An 83-year-old man presents to the community behavioral health clinic, where he is diagnosed with Alzheimer's disease by the PMHNP. He currently smokes two packs of cigarettes a day and declines help with smoking cessation. Which medication for Alzheimer's disease is contraindicated in this patient due to smoking status?

The father of an 18-year-old girl who is being treated for generalized anxiety disorder with panic attacks calls the PMHNP with questions about the medications she was prescribed. He demands the information because the patient lives in his home and is on his health insurance plan. What should the nurse practitioner do?

The factors that raise the risk for heart disease, diabetes, and stroke are collectively known as:

A 36-year-old woman of Chinese descent presents to the PMHNP after a referral from her primary care physician, who has worked up her physical complaints. These physical complaints include headaches, dizziness, and abdominal pain. The patient says she also experiences insomnia, difficulty concentrating, anxiety, and fatigue. These symptoms started approximately 6 months ago, after her husband had an affair, which he ended. She is also under stress at work, since she just received a promotion. Which culture-bound syndrome should the PMHNP include in the differential diagnosis?

A 66-year-old man is a long-time client of the PMHNP. He has been taking several vitamins under the supervision of the provider. Recently, he had a transient ischemic attack (TIA) and was placed on warfarin (Coumadin). Which of the following vitamins or supplements will the client need to discontinue?

A 63-year-old man was recently placed on warfarin (Coumadin) by his nurse practitioner. Which of the following supplements will he need to discontinue?

The PMHNP is conducting a mental status exam (MSE) on a new client. He asks her to explain the meaning of the proverb, "A rolling stone gathers no moss." The PMHNP understands that the proverb portion of the MSE tests functioning in which areas of the brain?

The nurse practitioner provides education about treatments to a 45-year-old woman with a diagnosis of chronic low back pain. Which of the following is NOT considered a first-line treatment for chronic low back pain?

A 22-year-old woman diagnosed with bipolar disorder missed her last two appointments with the PMHNP after she was started on lithium (Eskalith). Her mother brought her to a third appointment. The patient was excited to see the PMHNP, as evidenced by her rapid rate of speech and discussion about the book she was writing. The patient went on to say that God had spoken directly to her and given her a message that only she could give to the world. She said she hadn’t been able to sleep for at least 1 week because she had been so busy working on this book, but she felt “absolutely incredible” despite her lack of sleep. Both the patient and the mother insist she has not stopped taking her medication. The PMHNP orders laboratory studies, including a lithium level. Which level of lithium will be subtherapeutic and indicate a need for an increased dose?

A 22-year-old Asian man has been diagnosed with a seizure disorder. Prior to initiating treatment with an anticonvulsant, what should his nurse practitioner consider?

A 35-year-old man with bipolar I disorder presents with a new-onset manic episode and is successfully treated with medication adjustment. He notes chronic depressive symptoms that, on reflection, long preceded his manic episodes. He describes these symptoms as "feeling down," having decreased energy, and more often than not, having no motivation. He denies other depressive symptoms but feels that these alone have been sufficient to negatively affect his marriage. Which diagnosis best fits his presentation?