The nurse practitioner is educating a 52-year-old man who was recently diagnosed with peptic ulcer disease. Which of the following statements by the patient indicates a need for further teaching?

A 22-year-old man reports that he hears someone knocking on his door at night, but every time he answers the door, no one is there. He thinks he hears his neighbors outside talking, even when he knows they are not home. He says he knows it’s his “imagination," but he feels “compelled” to answer the door, “no matter what time of day,” even if he is sleeping. He says he has had similar episodes “in the past,” but this has been going on for at least 6 months, and it has become problematic. What is the most appropriate diagnosis?

A 21-year-old woman receives a diagnosis of Crohn's disease. The nurse practitioner provides education about the diagnosis. Which of the following statements by the patient indicates the need for further teaching?

The PMHNP diagnoses a 25-year-old woman with generalized anxiety disorder with panic attacks. Terrified by the panic attacks, she requests medication, saying, “I need something to control them immediately.” The patient is otherwise fit and healthy and has no history of substance abuse or dependence. Which of the following strategies would be reasonable?

The PMHNP administers the Hoarding Rating Scale to a 58-year-old woman, and her score is 15. What does this score indicate?

A 35-year-old woman with hypertension, multiple sclerosis, diabetes, and chronic fatigue syndrome presents to the nurse practitioner with a chief complaint of "vaginal itching with white, cottage cheese-like discharge." Which answer choice is a risk factor for this chief complaint?

A 19-year-old man presents to the PMHNP for a psychiatric evaluation with a chief complaint of intrusive thoughts and compulsive behaviors. Of the following, which is considered the gold standard assessment tool for obsessive-compulsive disorder (OCD) severity?

A 47-year-old woman completed the State-Trait Anxiety Inventory (STAI) and scored 20. What does this score indicate?

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 somatic concerns?

A 48-year-old woman presents to the nurse practitioner with a history of nonspecific back pain between the lower rib margin and the gluteal folds for 3 months. She reports significant emotional distress and functional impairment related to this ongoing pain. She denies a history of injury or trauma to her back or neck. Which of the following is INCORRECT about chronic lower back pain?

A 58-year-old woman is brought to the PMHNP at the insistence of her adult daughter, who believes her mother has a hoarding problem. The client is adamant she does not have a problem with hoarding. Of the following assessment tools, which one will the PMHNP choose?