A mother brings her 5-year-old daughter to the PMHNP for concerns about her speech articulation. She has never sustained a head injury, was not exposed to prenatal toxins, was delivered vaginally without problems, is otherwise healthy, and is developmentally in line with her peers. She has struggled with speech articulation; her daycare teachers first noticed it and she received speech therapy beginning at that time. She has no issues relating with her peers, and she is highly imaginative in her play. Despite having speech therapy, her speech is still difficult to understand. What is the most likely diagnosis?

A 13-year-old boy presents to the PMHNP accompanied by his mother, who complains of a change in behavior for the past 2 months. The mother says her son frequently loses his temper, is easily angered, is resentful, and is spiteful toward her. This behavior started approximately 4 weeks after she and the boy's father separated and the father moved out of the home. Which of the following helps the PMHNP to rule out oppositional defiant disorder (ODD)?

The mother of an 8-year-old boy brings the child to the psychiatric-mental health nurse practitioner for an evaluation. She states that she thinks her son has ADHD. The mother says the boy’s father is reluctant to try medication and believes the boy just needs to “focus.” The mother wants to try medication and somehow show the father that it will help her son. Which of the following is a tool that could be used to objectively measure behavior changes prior to and during medication administration?

Low levels of cerebral spinal fluid 5HIAA (CSF 5-HIAA) can be an indicator of which of the following?

Which of the following is considered a manipulative body-based therapy?

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 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?

A 16-year-old girl has a bald spot on her scalp and her mother brings her to the PMHNP on the advice of her primary care provider after all medical causes are ruled out. The girl admits to pulling out her hair in class when she is bored, but says she tends to pull it out more often in math class where she is making Cs. This is the first year she is not doing well in math, and her mother says it is "stressing her out." What is the most appropriate diagnosis?

A 30-year-old woman who has tried for a year to become pregnant presents to the nurse practitioner, who diagnoses cervical stenosis as the probable cause of her infertility. Which is the most appropriate treatment?

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 10-year-old girl presents to the urgent care clinic with a dislocated elbow sustained in a roller-skating accident. Which of the following is NOT an expected treatment for this girl?