A 39-year-old male ICU nurse presents to the PMHNP with symptoms of posttraumatic stress disorder (PTSD) after working in New Orleans during the COVID-19 pandemic. He has nightmares and experiences depressive symptoms. In general, he says he feels detached from life and emotionally numb. He tries not to think about the patients who died, but he often cannot stop their faces from “popping” into his head at any time. What modality would be most appropriate for this patient presentation?

A 21-year-old unmarried man has near-daily intrusive thoughts that his neighbors knock on his door at night. He tells the PMHNP he knows this knocking is just his "imagination" because the neighbors work nights and are not home. However, he feels compelled to get out of bed and open the door, no matter what time it is. He opens and closes the door repeatedly for at least an hour, sometimes longer. He says he has had this problem "in the past" and did not seek help for it. This time it has been going on at least 6 months and is becoming "problematic." It is interfering with his ability to get a good night's sleep, and he is having problems at work. His roommate is also very troubled by it. The PMHNP will diagnose him with which of the following?

A 39-year-old pregnant woman in labor with preeclampsia develops chest tenderness and right upper quadrant pain, as well as pain when breathing deeply. Her lab results are as follows: hemoglobin 7.8 g/dL; aspartate aminotransferase 313 U/L; alanine aminotransferase 225 U/L; platelets 85,000/mcL. Which of the following most closely aligns with this clinical scenario?

A 42-year-old male client tells the PMHNP he is experiencing anxiety about death, and is asking himself questions about the meaning of his life. "Why am I here and what does it matter if I am just going to die?" The PMHNP should recommend which of the following forms of therapy?

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 39-year-old male ICU nurse presents to the PMHNP with symptoms of posttraumatic stress disorder (PTSD) after working in New Orleans during the COVID-19 pandemic. He has nightmares and experiences depressive symptoms. In general, he says he feels detached from life and emotionally numb. He tries not to think about the patients who died, but he often cannot stop their faces from “popping” into his head at any time. What modality would be most appropriate for this patient presentation?

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 48-year-old woman presents to the nurse practitioner with a history of nonspecific back pain between the lower rib margin and the gluteal folds for 3 months. She reports significant emotional distress and functional impairment related to this ongoing pain. She denies a history of injury or trauma to her back or neck. Which of the following is INCORRECT about chronic lower back pain?

A 10-year-old boy is brought by his mother to the PMHNP for evaluation of a sudden onset of obsessions, compulsions, and tics. During the history and exam, the PMHNP learns that the child recently had strep throat. What is the most likely diagnosis?

In which phase of Eye Movement Desensitization and Reprocessing (EMDR) does the client visualize the trauma along with a positive thought and then scan their body mentally to identify any tension within?

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