A 61-year-old male patient presents to the nurse practitioner with a suspected venous thromboembolism. The NP understands that heparin is appropriate to use in all of the following diagnoses except:

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 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?

The nurse practitioner is educating a 59-year-old man newly diagnosed with heart failure about his diagnosis. Because this patient is comfortable at rest or with mild activity, under which class of heart failure would this patient be categorized according to the New York Heart Association Functional Classification of Heart Failure?

A 47-year-old male patient undergoing chemotherapy has a platelet count of 20,000 per microliter. Which of the following statements by the NP demonstrates correct education in regard to the low platelet count?

A 66-year-old man presents to his nurse practitioner for a routine physical exam. While reviewing his chart, the NP notes that the patient has never been tested for hepatitis C (HCV). What are the current guidelines for HCV testing?

A 29-year-old female patient presents to the nurse practitioner with complaints of an enlarged thyroid gland and protruding eyeballs. The NP learns the patient has hypertension, nervousness, and fine tremors of the hands. Which of the following diagnoses is most consistent with the NP's assessment?

During a telehealth session, a 32-year-old single woman reports being home during the quarantine for a period of 4 months with no outside contact. She says she knows several people who died from COVID-19, and although she never became ill, she has become extremely nervous about leaving her house. She tried leaving her house once during the Phase 1 reopening, but she says it felt like "an elephant" was sitting on her chest and went back home. She is terrified to use public transportation or go to any stores and stand in line, in case she has another episode of chest pain and "cannot escape." She is too terrified to go out again but misses seeing her friends and family. Which diagnosis is most correct?

A patient presents with symptoms that are suspicious for celiac disease. Which of the following risk factors does NOT warrant further evaluation?

A 40-year-old man reports episodes in which he unexpectedly feels a surge of intense fear that peaks within minutes. During this time he feels dizzy, has shortness of breath, heart palpitations, and feels like he is "going crazy." These episodes seem to come "out of the blue" with no trigger that he can identify. He has had them when he has been napping on the weekend or during a break at work. He is starting to think he is really "going crazy," because he has no medical conditions, doesn't drink or smoke, and says there are no new stressors in his life that could be causing this. What is the most likely 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?