A 47-year-old woman presents to the PMHNP with a chief complaint of anxiety. She is the primary caretaker for her 79-year-old mother, who has Alzheimer's disease. Which of the following tools will the nurse practitioner use to assess the client's level of anxiety?

A 31-year-old female patient with posttraumatic stress disorder (PTSD) takes prazosin (Minipress) for PTSD-associated nightmares. According to best practice guidelines, what nonpharmacologic treatment has the highest level of evidence for the treatment of nightmares in adults with PTSD?

A 3-year-old girl with a history of prenatal exposure to methamphetamines is brought to the PMHNP by her grandmother for an evaluation of her readiness to attend preschool. She demonstrates substantial delays across multiple domains of functioning, including communication, learning, attention, and motor development. These deficits will limit her ability to interact with same-age peers. She also requires substantial support in all activities of daily living at home. Due to custodial circumstances, her grandmother is a poor historian and is unable to provide information about the age of onset for these symptoms. What is the most appropriate diagnosis?

A 42-year-old woman recently diagnosed with rheumatoid arthritis asks the nurse practitioner about disease-modifying antirheumatic drugs (DMARDs). Which of the following statements about DMARDs is INCORRECT?

The mother of an 8-year-old boy brings the child to the psychiatric-mental health nurse practitioner for an evaluation. She states that she thinks her son has ADHD. The mother says the boy’s father is reluctant to try medication and believes the boy just needs to “focus.” The mother wants to try medication and somehow show the father that it will help her son. Which of the following is a tool that could be used to objectively measure behavior changes prior to and during medication administration?

The term "identity crisis" refers to which of Erikson's psychosocial developmental stages?

During a telehealth session, a 32-year-old single woman reports being home during the quarantine for a period of 4 months with no outside contact. She says she knows several people who died from COVID-19, and although she never became ill, she has become extremely nervous about leaving her house. She tried leaving her house once during the Phase 1 reopening, but she says it felt like "an elephant" was sitting on her chest and went back home. She is terrified to use public transportation or go to any stores and stand in line, in case she has another episode of chest pain and "cannot escape." She is too terrified to go out again but misses seeing her friends and family. Which diagnosis is most correct?

A 25-year-old female pharmaceutical sales representative presents to the PMHNP for an evaluation due to what she calls an increasing level of anxiety about her job, which she has had for approximately 1 year. She works from a home office, and it has become unorganized and cluttered. She frequently forgets deadlines for submitting reports, and as a result she turns them in at the last minute. She has been chastised more than once by her boss for not paying attention to details on these necessary reports. Because she does not report to anyone on a day-to-day basis, she often gets completely overwhelmed by the autonomy of the job, and as a result she completely "shuts down." She knows she should be planning her time better, but she has never been good at time management or planning. During her evaluation, she reports making excellent grades until she got to college. She says she can remember not being able to pay attention to teachers as early as first grade, and her report cards frequently said she talked too much. She often got in trouble at home for not finishing chores because she was easily distracted and forgetful. Today, she says she is getting so overwhelmed and anxious about her job performance that she is thinking about quitting. She says her friends are tired of her complaining and tell her she has it "so good." She wishes someone would just tell her exactly what to do every day so she didn't have to think about anything.

A 74-year-old client is diagnosed with COVID and is admitted to an inpatient hospital. Days later, he is more energetic than before his diagnosis. He exhibits flights of ideas, delusions of grandeur, and is ready to leave the hospital because he feels "so incredible." Which of the medications used in the treatment of COVID could have induced mania in this client?

A PMHNP would like to monitor a client's progress in anxiety symptom reduction over time using a clinician-administered anxiety rating scale. Which of the following is the most commonly used clinician-administered anxiety rating scale?

A 42-year-old man presents to the PMHNP for a follow-up appointment to re-evaluate his symptoms of generalized anxiety disorder. He says, "I have been getting weekly massages and they have helped so much! Why are massages so relaxing?" What is the appropriate response?