A local OB/GYN calls the PMHNP to refer a 27-year-old pregnant patient in her third trimester who just screened positive for perinatal depression. Which of the following screening tools was used by the OB-GYN?

The PMHNP is called to testify as an expert witness in a malpractice case against another nurse practitioner. To prove malpractice, four elements of negligence must be established. Which term describes the nurse practitioner's responsibility to exercise reasonable care when undertaking and providing treatment to the client?

An 8-year-old boy begins to exhibit chronic, severe, persistent irritability associated with frequent temper outbursts. Which of the following disorders is he most likely to develop in adulthood?

The parents of a 14-year-old female high school freshman bring her to the PMHNP for an evaluation. They believe she should be doing better in high school due to her "gifted" status. They state that she has a formal IQ score of 125 and that her grades were mostly As through 8th grade. Now, she hands in her papers late and her grades are dropping to mostly Bs and Cs. During her psychiatric evaluation, the girl reports that high school is different from elementary school and junior high, because now she has to write papers. She says she often turns them in late due to procrastination and forgetfulness. She reports a long history of inability to sustain attention while in class or doing homework, failure to pay attention to details or finish chores or tasks, significant difficulties with time management, planning and organization. She is forgetful, often loses things, and is easily distracted. She has no history of restlessness or impulsivity, and she is popular with her peers. What is the most likely diagnosis?

A 24-year-old man with a tibial fracture is suspected of having compartment syndrome. Of the following, which action by the nurse practitioner would be the most INAPPROPRIATE?

A 29-year-old single woman presents to the PMHNP for evaluation of a chief complaint of fatigue. She states she has been feeling "tired" and "empty" for the past 4 years. She sleeps up to 11 hours a day and is still tired. She has trouble concentrating and has difficulty making decisions. She has gained 10 pounds over the past 2 years due to overeating and little physical activity. She reports no suicidal ideation or manic symptoms, and no delusions or hallucinations. What is the most likely diagnosis?

A 13-year-old boy has developed concentration problems in school, accompanied by a significant decline in grades. When evaluated, he explains that he has been worrying about his grandfather, with whom he is extremely close. His grandfather was recently diagnosed with Alzheimer's disease, and the boy has been helping his mother take care of him. As his grades decline, he becomes increasingly sad and his energy level drops, which further hinders his ability to pay attention in school. He also complains of being restless and unable to sleep. What is the most likely diagnosis?

A nurse practitioner makes a medical error in which she administers gentamicin intravenously over a few days' time in her clinic without checking any lab work. As a result, her patient loses her hearing and is unable to perform her job. Which element of malpractice does the erroneous administration of gentamicin represent?

The psychiatric-mental health nurse practitioner is evaluating a 4-year-old girl she suspects has been physically abused. Which of the following is most appropriate for this child?

A psychiatric-mental health nurse practitioner buys an ownership stake in a behavioral health hospital with the expectation that she will be able to refer the hospital's clients to the outpatient clinic she owns. Which of the following best describes this scenario?

Upon auscultation at the apex, the APRN hears a grade 3 systolic heart murmur that is soft and blowing in character. What does this finding suggest?