A 33-year-old woman has been treated for major depression for 2 years with escitalopram (Lexapro) 20 mg. She presents to your office with flu-like symptoms, dizziness, nausea, and "brain zaps." She reports she ran out of her medication and forgot to get it refilled. What is the most likely diagnosis?

A client states that her fiancé just ended their relationship. The PMHNP says, “Oh no! That is awful! You must be so heartbroken.” This is an example of what?

A 24-year-old woman with a history of major depressive disorder treated with sertraline is brought to the emergency department by her partner for evaluation of fever, vomiting, and weakness. In the emergency department, her temperature is 103°F, her heart rate is 129 beats per minute, she is agitated and restless, and she displays hyperactive reflexes. Her symptoms began several hours after she used a new medication prescribed by her primary care provider. Which of the following is most likely to be the new medication?

A 49-year-old man presents to the PMHNP for his regular medication management appointment. He has schizophrenia and has been treated with thioridazine (Mellaril) for the past 15 years. The PMHNP decides to switch this patient to a different antipsychotic due to which serious long-term consequence of high-dose thioridazine?

A mother calls her 20-year-old daughter's university professor to insist he change her grade. A structural family therapist would assume what?

Which form of psychotherapy is time-limited and focuses on a person's depressive symptoms as they relate to social and personal interactions?

Which of the following behaviors indicates transference that is affecting the therapeutic relationship between the patient and the nurse practitioner?

A 26-year-old woman with bipolar disorder has been stable on lithium for 2 years. She presents to the PMHNP with mild confusion, a tremor, and nausea. Upon questioning, she states she recently fell while running and injured her ankle in the fall. Which of the following is most likely to be the cause of her current symptoms?

A 49-year-old female client presents to the PMHNP for a medication evaluation prior to beginning treatment for rheumatoid arthritis. As they are reviewing her psychiatric medications, the client says, "I also take melatonin, but that probably doesn't matter." What is the most appropriate response from the PMHNP?

A 40-year-old man has been taking fluoxetine (Prozac) for seasonal depression for the past 3 months, as prescribed by his psychiatric-mental health nurse practitioner. He believes his symptoms are well controlled. The patient's primary care provider recently prescribed atorvastatin (Lipitor) for hypercholesterolemia. Today, he complains of muscle and joint pain. The PMHNP suspects possible rhabdomyolysis.
Which answer choice describes the reason for this?

A 24-year-old single woman presents to the PMHNP for a psychiatric evaluation after discharge from an inpatient psychiatric unit, where she had been admitted for a suicide attempt. She cut her wrists after her boyfriend of one month broke up with her. She reports a long history of self-mutilation, impulsiveness, and no relationship lasting longer than three months. Which is the most likely diagnosis?