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?

Low levels of cerebral spinal fluid 5HIAA (CSF 5-HIAA) can be an indicator of which of the following?

A 56-year-old man presents to the PMHNP, stating he was sent by his wife. He explains he used to own a video rental store, and as a result, he has a large collection of VHS tapes. He continues to collect these "antiques" and does not see any problem with this because they are valuable. He admits he never watches them, because he can never decide which one to watch, and he doesn't have a lot of time. He has started running out of space to keep the tapes, and he admits many of them are probably ruined because they have been housed outside in a hot storage unit. Which diagnosis is most appropriate?

A 16-year-old girl of South Asian descent presents to the PMHNP accompanied by her father. He reports that since the death of her mother months ago, his daughter has been having episodes of strange behavior. He describes these episodes as beginning with a stomach ache and dizziness. Then she behaves as though her dead mother has taken control of her body. After a few minutes, she is back to herself again. Afterward, the patient states she cannot remember anything about these episodes. Which culture-bound syndrome should the PMHNP include in the differential diagnosis?

A pregnant 30-year-old woman complains of persistent numbness on the palmar surface of her right hand and of pain in her right arm. Her symptoms are more severe in the morning. Neurologic examination reveals a sensory deficit in the right thumb and the index and middle fingers, as well as on the lateral half of the ring finger. The patient has weakness when abducting the thumb. Which of the following is considered first-line treatment?

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?

In addition to the physical exam and functional assessment, which of the following is used to assess response to treatment for rheumatoid arthritis?

A 25-year-old married woman explains to the PMHNP that she spends an inordinate amount of time tweezing her eyebrows every evening. She says she has anxiety when she looks in the mirror and sees asymmetry in her eyebrows. She tries to pull every hair that is out of place. This can take more than an hour each evening, and it is becoming problematic because she is still unhappy after tweezing. She only stops when her husband demands it, after telling her how beautiful she is and that the asymmetry is "all in her head." She still feels an urge to tweeze her eyebrows every night in an attempt to "fix" them. What diagnosis is the most appropriate?

A 42-year-old man presents to the PMHNP for a follow-up appointment to re-evaluate his symptoms of generalized anxiety disorder. He says, "I have been getting weekly massages and they have helped so much! Why are massages so relaxing?" What is the appropriate response?

A 4-year-old child is preoccupied with her mother's breasts and frequently wants to gently pat them with her hands. Her mother does not visibly react to this; instead, she redirects the child to another activity. The mother is worried that if she shames her daughter about the breast patting, it might "mess her up somehow." According to Erikson, the child's behavior is considered:

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?