A 48-year-old woman presents to the nurse practitioner with a history of nonspecific back pain between the lower rib margin and the gluteal folds for 3 months. She reports significant emotional distress and functional impairment related to this ongoing pain. She denies a history of injury or trauma to her back or neck. Which of the following is INCORRECT about chronic lower back pain?

The PMHNP has just diagnosed a 28-year-old woman with generalized anxiety disorder and prescribed the selective serotonin reuptake inhibitor escitalopram (Lexapro). Which of the following tools will he administer to measure the client’s response to the medication over time?

A 15-year-old boy is sent for diagnostic testing following symptoms of wheezing and coughing during outdoor football practice. The findings showed reversible airway obstruction secondary to bronchial hyperreactivity, airway inflammation, mucus plugging, and smooth muscle hypertrophy. Which of the following is most consistent with these findings?

A 36-year-old woman presents with pain, aching, stiffness, and swelling in her hands for 6 months. She reports a family history of rheumatoid arthritis (RA). Which of the following is NOT a risk factor for RA?

A 25-year-old married woman explains to the PMHNP that she spends an inordinate amount of time tweezing her eyebrows every evening. She says she has anxiety when she looks in the mirror and sees asymmetry in her eyebrows. She tries to pull every hair that is out of place. This can take more than an hour each evening, and it is becoming problematic because she is still unhappy after tweezing. She only stops when her husband demands it, after telling her how beautiful she is and that the asymmetry is "all in her head." She still feels an urge to tweeze her eyebrows every night in an attempt to "fix" them. What diagnosis is the most appropriate?

During a psychiatric evaluation, the psychiatric-mental health nurse practitioner conducts a psychiatric review of systems (ROS) in which he reviews common psychiatric symptoms that may not have been elicited in the history of present illness (HPI). Which of the following questions is most likely designed to elicit a response for the system "obsessions and compulsions"?

A 42-year-old male client tells the PMHNP he is experiencing anxiety about death, and is asking himself questions about the meaning of his life. "Why am I here and what does it matter if I am just going to die?" The PMHNP should recommend which of the following forms of therapy?

The PMHNP administers the Hoarding Rating Scale to a 58-year-old woman, and her score is 15. What does this score indicate?

A 66-year-old woman with suspected atrial fibrillation wants to know why she is being asked to wear a Holter monitor for 24 hours. Which of the following is the appropriate response?

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?

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?