A 44-year-old woman presents to the psychiatric nurse practitioner at the urging of, and accompanied by, her older sister. The patient identifies her sister as her “best friend.” Her chief complaint, according to the sister, is “lifelong social anxiety.” The client has a constricted affect and speaks in mostly one- or two-word answers. Her clothes are mismatched and are too large for her. The sister says, “All she wants to do is sit at home and watch Ancient Aliens.” The PMHNP asks the woman if she has ever seen a UFO, and she suspiciously says “Yes, but my sister doesn't believe me. I have had ESP ever since I saw the UFO when I was 6 years old.” Of the following, which most closely represents this clinical scenario?

The PMHNP is evaluating a 67-year-old client who recently started the medication risperidone (Risperdal). As part of the evaluation, she asks the patient to open her mouth and then stick her tongue out. What assessment is the PMHNP conducting?

According to Yalom, one therapeutic factor in group therapy occurs when participants reexperience family conflicts. What is the term for this?

A 22-year-old woman is seeing the PMHNP for the second time this week. At her last visit, she told the nurse practitioner she was the "best therapist in the whole world!" This week, however, the client says the PMHNP is "seriously the most horrible therapist in the universe." The patient talks in extremes and seems to see the world in black and white. Which modality helps clients understand that two opposing ideas can both be true?

A 23-year-old pregnant woman has been referred to the PMHNP by her OB/GYN for management of bipolar disorder. Of the following, which one is NOT an acceptable choice for this client due to teratogenic risks?

A 44-year-old woman presents to the psychiatric nurse practitioner at the urging of, and accompanied by, her older sister. The patient identifies her sister as her “best friend.” Her chief complaint, according to the sister, is “lifelong social anxiety.” The client has a constricted affect and speaks in mostly one- or two-word answers. Her clothes are mismatched and are too large for her. The sister says, “All she wants to do is sit at home and watch Ancient Aliens.” The PMHNP asks the woman if she has ever seen a UFO, and she suspiciously says “Yes, but my sister doesn't believe me. I have had ESP ever since I saw the UFO when I was 6 years old.” Of the following, which most closely represents this clinical scenario?

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 29-year-old man presents to the PMHNP with a chief complaint of "anxiety related to chronic disorganization." He reports that ever since he was a child, he has had issues with disorganization, inattentiveness, forgetfulness, lack of attention to details. He says these symptoms cause him great anxiety. He says his teachers wanted him to be evaluated for attention deficit-hyperactivity disorder as a child, but his parents refused because he did not have behavioral problems. Which of the following is the most appropriate assessment tool for this client?

Which form of therapy is a nonstructured reflection on life and the aging process?

Which of the following herbal products or supplements is considered psychoactive?

If identified, how is countertransference best addressed?