A patient was placed in restraints after he became a danger to himself and others, and all other, less restrictive measures failed to resolve the behavioral emergency. How often must the PMHNP or other licensed practitioner conduct a face-to-face evaluation with this patient until he is released from restraints?

The mother of a 7-year-old boy presents to the PMHNP for a psychiatric evaluation. She reports that her son exhibits “inattention, aggression, and is getting in trouble at school.” Which of the following parent report tools will help the PMHNP assess for attention deficit-hyperactivity disorder (ADHD), oppositional defiant disorder (ODD), and conduct disorder?

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?

What legal case established the "insanity defense"?

A 14-year-old boy is being treated for behavioral difficulties at home and at school and has been diagnosed with ADHD. He has been skipping class and often comes home smelling of cigarette smoke. His parents report he has developed sudden facial twitches and makes more frequent repetitive guttural sounds, especially since starting a new medication. His drug screen is negative for unprescribed substances of abuse. Which of the following is the most likely cause of his facial twitches and guttural sounds?

A 5-year-old boy dreams that he is riding in a car that starts flying, then turns into a monster. At the end of the dream, he dies. The boy tells his mom, "I became a ghost like Grandpa." Which of the following would be an appropriate statement by the NP to the mother?

The expressive and receptive language development of a 5-year-old girl is severely impaired. The child also displays severe psychomotor retardation, poorly coordinated gait and trunk movements, and stereotypic hand movements. What other associated features would lead the PMHNP to suspect a diagnosis of Rett syndrome rather than autism spectrum disorder in this patient?

A psychiatric-mental health nurse practitioner in private practice frequently codes for 30 minutes of psychotherapy for clients with whom she only spent 5 minutes on a medication recheck. What type of fraud is this?

Which of the following most closely describes risk assessment?

The expressive and receptive language development of a 5-year-old girl is severely impaired. The child also displays severe psychomotor retardation, poorly coordinated gait and trunk movements, and stereotypic hand movements. What other associated features would lead the PMHNP to suspect a diagnosis of Rett syndrome rather than autism spectrum disorder in this patient?

A 67-year-old man is brought in by his son, who is deeply concerned by his father’s sudden onset of ataxia, myoclonus, and neurocognitive defects. Diffusion weighted MRI identifies multifocal gray matter hyperintensities in the subcortical and cortical regions. An EEG reveals slow, symmetric sharp spikes. What is the most likely diagnosis?