A 31-year-old woman with a history of intellectual disability and congenital heart defects presents to the nurse practitioner with new onset neurologic deficits. Magnetic resonance imaging is contraindicated in patients with a history of which of the following?

A 37-year-old woman who gave birth to twins 24 hours ago suddenly develops blurred vision, severe headaches, and upper abdominal pain under the ribs on her right side. Her last blood pressure reading was 146/92 mm Hg. Which of the following is the most appropriate treatment?

A 16-year-old girl of South Asian descent presents to the PMHNP accompanied by her father. He reports that since the death of her mother 3 months ago, his daughter has been having episodes of strange behavior. He describes these episodes as beginning with a stomach ache and dizziness. Then she behaves as though her dead mother has taken control of her body. After a few minutes, she is back to herself again. Afterward, the patient states she cannot remember anything about these episodes. Which culture-bound syndrome should the PMHNP include in the differential diagnosis?

The major characteristic that differentiates between delirium and dementia of Alzheimer’s type (DAT) is:

A pregnant 30-year-old woman complains of persistent numbness on the palmar surface of her right hand and of pain in her right arm. Her symptoms are more severe in the morning. Neurologic examination reveals a sensory deficit in the right thumb and the index and middle fingers, as well as on the lateral half of the ring finger. The patient has weakness when abducting the thumb. Which of the following is considered first-line treatment?

Which of the following aspects of bipolar disorder predicts a favorable response to lithium treatment?

A 67-year-old man on a geriatric inpatient unit with no high school education scored 30 on the St. Louis University Mental Status Exam (SLUMS). What does this score indicate?

A 13-year-old girl begins to have episodes of temper outbursts that are out of proportion to the situation. Which of the following is a possible diagnosis?

A 2-year-old boy presents to the nurse practitioner with new onset seizures and a history of a port-wine stain at birth. Which of the following is not a clinical feature of Sturge-Weber syndrome (SWS)?

A mom brings her 13-year-old daughter to the PMHNP for an evaluation of suspected attention-deficit hyperactivity disorder (ADHD). For an adolescent who presents with distractibility, which of the following additional features would suggest an association with bipolar II disorder rather than ADHD?

A 22-year-old woman diagnosed with bipolar disorder missed her last two appointments with the PMHNP after she was started on lithium (Eskalith). Her mother brought her to a third appointment. The patient was excited to see the PMHNP, as evidenced by her rapid rate of speech and discussion about the book she was writing. The patient went on to say that God had spoken directly to her and given her a message that only she could give to the world. She said she hadn’t been able to sleep for at least 1 week because she had been so busy working on this book, but she felt “absolutely incredible” despite her lack of sleep. Both the patient and the mother insist she has not stopped taking her medication. The PMHNP orders laboratory studies, including a lithium level. Which level of lithium will be subtherapeutic and indicate a need for an increased dose?