A 34-year-old woman is diagnosed with carpal tunnel syndrome. Which of the following treatments does NOT improve function in carpal tunnel syndrome?

A 40-year-old man reports episodes in which he unexpectedly feels a surge of intense fear that peaks within minutes. During this time he feels dizzy, has shortness of breath, heart palpitations, and feels like he is "going crazy." These episodes seem to come "out of the blue" with no trigger that he can identify. He has had them when he has been napping on the weekend or during a break at work. He is starting to think he is really "going crazy," because he has no medical conditions, doesn't drink or smoke, and says there are no new stressors in his life that could be causing this. What is the most likely diagnosis?

A PMHNP would like to monitor a client's progress in anxiety symptom reduction over time using a clinician-administered anxiety rating scale. Which of the following is the most commonly used clinician-administered anxiety rating scale?

The PMHNP has just diagnosed a patient with excoriation disorder. To fulfill diagnostic criteria for excoriation disorder, the skin-picking must be severe enough to result in which of the following?

A first-time mother brings her 6-month-old son in for a well-visit. She tells the nurse practitioner that she is delaying vaccination because he is “not in daycare,” and she doesn’t want to “overload his immune system.” What is the NP’s most appropriate response?

A 25-year-old man who smokes says his smoking is not a problem now because he is young and healthy. He will quit when he is “older.” The therapist asks him, “What do you consider to be older?” The young man answers, “You know, middle age, like 40 or 50.” The therapist says, “Didn't you tell me your grandfather died from lung cancer at age 49? What would his middle age have been?” The young man quietly says, “I guess my age. Maybe I should think about cutting back.” What technique is this an example of?

A 16-year-old girl has a bald spot on her scalp, and her mother brings her to the PMHNP on the advice of her primary care provider after all medical causes are ruled out. The girl admits to pulling out her hair in class when she is bored, but says she tends to pull it out more often in math class where she is making Cs. This is the first year she is not doing well in math, and her mother says it is "stressing her out." What is the most appropriate diagnosis?

A 70-year-old man walks in the office unassisted and is swaying from one side to the other. Which of the following screening tests should be used to identify cerebellar function in this patient?

A 23-year-old graduate student is appointed to be the team leader for a group project. He is so rigid and inflexible about the rubric that other members of the team get frustrated, and the project almost collapses. He insists that each section must be completed and perfected before the next section can be started. The project is eventually finished, but no one on the team will work with him again. Which disorder best reflects this man's behaviors?

The PMHNP administers the Hoarding Rating Scale to a 58-year-old woman, and her score is 15. What does this score indicate?

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