A 26-year-old woman presents to the psychiatric-mental health nurse (PMHNP) for an evaluation. She has a history of trauma and reports weekly flashbacks, depression, startle responses, severe anxiety, and difficulty sleeping. Which medication is FDA-approved for posttraumatic stress disorder (PTSD)?

A 19-year-old man presents to the PMHNP for a psychiatric evaluation with a chief complaint of intrusive thoughts and compulsive behaviors. Of the following, which is considered the gold standard assessment tool for obsessive-compulsive disorder (OCD) severity?

A 35-year-old White man with a history of diabetes is scheduled for cataract surgery. He receives cyclopentolate hydrochloride (Cyclogyl) eye drops. The nurse practitioner knows the patient understands how to use the medication when he says:

A 49-year-old female patient with type 2 diabetes (T2DM) and a BMI of 31 presents to the nurse practitioner with a swollen, thick, rubbery area of the skin on her abdomen. She recently went to the ED for a hypoglycemic episode, but today her fasting blood glucose level is 197. Which of the following most closely aligns with this clinical scenario?

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 32-year-old woman presents to the psychiatric nurse practitioner with a 3-month history of concentration difficulty, irritability, and depression. She has not experienced these symptoms at any other time in her life. During an extensive history inquiry, the woman states that 4 months prior to her visit with the nurse practitioner, she had experienced a short-term flu-like illness and noticed a bull's eye-shaped rash on her calf. She has noted no other symptoms since then, until the mood symptoms began. Her physical examination and laboratory findings are within normal limits. Which of the following is the most likely diagnosis?

A 25-year-old man who smokes says his smoking is not a problem now because he is young and healthy. He will quit when he is “older.” The therapist asks him, “What do you consider to be older?” The young man answers, “You know, middle age, like 40 or 50.” The therapist says, “Didn't you tell me your grandfather died from lung cancer at age 49? What would his middle age have been?” The young man quietly says, “I guess my age. Maybe I should think about cutting back.” What technique is this an example of?

Which of the following clients would NOT be an appropriate candidate for the measles, mumps, and rubella (MMR) vaccine?

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

A PMHNP was assigned to a COVID-19 unit during the pandemic. Her assignment was to assist dying patients in saying goodbye to their loved ones via telephone. She facilitated their phone conversations and watched the patients have their last conversations with their family, often crying in agony. More than 2 months after this assignment, during which she assisted hundreds of patients who died, the PMHNP began having nightmares about these experiences. She had flashbacks of some of the memories, often triggered when she received a phone call or looked at her phone. She began avoiding using her phone. She began having difficulty with concentration and often couldn't remember details of her time on the COVID-19 unit. She often felt detached from reality and the world. What diagnosis is most appropriate?

A 51-year-old Black man is scheduled to undergo a colonoscopy. Which of the following is NOT a contraindication to the procedure?