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 35-year-old woman with hypertension, multiple sclerosis, diabetes, and chronic fatigue syndrome presents to the nurse practitioner with a chief complaint of "vaginal itching with white, cottage cheese-like discharge." Which answer choice is a risk factor for this chief complaint?

A 51-year-old woman with a history of generalized anxiety disorder (GAD) has been treated with 20 mg of paroxetine (Paxil) for 6 months. The dose was increased to 40 mg at her last visit 2 weeks ago due to increased symptoms of anxiety. Now she reports “hot flashes” and significant hyperhidrosis to her psychiatric mental health nurse practitioner. Which of the following statements is NOT correct about this clinical 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?

Which of the following cardiac problems mimics anxiety with symptoms of tachycardia, chest pain, dizziness, and panic?

The nurse practitioner is educating a 52-year-old man who was recently diagnosed with peptic ulcer disease. Which of the following statements by the patient indicates a need for further teaching?

A new 24-year-old male client presents to the PMHNP for an evaluation. He reports symptoms of a marked and persistent fear of public speaking, which is frequently required for his new job. He is terrified of embarrassing himself. Which of the following is NOT a characteristic of social anxiety disorder?

The pathophysiology of anxiety disorders is thought to result from which area of the brain?

During a psychiatric evaluation, the psychiatric-mental health nurse practitioner conducts a psychiatric review of systems (ROS) in which he reviews common psychiatric symptoms that may not have been elicited in the history of present illness (HPI). Which of the following questions is most likely designed to elicit a response for the system somatic concerns?

In which phase of Eye Movement Desensitization and Reprocessing (EMDR) does the client activate the memory by visualizing the trauma, identify associated thoughts, and establish a baseline for emotional and physical reaction to the trauma?

A 16-year-old girl is brought to the PMHNP by her mother for evaluation. The mother thinks her daughter is "crazy" because she wants a nose job. The girl says she looks "hideous” with her big nose, and she will get plastic surgery as soon as she can afford it. Upon examination, the girl denies excessive preoccupation with her appearance, such as repetitive behaviors or mental acts. She says she does not compare her nose to other people's, nor does she make attempts to hide her nose. She says she is not "crazy" and that plastic surgery is common. The mother is upset because her daughter is "too beautiful" to need surgery. Which diagnosis would be most appropriate?