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?

While at the urgent care clinic for a routine physical exam, a 27-year-old man experiences a tonic-clonic seizure. While awaiting emergency medical services response, the NP will avoid which of the following interventions?

A 6-year-old boy has difficulty making friends and problems with initiating and sustaining back-and-forth conversation. He also has trouble reading social cues and sharing his feelings with others. He has a range of affect that generally seems appropriate to the situation, makes good eye contact, displays appropriate facial gestures, and has normal speech intonation. He demonstrates an interest in space ships that seems abnormally excessive in intensity and focus. He engages in little imaginative play. Which of the following diagnostic requirements for autism spectrum disorder are NOT met in this case?

A 24-year-old man presents to the PMHNP with complaints of worsening mental health symptoms after an extended period of isolation during COVID-19 quarantine. He now reports inability to go grocery shopping, use public transportation, or leave home on most days, due to fear of being unable to obtain help if he experiences an "anxiety attack." Which of the following most accurately describes his condition?

Two weeks ago, the PMHNP prescribed the antidepressant escitalopram (Lexapro) for a 28-year-old female client with generalized anxiety disorder. At her initial appointment, she scored 28 on the Hamilton Anxiety Rating Scale (HAM-A). At today’s follow-up visit, she scored 26. She reports no side effects from the Lexapro. Which of the following is the next step for the PMHNP?

A 29-year-old female client with posttraumatic stress disorder (PTSD) is resistant to eye movement desensitization and reprocessing therapy (EMDR) because she has heard that past traumas must be re-experienced. She said she avoids thinking about the trauma and does not want to re-live it. What is the most appropriate response?

A 10-year-old boy displays deficits in intellectual functions that involve his ability to reason, solve problems, and learn from instruction or experience. Although he has been slow to develop skills in school and is behind his peers in reading, writing, and mathematical abilities, he is slowly making progress. As a result of his delays, he has significant impairments in his ability to develop socially appropriate interpersonal communication skills and has developed no real friendships. He is dependent on others for assistance with his basic needs, such as dressing and feeding. What is the appropriate severity rating for this patient's presentation?

The psychiatric-mental health nurse practitioner is treating a 6-year-old boy with autism spectrum disorder (ASD) who has not responded to 9 months of psychosocial therapy and continues hitting his younger brother. What is the most appropriate treatment for the PMHNP to initiate at this time?

A 22-year-old man reports that he hears someone knocking on his door at night, but every time he answers the door, no one is there. He thinks he hears his neighbors outside talking, even when he knows they are not home. He says he knows it’s his “imagination," but he feels “compelled” to answer the door, “no matter what time of day,” even if he is sleeping. He says he has had similar episodes “in the past,” but this has been going on for at least 6 months, and it has become problematic. What is the most appropriate diagnosis?

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

The PMHNP is treating a 13-year-old boy with attention deficit-hyperactivity disorder and Tourette's syndrome with guanfacine (Intuniv). What is the mechanism of action of guanfacine?