A parent previously agreed that the psychiatric-mental health nurse practitioner (PMHNP) and her 17-year-old son could discuss his treatment in confidentiality. Now, the mother is calling the PMHNP asking about his most recent diagnosis of gender dysphoria. What should the PMHNP do?

The PMHNP working on an inpatient eating disorders unit is evaluating a 17-year-old girl with suspected anorexia nervosa. Her laboratory results reveal elevated serum cholesterol levels, elevated serum salivary amylase concentrations, and decreased fasting glucose concentrations. Which electrocardiography (ECG) changes will help confirm the diagnosis?

A 41-year-old man complains of right ear pain, difficulty closing his right eye, and drooping of the right side of his face. He finds that his right ear is sensitive to loud, low-frequency sounds. When a small spoonful of sugar is applied to the right side of his tongue, he says that it tastes like sand. The physical examination identifies right-sided weakness of the upper and lower face. The patient's symptoms started 2 days ago. Which of the following is the most appropriate treatment at this time?

A 41-year-old Malaysian man is referred to the PMHNP following an incident at work. He says a coworker insulted him, and the next thing he knows the police were called. He does not remember attacking the coworker, but he was arrested for assault. Which culture-bound syndrome should the PMHNP include in the differential diagnosis?

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?

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?

During a psychiatric evaluation, the psychiatric-mental health nurse practitioner conducts a psychiatric review of systems (ROS) in which she 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 symptom "trauma"?

During a psychiatric evaluation, the psychiatric-mental health nurse practitioner conducts a psychiatric review of systems (ROS) in which she 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 "eating and feeding"?

A mother is concerned about her 14-year-old daughter, who is not experiencing pubertal changes. Her height is lower than average for age. She is of normal intelligence. Upon assessment, the nurse practitioner notes extra folds of skin on her neck. What treatment is most appropriate?

A PMHNP would like to monitor a client's progress in anxiety symptom reduction over time using a clinician-administered anxiety rating scale. Which of the following is the most commonly used clinician-administered anxiety rating scale?

The NP is providing teaching to a 53-year-old woman who was recently diagnosed with osteoporosis. Which statement by the woman would indicate a need for further teaching?