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 17-year-old girl is referred to the PMHNP after pulling her eyebrow hair out to the point of scarring. She says she has a "unibrow" and looks like a "Neanderthal" unless she pulls out the hair. The PMHNP asks to see a photo of the patient before she started pulling out her hair, and it was not unusual. What is the most appropriate diagnosis?

During a psychiatric evaluation, the psychiatric-mental health nurse practitioner conducts a psychiatric review of systems (ROS) in which he reviews common psychiatric symptoms that may not have been elicited in the history of present illness (HPI). Which of the following questions is most likely designed to elicit a response for the system "anxiety"?

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:

Two weeks ago, the PMHNP prescribed the antidepressant escitalopram (Lexapro) for a 28-year-old female client with generalized anxiety disorder. At her initial appointment, she scored 28 on the Hamilton Anxiety Rating Scale (HAM-A). At today’s follow-up visit, she scored 26. She reports no side effects from the Lexapro. Which of the following is the next step for the PMHNP?

The pathophysiology of attention deficit-hyperactivity disorder (ADHD) includes neurobiological deficits. Which of the following has been suggested as a pathologic basis for ADHD?

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 21-year-old unmarried man has near-daily intrusive thoughts that his neighbors knock on his door at night. He tells the PMHNP he knows this knocking is just his "imagination" because the neighbors work nights and are not home. However, he feels compelled to get out of bed and open the door, no matter what time it is. He opens and closes the door repeatedly for at least an hour, sometimes longer. He says he has had this problem "in the past" and did not seek help for it. This time it has been going on at least 6 months and is becoming "problematic." It is interfering with his ability to get a good night's sleep and he is having problems at work. His roommate is also very troubled by it. The PMHNP will diagnose him with which of the following?

The PMHNP is asked to evaluate a 21-year-old woman with a tear of her anterior cruciate ligament (ACL). The orthopedic surgeon who requested the evaluation says the patient has been in the hospital for 2 days and is scheduled for surgery tomorrow. The patient complains of anxiety about her upcoming surgery. She is afebrile, her heart rate is 95, and her blood pressure is 110/76. She is not currently in pain; her knee pain is controlled by acetaminophen. Which of the following is the most appropriate medication for this patient based on this scenario?

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 29-year-old man presents with classic signs and symptoms of panic disorder. In addition to medication, the PMHNP will recommend which of the following forms of therapy?