A first-time mother brings her 6-month-old son in for a well-visit. She tells the nurse practitioner that she is delaying vaccination because he is “not in daycare,” and she doesn’t want to “overload his immune system.” What is the NP’s most appropriate response?

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 16-year-old girl is brought to the PMHNP by her mother for evaluation. The mother thinks her daughter is "crazy" because she wants a nose job. The girl says she looks "hideous” with her big nose, and she will get plastic surgery as soon as she can afford it. Upon examination, the girl denies excessive preoccupation with her appearance, such as repetitive behaviors or mental acts. She says she does not compare her nose to other people's, nor does she make attempts to hide her nose. She says she is not "crazy" and that plastic surgery is common. The mother is upset because her daughter is "too beautiful" to need surgery. Which diagnosis would be most appropriate?

The PMHNP starts a stress management class for anyone in the community who has had a loved one diagnosed with COVID-19. The goal is to help the community members avoid stressors and learn to cope with them more effectively. What type of prevention strategy is this?

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?

A 29-year-old man presents with classic signs and symptoms of panic disorder. In addition to medication, the PMHNP will recommend which of the following forms of therapy?

A 66-year-old woman with suspected atrial fibrillation wants to know why she is being asked to wear a Holter monitor for 24 hours. Which of the following is the appropriate response?

A 56-year-old man presents to the PMHNP, stating he was sent by his wife. He explains he used to own a video rental store, and as a result, he has a large collection of VHS tapes. He continues to collect these "antiques" and does not see any problem with this because they are valuable. He admits he never watches them, because he can never decide which one to watch, and he doesn't have a lot of time. He has started running out of space to keep the tapes, and he admits many of them are probably ruined because they have been housed outside in a hot storage unit. Which diagnosis is most appropriate?

A 42-year-old male client tells the PMHNP he is experiencing anxiety about death, and is asking himself questions about the meaning of his life. "Why am I here and what does it matter if I am just going to die?" The PMHNP should recommend which of the following forms of therapy?

A 25-year-old married woman explains to the PMHNP that she spends an inordinate amount of time tweezing her eyebrows every evening. She says she has anxiety when she looks in the mirror and sees asymmetry in her eyebrows. She tries to pull every hair that is out of place. This can take more than an hour each evening, and it is becoming problematic because she is still unhappy after tweezing. She only stops when her husband demands it, after telling her how beautiful she is and that the asymmetry is "all in her head." She still feels an urge to tweeze her eyebrows every night in an attempt to "fix" them. What diagnosis is the most appropriate?

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?