Mr. Jones is a 52-year-old man who presents as a new patient to the PMHNP because his psychiatrist recently retired. He is stable on his medications for depression and anxiety, and he says he hasn't had labs drawn in "at least 2 years." His current medication regimen is: acetaminophen (Tylenol) 500 mg PO prn for knee pain, omeprazole (Prilosec) 20 mg PO BID, escitalopram (Lexapro) 20 mg PO daily, and brexpiprazole (Rexulti) 1 mg PO daily. What screening labs are appropriate for this patient?

How does the diagnosis of persistent depressive disorder differ from major depressive disorder?

A PMHNP in clinical practice takes time to make sense of her experiences as a way of gaining insight into her practice. She believes this is essential for continued learning and growth as a practitioner. Which of the following most closely resembles what this practitioner engages in?

A local politician running for mayor says he will address the issue of homelessness by "getting serious help for all of them, because they are mostly schizophrenics." Which of the following would be the most effective way for a PMHNP to advocate for the homeless community?

The PMHNP has diagnosed an 8-year-old boy with oppositional defiant disorder (ODD). Which of the following is the most effective treatment?

The PMHNP works on an inpatient geriatric behavioral health unit. During the psychiatric evaluation, he asks the clients to draw a clock and recall three items. Which of the following assessment tools requires these actions?

A 12-year-old boy takes great pride in the science project he completed for the regional fair. Even though he didn't win, he feels that he did a great job. Which of Erikson's psychosocial stages has this child mastered?

A psychiatric-mental health nurse practitioner buys an ownership stake in a behavioral health hospital with the expectation that she will be able to refer the hospital's clients to the outpatient clinic she owns. Which of the following best describes this scenario?

The parents of a 14-year-old female high school freshman bring her to the PMHNP for an evaluation. They believe she should be doing better in high school due to her "gifted" status. They state that she has a formal IQ score of 125 and that her grades were mostly As through 8th grade. Now, she hands in her papers late and her grades are dropping to mostly Bs and Cs. During her psychiatric evaluation, the girl reports that high school is different from elementary school and junior high, because now she has to write papers. She says she often turns them in late due to procrastination and forgetfulness. She reports a long history of inability to sustain attention while in class or doing homework, failure to pay attention to details or finish chores or tasks, significant difficulties with time management, planning and organization. She is forgetful, often loses things, and is easily distracted. She has no history of restlessness or impulsivity, and she is popular with her peers. What is the most likely diagnosis?

A pediatric nurse practitioner is opening a new clinic and consults with the psychiatric-mental health nurse practitioner about screening tools to help identify children with delays or disorders in the critical early years, before they start school. Which of the following will the PMHNP suggest?

A 23-year-old female client is being evaluated for symptoms of depression. The PMHNP conducting her psychiatric evaluation will administer which of the following tools to determine the client's level of depression at baseline, during, and at the end of treatment?