A 49-year-old woman is diagnosed with Sjogren syndrome following complaints of a foreign body sensation in her eyes and a dry mouth. Which one of the following is NOT characteristic of Sjogren syndrome?

The PMHNP is working with a client who says he is anxious today. Which of the following is an example of a scaling question?

A 21-year-old unmarried man has near-daily intrusive thoughts that his neighbors knock on his door at night. He tells the PMHNP he knows this knocking is just his "imagination" because the neighbors work nights and are not home. However, he feels compelled to get out of bed and open the door, no matter what time it is. He opens and closes the door repeatedly for at least an hour, sometimes longer. He says he has had this problem "in the past" and did not seek help for it. This time it has been going on at least 6 months and is becoming "problematic." It is interfering with his ability to get a good night's sleep, and he is having problems at work. His roommate is also very troubled by it. The PMHNP will diagnose him with which of the following?

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?

Which of the following cardiac problems mimics anxiety with symptoms of tachycardia, chest pain, dizziness, and panic?

A 23-year-old graduate student is appointed to be the team leader for a group project. He is so rigid and inflexible about the rubric that other members of the team get frustrated, and the project almost collapses. He insists that each section must be completed and perfected before the next section can be started. The project is eventually finished, but no one on the team will work with him again. Which disorder best reflects this man's behaviors?

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 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 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?

A 16-year-old girl is brought to the PMHNP by her mother for evaluation. The mother thinks her daughter is "crazy" because she wants a nose job. The girl says she looks "hideous” with her big nose, and she will get plastic surgery as soon as she can afford it. Upon examination, the girl denies excessive preoccupation with her appearance, such as repetitive behaviors or mental acts. She says she does not compare her nose to other people's, nor does she make attempts to hide her nose. She says she is not "crazy" and that plastic surgery is common. The mother is upset because her daughter is "too beautiful" to need surgery. Which diagnosis would be most appropriate?

A 34-year-old woman is diagnosed with carpal tunnel syndrome. Which of the following treatments does NOT improve function in carpal tunnel syndrome?