A 40-year-old man tells his wife he thinks he is having a midlife crisis. In which Erikson stage does the midlife crisis occur?

A mother is concerned about her 14-year-old daughter, who is not experiencing pubertal changes. Her height is lower than average for age. She is of normal intelligence. Upon assessment, the nurse practitioner notes extra folds of skin on her neck. What treatment is most appropriate?

The PMHNP is evaluating a new 17-year-old client with a history of delinquent behavior, including a recent arrest for vandalism. The nurse practitioner suspects conduct disorder based on the client's history and current presentation. According to Erikson, such behavior is a result of the failure to resolve which psychosocial developmental stage?

A 17-year-old girl is referred to the PMHNP after pulling her eyebrow hair out to the point of scarring. She says she has a "unibrow" and looks like a "Neanderthal" unless she pulls out the hair. The PMHNP asks to see a photo of the patient before she started pulling out her hair, and it was not unusual. What is the most appropriate diagnosis?

The mother of a 12-year-old boy is concerned about the increasing number of times he shrugs his shoulders, rapidly blinks, and clears his throat. He is not taking any medications that would cause these behaviors. Which psychiatric condition is characterized by these features?

A PMHNP was assigned to a COVID-19 unit during the pandemic. Her assignment was to assist dying patients in saying goodbye to their loved ones via telephone. She facilitated their phone conversations and watched the patients have their last conversations with their family, often crying in agony. More than 2 months after this assignment, during which she assisted hundreds of patients who died, the PMHNP began having nightmares about these experiences. She had flashbacks of some of the memories, often triggered when she received a phone call or looked at her phone. She began avoiding using her phone. She began having difficulty with concentration and often couldn't remember details of her time on the COVID-19 unit. She often felt detached from reality and the world. What diagnosis is most appropriate?

The PMHNP working on an inpatient eating disorders unit is evaluating a 17-year-old girl with suspected anorexia nervosa. Her laboratory results reveal elevated serum cholesterol levels, elevated serum salivary amylase concentrations, and decreased fasting glucose concentrations. Which electrocardiography (ECG) changes will help confirm the diagnosis?

A 47-year-old man only travels by train despite the necessity of frequently traveling long distances for his job. This causes significant difficulty, since the train trips are much longer than the plane rides and he misses important meetings. He has tried flying on several occasions, only to have a panic attack each time, even when the flight was smooth with no turbulence. Which of the following is the correct diagnosis?

The psychiatric-mental health nurse practitioner is treating a 6-year-old boy with autism spectrum disorder (ASD) who has not responded to 9 months of psychosocial therapy and continues hitting his younger brother. What is the most appropriate treatment for the PMHNP to initiate at this time?

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 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 NP is providing teaching to a 53-year-old woman who was recently diagnosed with osteoporosis. Which statement by the woman would indicate a need for further teaching?