A 3-year-old girl has a presentation that meets criteria for autism spectrum disorder. However, a careful history identifies that her head growth began to decelerate around 8 months. What diagnosis will she receive?

The PMHNP diagnoses a 25-year-old woman with generalized anxiety disorder with panic attacks. Terrified by the panic attacks, she requests medication, saying, “I need something to control them immediately.” The patient is otherwise fit and healthy and has no history of substance abuse or dependence. Which of the following strategies would be reasonable?

A 66-year-old woman presents to the nurse practitioner with complaints of dyspnea, syncope, and palpitations. She believes she is having anxiety, but she has no history of mental health issues and is undergoing no major stressors. Which findings on physical exam would lead the NP to suspect atrial fibrillation?

The parents of a 14-year-old female high school freshman bring her to the PMHNP for an evaluation. They believe she should be doing better in high school due to her "gifted" status. They state that she has a formal IQ score of 125 and that her grades were mostly As through 5th grade. Now, she hands in her papers late and her grades are dropping to mostly Bs and Cs. During her psychiatric evaluation, the girl reports that high school is different from elementary school and junior high because now she has to write papers. She says she often turns them in late due to procrastination and forgetfulness. She reports a long history of inability to sustain attention while in class or doing homework, failure to pay attention to details or finish chores or tasks, significant difficulties with time management, planning, and organization. She is forgetful, often loses things, and is easily distracted. She has no history of restlessness or impulsivity, and she is popular with her peers. What is the most likely diagnosis?

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 63-year-old man was recently placed on warfarin (Coumadin) by his nurse practitioner. Which of the following supplements will he need to discontinue?

A 3-year-old girl with a history of prenatal exposure to methamphetamines is brought to the PMHNP by her grandmother for an evaluation of her readiness to attend preschool. She demonstrates substantial delays across multiple domains of functioning, including communication, learning, attention, and motor development. These deficits will limit her ability to interact with same-age peers. She also requires substantial support in all activities of daily living at home. Due to custodial circumstances, her grandmother is a poor historian and is unable to provide information about the age of onset for these symptoms. What is the most appropriate diagnosis?

The PMHNP is asked to evaluate a 21-year-old woman with a tear of her anterior cruciate ligament (ACL). The orthopedic surgeon who requested the evaluation says the patient has been in the hospital for 2 days and is scheduled for surgery tomorrow. The patient complains of anxiety about her upcoming surgery. She is afebrile, her heart rate is 95, and her blood pressure is 110/76. She is not currently in pain; her knee pain is controlled by acetaminophen. Which of the following is the most appropriate medication for this patient based on this scenario?

The PMHNP has diagnosed a 9-year-old boy with attention deficit hyperactivity disorder (ADHD) and is prescribing medication. As she discusses the medication with the mother, she can see the mother is becoming visibly anxious. What does the PMHNP do next?

A 29-year-old man complains of recurrent severe headaches that usually occur in the early morning. Sometimes he is awakened by the headache "like an alarm clock." The pain comes on quickly, within 5-10 minutes, and it lasts 30 to 60 minutes. He describes the pain as excruciating and stabbing. The pain begins at his left nostril and is followed by severe retro-orbital pain. He experiences tearing and nasal stuffiness on the left side of his face. The patient thinks the headaches started when he was given a promotion at work 3 months ago and his stress levels increased. Which of the following is the best course of treatment?

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?