A 5-year-old boy dreams that he is riding in a car that starts flying, then turns into a monster. At the end of the dream, he dies. The boy tells his mom, "I became a ghost like Grandpa." Which of the following would be an appropriate statement by the NP to the mother?

A 51-year-old woman with a history of generalized anxiety disorder (GAD) has been treated with 20 mg of paroxetine (Paxil) for 6 months. The dose was increased to 40 mg at her last visit 2 weeks ago due to increased symptoms of anxiety. Now she reports “hot flashes” and significant hyperhidrosis to her psychiatric mental health nurse practitioner. Which of the following statements is NOT correct about this clinical scenario?

A 6-year-old boy whose family recently welcomed home a new baby started wetting the bed. These episodes have occurred at least twice a week for the past 3 months. The nurse practitioner should explain this behavior to the parents as which of the following?

During a psychiatric evaluation, the psychiatric-mental health nurse practitioner conducts a psychiatric review of systems (ROS) in which she 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 symptom "trauma"?

A 29-year-old nurse presents to the PMHNP for evaluation after a traumatic event. Two weeks ago, she was attacked by a patient on the behavioral unit where she works. She says she is having flashbacks about the event and keeps wondering "what could I have done to prevent it?" She has had several panic attacks since the incident, and she is to the point now where she is considering quitting nursing. She says, "I guess I am too weak to be a nurse if I can't handle one attack." What is her most likely diagnosis?

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 psychiatric-mental health nurse practitioner has just diagnosed a 10-year-old boy with attention deficit-hyperactivity disorder (ADHD). She advises the mother that stimulants are first-line treatment for ADHD. The mother voices her concerns that her son will become "addicted" to the stimulants and this will cause him to have problems with drugs and alcohol later in life. What is the most appropriate response by the PMHNP?

The nurse practitioner (NP) is working in an urgent care clinic which advertises treatment for "broken bones." Which is not a correct definition of each classification of fracture?

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 17-year-old girl is referred to the PMHNP after pulling her eyebrow hair out to the point of scarring. She says she has a "unibrow" and looks like a "Neanderthal" unless she pulls out the hair. The PMHNP asks to see a photo of the patient before she started pulling out her hair, and it was not unusual. What is the most appropriate diagnosis?

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?