A 48-year-old woman presents to the PMHNP for her regular medication management appointment. She tells the provider she believes she is in menopause and asks if an herbal product is available to help treat the hot flashes. Which of the following has limited evidence to suggest it decreases menopausal symptoms?

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

A 63-year-old White man presents with bowing deformity of his legs, gait abnormality, and tingling and weakness in his left leg. He is diagnosed with Paget's disease of bone and asks the NP about his treatment options. Which of the following therapies is considered first line?

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 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?

The PMHNP is evaluating an 11-year-old boy with intellectual disabilities, a long face, and large ears. He has midface hypoplasia, hyperextensible joints, and a short stature. She explains to the family that the child has which of the following?

A 9-year-old boy is referred to the PMHNP by the school counselor after his parents request help with his behavioral issues. He is in third grade, and although he is doing "fine" academically, he constantly interrupts, fidgets, talks excessively, and gets out of his seat and walks around the classroom. He has friends, but they often get frustrated with him because he talks over them and he wants to play sports nonstop. At home, he can barely stay in his seat to do his homework or eat a meal. He often gets upset with his parents for trying to redirect him to finish his chores or his schoolwork, and they end up sending him to his room. He does show remorse when his behavior is pointed out to him, yet he is unable to inhibit himself. What is the most likely diagnosis?

A 51-year-old woman is diagnosed with primary osteoarthritis (OA) of the knee. The NP will educate the woman that which of the following could have contributed to or might worsen her OA?

The PMHNP diagnoses a 25-year-old woman with generalized anxiety disorder with panic attacks. Terrified by the panic attacks, she requests medication, saying, “I need something to control them immediately.” The patient is otherwise fit and healthy and has no history of substance abuse or dependence. Which of the following strategies would be reasonable?

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?

The parents of a 14-year-old female high school freshman bring her to the PMHNP for an evaluation. They believe she should be doing better in high school due to her "gifted" status. They state that she has a formal IQ score of 125 and that her grades were mostly As through 5th grade. Now, she hands in her papers late and her grades are dropping to mostly Bs and Cs. During her psychiatric evaluation, the girl reports that high school is different from elementary school and junior high because now she has to write papers. She says she often turns them in late due to procrastination and forgetfulness. She reports a long history of inability to sustain attention while in class or doing homework, failure to pay attention to details or finish chores or tasks, significant difficulties with time management, planning, and organization. She is forgetful, often loses things, and is easily distracted. She has no history of restlessness or impulsivity, and she is popular with her peers. What is the most likely diagnosis?