A 41-year-old man complains of right ear pain, difficulty closing his right eye, and drooping of the right side of his face. He finds that his right ear is sensitive to loud, low-frequency sounds. When a small spoonful of sugar is applied to the right side of his tongue, he says that it tastes like sand. The physical examination identifies right-sided weakness of the upper and lower face. The patient's symptoms started 2 days ago. Which of the following is the most appropriate treatment at this time?

The PMHNP is evaluating a new patient, a 33-year-old woman. She reports feeling "keyed up" most of the time, having constant muscle tension, and excessively worrying about "every little thing." These symptoms have been occurring for about 9 months, and they are causing her significant distress at home and at work. She takes no medications, and her lab work and physical exam are negative for an underlying medical cause for these symptoms. What diagnosis is most likely?

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?

A 10-year-old boy displays deficits in intellectual functions that involve his ability to reason, solve problems, and learn from instruction or experience. Although he has been slow to develop skills in school and is behind his peers in reading, writing, and mathematical abilities, he is slowly making progress. As a result of his delays, he has significant impairments in his ability to develop socially appropriate interpersonal communication skills and has developed no real friendships. He is dependent on others for assistance with his basic needs, such as dressing and feeding. What is the appropriate severity rating for this patient's presentation?

The parents of a 16-year-old adolescent girl come to the PMHNP requesting treatment for her "so-called gender issues." The mother cries while the father says, "She says she has wanted to be a boy ever since she was 4 years old. This is all just nonsense. It's a phase, and the sooner she gets over it, the better." The daughter acknowledges "feeling like a boy" since the age of 4, and she currently binds her breasts. She also wants to be called by a male name. Her father wants to send her to conversion therapy offered by their church. The mother wants to know the PMHNP's opinion. Which of the following is the most appropriate response?

For a 39-year-old woman with a recent diagnosis of psoriatic arthritis who is treatment-naive with mild disease, which of the following would be considered an appropriate first-line therapy?

A 9-year-old girl witnessed the violent murder of a close family member. She now says she is blind. However, she flinches when objects are quickly moved toward her face. There is no neurologic evidence of blindness. What is the most likely diagnosis?

A 5-year-old boy dreams that he is riding in a car that starts flying, then turns into a monster. At the end of the dream, he dies. The boy tells his mom, "I became a ghost like Grandpa." Which of the following would be an appropriate statement by the NP to the mother?

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?

A 37-year-old woman who gave birth to twins 24 hours ago suddenly develops blurred vision, severe headaches, and upper abdominal pain under the ribs on her right side. Her last blood pressure reading was 146/92 mmHg. Which of the following is the most appropriate treatment?

The pathophysiology of attention deficit-hyperactivity disorder (ADHD) includes neurobiological deficits. Which of the following has been suggested as a pathologic basis for ADHD?