A 29-year-old single woman presents to the PMHNP for evaluation of a chief complaint of fatigue. She states she has been feeling "tired" and "empty" for the past 4 years. She sleeps up to 11 hours a day and is still tired. She has trouble concentrating and has difficulty making decisions. She has gained 10 pounds over the past 2 years due to overeating and little physical activity. She reports no suicidal ideation or manic symptoms, and no delusions or hallucinations. What is the most likely diagnosis?

Which of the following best represents the Just Culture of Safety model?

A parent previously agreed that the psychiatric-mental health nurse practitioner (PMHNP) and her 17-year-old son could discuss his treatment in confidentiality. Now, the mother is calling the PMHNP asking about his most recent diagnosis of gender dysphoria. What should the PMHNP do?

Where is the neurotransmitter dopamine produced?

The PMHNP is evaluating an 11-year-old boy with intellectual disabilities, a long face, and large ears. He has midface hypoplasia, hyperextensible joints, and a short stature. She explains to the family that the child has which of the following?

A mother brings her 5-year-old daughter to the PMHNP for concerns about her speech articulation. She has never sustained a head injury, was not exposed to prenatal toxins, was delivered vaginally without problems, is otherwise healthy, and is developmentally in line with her peers. She has struggled with speech articulation; her daycare teachers first noticed it and she received speech therapy beginning at that time. She has no issues relating with her peers, and she is highly imaginative in her play. Despite having speech therapy, her speech is still difficult to understand. What is the most likely diagnosis?

A 29-year-old single woman presents to the PMHNP for evaluation of a chief complaint of fatigue. She states she has been feeling "tired" and "empty" for the past 4 years. She sleeps up to 11 hours a day and is still tired. She has trouble concentrating and has difficulty making decisions. She has gained 10 pounds over the past 2 years due to overeating and little physical activity. She reports no suicidal ideation or manic symptoms, and no delusions or hallucinations. What is the most likely diagnosis?

The PMHNP is evaluating a 72-year-old patient with a history of ischemic stroke. The patient has difficulty finding words and trouble with activities such as brushing her teeth. Which part of her brain was most likely affected by the stroke?

The parents of a 16-year-old adolescent girl come to the PMHNP requesting treatment for her "so-called gender issues." The mother cries while the father says, "She says she has wanted to be a boy ever since she was 4 years old. This is all just nonsense. It's a phase, and the sooner she gets over it, the better." The daughter acknowledges to "feeling like a boy" since the age of 4, and she currently binds her breasts. She also wants to be called by a male name. Her father wants to send her to conversion therapy offered by their church. The mother wants to know the PMHNP's opinion. Which of the following is the most appropriate response?

A 22-year-old female patient was diagnosed with major depressive disorder by her primary care provider, who referred her to the PMHNP for treatment and further evaluation. Which of the following tools helps gauge the intensity of depression in patients who have been diagnosed with a depressive syndrome?

Which of the following is considered a constraining factor for growth of the nurse practitioner role?