A 66-year-old man with diabetes and new-onset vision difficulties undergoes an exam in which a small amount of pressure is applied to the eye by a tiny device or by a warm puff of air. This exam is:

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 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 32-year-old woman presents to the psychiatric nurse practitioner with a 3-month history of concentration difficulty, irritability, and depression. She has not experienced these symptoms at any other time in her life. During an extensive history inquiry, the woman states that 4 months prior to her visit with the nurse practitioner, she had experienced a short-term flu-like illness and noticed a bull's eye-shaped rash on her calf. She has noted no other symptoms since then, until the mood symptoms began. Her physical examination and laboratory findings are within normal limits. Which of the following is the most likely diagnosis?

The PMHNP has just diagnosed a 28-year-old woman with generalized anxiety disorder and prescribed the selective serotonin reuptake inhibitor escitalopram (Lexapro). Which of the following tools will he administer to measure the client’s response to the medication over time?

The PMHNP has just diagnosed a patient with excoriation disorder. To fulfill diagnostic criteria for excoriation disorder, the skin-picking must be severe enough to result in which of the following?

During a psychiatric evaluation, the psychiatric-mental health nurse practitioner conducts a psychiatric review of systems (ROS) in which he 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 system "anxiety"?

Two weeks ago, the PMHNP prescribed the antidepressant escitalopram (Lexapro) for a 28-year-old female client with generalized anxiety disorder. At her initial appointment, she scored 28 on the Hamilton Anxiety Rating Scale (HAM-A). At today’s follow-up visit, she scored 26. She reports no side effects from the Lexapro. Which of the following is the next step for the PMHNP?

A 25-year-old man who smokes says his smoking is not a problem now because he is young and healthy. He will quit when he is “older.” The therapist asks him, “What do you consider to be older?” The young man answers, “You know, middle age, like 40 or 50.” The therapist says, “Didn't you tell me your grandfather died from lung cancer at age 49? What would his middle age have been?” The young man quietly says, “I guess my age. Maybe I should think about cutting back.” What technique is this an example of?

A 27-year-old woman presents to the nurse practitioner with unilateral facial paralysis that had a rapid onset. Which of the following is NOT true about Bell's palsy?

A 66-year-old woman presents to the nurse practitioner with complaints of dyspnea, syncope, and palpitations. She believes she is having anxiety, but she has no history of mental health issues and is undergoing no major stressors. Which findings on physical exam would lead the NP to suspect atrial fibrillation?