A psychiatric-mental health nurse practitioner is employed on an acute inpatient psychiatric unit for adolescents. He is evaluating a 17-year-old client who presents as male-to-female transgender. The client wishes to be called "Christine" and uses "she/her" for pronouns. She wants to know how if her female name is being used in her chart. How should the PMHNP respond?

Which of the following is considered a constraining factor for growth of the nurse practitioner role?

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 a violation of the applicable standard of care when treating the client’s condition?

The PMHNP on an inpatient substance disorder unit is reviewing the labs for a 17-year-old patient diagnosed with anorexia nervosa who was recently introduced to a caloric intake program. She has pain on eating, and her labs are as follows: phosphorus 0.7 mg/dL, potassium 1.4 mEq/L, and magnesium 1.8 mg/dL. Which of the following is this patient most at risk for?

The parents of a 16-year-old adolescent girl come to the PMHNP requesting treatment for her "so-called gender issues." The mother cries while the father says, "She says she has wanted to be a boy ever since she was 4 years old. This is all just nonsense. It's a phase, and the sooner she gets over it, the better." The daughter acknowledges to "feeling like a boy" since the age of 4, and she currently binds her breasts. She also wants to be called by a male name. Her father wants to send her to conversion therapy offered by their church. The mother wants to know the PMHNP's opinion. Which of the following is the most appropriate response?

A 5-year-old girl tells everyone she meets about the recent death of her family's dog. Then she says, "One day, I am going to die, and so will you." Which of the following statements is correct?

The mother of an 8-year-old boy brings him to the PMHNP for an assessment of attention deficit-hyperactivity disorder. Which of the following is the PMHNP most likely to utilize?

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?

Where is the neurotransmitter dopamine produced?

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?

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?