Following a stroke, a 71-year-old woman experiences a cognitive-linguistic disorder. Which of the following is true about expressive aphasia?

The mother of a 9-year-old boy explains to the PMHNP that he has a 6-month history of excessive eye blinking and grunting, and he recently began persistently clearing his throat. Assessment of co-occurring conditions is important for understanding the overall functional consequences of tics. Which of the following conditions has been associated with tic disorders?

A 51-year-old woman with a history of generalized anxiety disorder (GAD) has been treated with 20 mg of paroxetine (Paxil) for 6 months. The dose was increased to 40 mg at her last visit 2 weeks ago due to increased symptoms of anxiety. Now she reports “hot flashes” and significant hyperhidrosis to her psychiatric mental health nurse practitioner. Which of the following statements is NOT correct about this clinical scenario?

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 23-year-old graduate student is appointed to be the team leader for a group project. He is so rigid and inflexible about the rubric that other members of the team get frustrated, and the project almost collapses. He insists that each section must be completed and perfected before the next section can be started. The project is eventually finished, but no one on the team will work with him again. Which disorder best reflects this man's behaviors?

A 23-year-old woman presents to the PMHNP with a chief complaint of "nervous tension." After a full evaluation and the administration of the Hamilton Anxiety Scale (HAM-A), the PMHNP diagnoses her with generalized anxiety disorder. He plans to use today's HAM-A score as a baseline and then readminister the scale at every follow-up appointment to monitor treatment. Her score today is 20. What does this score indicate?

The PMHNP has just diagnosed a 7-year-old boy with attention-deficit hyperactivity disorder (ADHD). The boy's mother is adamant she does not want him to take medication, and she asks the PMHNP to tell her about biofeedback. Which of the following is the best response?

A 19-month-old boy has a positive result on the Modified Checklist for Autism in Toddlers (M-CHAT-R/F) screen. What does this indicate?

A 29-year-old nurse presents to the PMHNP for evaluation after a traumatic event. Two weeks ago, she was attacked by a patient on the behavioral unit where she works. She says she is having flashbacks about the event and keeps wondering "what could I have done to prevent it?" She has had several panic attacks since the incident, and she is to the point now where she is considering quitting nursing. She says, "I guess I am too weak to be a nurse if I can't handle one attack." What is her most likely diagnosis?

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 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?