normal vocabulary and grammar skills, but she is unable to use language to share ideas and feelings. Beginning in early childhood, she has been unable to make good eye contact and has difficulty reading social cues. These characteristics have led to difficulty making friends. Her social skills are further complicated by her obsession with light bulbs, which she repetitively draws on virtually any piece of paper she can find. She excessively smells shiny objects that catch her eye. She has rituals for getting dressed that cause significant distress if they are interrupted in any way. All of these symptoms have caused significant impairment in her functioning. What diagnosis best fits her presentation?

A PMHNP would like to monitor a client's progress in anxiety symptom reduction over time using a clinician-administered anxiety rating scale. Which of the following is the most commonly used clinician-administered anxiety rating scale?

A 51-year-old woman is diagnosed with primary osteoarthritis (OA) of the knee. The NP will educate the woman that which of the following could have contributed to or might worsen her OA?

A 9-year-old boy is referred to the PMHNP by the school counselor after his parents request help with his behavioral issues. He is in third grade, and although he is doing "fine" academically, he constantly interrupts, fidgets, talks excessively, and gets out of his seat and walks around the classroom. He has friends, but they often get frustrated with him because he talks over them and he wants to play sports nonstop. At home, he can barely stay in his seat to do his homework or eat a meal. He often gets upset with his parents for trying to redirect him to finish his chores or his schoolwork, and they end up sending him to his room. He does show remorse when his behavior is pointed out to him, yet he is unable to inhibit himself. What is the most likely diagnosis?

A 10-year-old girl presents to the urgent care clinic with a dislocated elbow sustained in a roller-skating accident. Which of the following is NOT an expected treatment for this girl?