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?

To best facilitate a therapeutic alliance, which of the following is the most appropriate statement or question for a psychiatric mental health practitioner (PMHNP) to use when meeting a new client for the first time?

A 25-year-old female client tells her PMHNP that she has recently stopped taking oral contraceptive pills in an attempt to become pregnant. She is surprised to learn she will need to stop taking which of the following?

A 59-year-old woman with a history of breast cancer is taking tamoxifen to reduce recurrence risk. She is depressed and reports difficulty sleeping and hot flashes since initiating tamoxifen (a CYP2D6 substrate). Which of the following antidepressants is most appropriate?

A 36-year-old man with diabetes mellitus presents to the nurse practitioner for routine lab work. His disease has been well controlled on 1,000 mg of metformin for 1 year. Today his glycosylated hemoglobin (Hgb A1C) level is 8.2, but his fasting blood glucose was only 99. Which chronic condition falsely elevates Hgb A1C levels?

In which stage of group formation is it possible that members will experience conflict?

A PMHNP is firm in his Christian beliefs. He has a new client who is an atheist. Which of the following concepts is necessary to ensure the PMHNP can develop a strong therapeutic relationship with this client?

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

Which nursing theorist hypothesized that “carative factors” guide the core of nursing and should be implemented in healthcare?

A 24-year-old woman with a history of major depressive disorder treated with sertraline is brought to the emergency department by her partner for evaluation of fever, vomiting, and weakness. In the emergency department, her temperature is 103°F, her heart rate is 129 beats per minute, she is agitated and restless, and she displays hyperactive reflexes. Her symptoms began several hours after she used a new medication prescribed by her primary care provider. Which of the following is most likely to be the new medication?

A 28-year-old woman with a history of unstable interpersonal relationships, self-harm, suicide attempts, mood lability, substance abuse, and extreme irritability presents to the psychiatric nurse practitioner for an evaluation. She states, “I just want to know what’s wrong with me. I feel like I spend 95% of my time either angry or on the floor crying in the fetal position.” The PMHNP suspects this client has borderline personality disorder. In this scenario, how would the discomfort the client experiences as a result of her behaviors best be described?