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 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?

A PMHNP was assigned to a COVID-19 unit during the pandemic. Her assignment was to assist dying patients in saying goodbye to their loved ones via telephone. She facilitated their phone conversations and watched the patients have their last conversations with their family, often crying in agony. More than 2 months after this assignment, during which she assisted hundreds of patients who died, the PMHNP began having nightmares about these experiences. She had flashbacks of some of the memories, often triggered when she received a phone call or looked at her phone. She began avoiding using her phone. She began having difficulty with concentration and often couldn't remember details of her time on the COVID-19 unit. She often felt detached from reality and the world. What diagnosis is most appropriate?

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?

The PMHNP is treating a 17-year-old girl who is an inpatient on an eating disorder unit. This patient has type 1 diabetes in addition to bulimia nervosa. Today she complains of dizziness, nausea, confusion, and weakness. What is her most likely diagnosis?

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?

A lumbar puncture would be contraindicated in a 68-year-old woman suspected of having Alzheimer's disease if she has a history of which of the following?

The mother of a 9-year-old boy explains to the PMHNP that he has a 6-month history of excessive eye blinking and grunting, and he recently began persistently clearing his throat. Assessment of co-occurring conditions is important for understanding the overall functional consequences of tics. Which of the following conditions has been associated with tic disorders?

A 37-year-old woman who gave birth to twins 24 hours ago suddenly develops blurred vision, severe headaches, and upper abdominal pain under the ribs on her right side. Her last blood pressure reading was 146/92 mmHg. Which of the following is the most appropriate treatment?

A 39-year-old Cambodian man presents to the PMHNP for an evaluation following an event that he refers to as "Khayal." Which culture-bound syndrome should the PMHNP include in the differential diagnosis?

A dentist refers a 21-year-old woman with a BMI of 26 to the PMHNP after he discovers significant enamel erosion and decay of her front teeth. What diagnosis does the dentist suspect?