A 59-year-old woman with a history of breast cancer is taking tamoxifen to reduce recurrence risk. She is depressed and reports difficulty sleeping and hot flashes since initiating tamoxifen (a CYP2D6 substrate). Which of the following antidepressants is most appropriate?

A 39-year-old woman with difficult-to-treat depression has tried all the antidepressant classes except MAOIs. She is currently taking an SSRI that will require a 5-week washout period before switching to an MAOI. Which of the following SSRIs is she currently taking?

Which form of psychotherapy is time-limited and focuses on a person's depressive symptoms as they relate to social and personal interactions?

A 14-year-old girl presents to the nurse practitioner with complaints of papules, pustules, and nodules on her face. What is the pathogenesis of acne vulgaris?

The PMHNP is preparing to evaluate a new client, a 39-year-old single woman. The client is charming, gregarious, and lively, and she is dressed in colorful clothing. As the session continues, she appears to be excessively emotional and attention-seeking, using dramatic language. She says, "I am just a basket case! I will probably need to come in every week." Which diagnosis would be most appropriate?

A 23-year-old pregnant woman has been referred to the PMHNP by her OB/GYN for management of bipolar disorder. Lithium should be avoided in the first trimester due to which potential teratogenic risk?

Which of the following statements is correct?

The PMHNP is treating a 26-year-old woman who has borderline personality disorder (BPD). Today, the client says her most recent breakup has left her "completely devastated" and she is thinking about cutting herself. The PMHNP knows dialectical behavioral therapy (DBT) is the most effective form of therapy for patients with BPD. In this case, which of the following would be a goal of DBT?

Which of the following behaviors indicates countertransference that is impacting the therapeutic relationship between the patient and the nurse practitioner?

A 29-year-old woman is dependent on her husband for many needs that require social interaction. She depends on him to pump her gas and to make all phone calls. She holds a job that requires little to no interaction with others. She is highly sensitive to criticism and fears embarrassment or rejection. She is submissive to the demands of her mother, which causes interpersonal conflict within her marriage. What is her most likely diagnosis?

A 24-year-old single woman presents to the PMHNP for a psychiatric evaluation after discharge from an inpatient psychiatric unit, where she had been admitted for a suicide attempt. She cut her wrists after her boyfriend of one month broke up with her. She reports a long history of self-mutilation, impulsiveness, and no relationship lasting longer than three months. Which is the most likely diagnosis?