The PMHNP has just diagnosed a 28-year-old woman with generalized anxiety disorder and prescribed the selective serotonin reuptake inhibitor escitalopram (Lexapro). Which of the following tools will he administer to measure the client’s response to the medication over time?

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; it was not unusual. What is the most appropriate diagnosis?

A 39-year-old pregnant woman in labor with preeclampsia develops chest tenderness and right upper quadrant pain, as well as pain when breathing deeply. Her lab results are as follows: hemoglobin 7.8 g/dL; aspartate aminotransferase 313 U/L; alanine aminotransferase 225 U/L; platelets 85,000/mcL. Which of the following most closely aligns with this clinical scenario?

The PMHNP is working with a client who says he is anxious today. Which of the following is an example of a scaling question?

A 49-year-old woman is diagnosed with Sjogren syndrome following complaints of a foreign body sensation in her eyes and a dry mouth. Which one of the following is NOT characteristic of Sjogren syndrome?

A 23-year-old pregnant woman is advised by her nurse practitioner to have a dental checkup. The patient asks why it is important to see the dentist while she is pregnant. Which of the following is the appropriate response?

A 27-year-old married woman reports to the PMHNP that she is experiencing significant distress in her marriage because she "hates" going to social events, and her husband's job requires attending regular social gatherings. She avoids these activities because she is "terrified" she will do or say something embarrassing, and she has started pretending she has headaches to get out of going to them. Her husband doesn’t understand why she doesn’t want to go to these parties, which are typically small gatherings of less than 15 people. She admits that when she does go, they end up being "no big deal." The PMHNP will diagnose this woman with which of the following?

The PMHNP is evaluating a new patient, a 33-year-old woman. She reports feeling "keyed up" most of the time, having constant muscle tension, and excessively worrying about "every little thing." These symptoms have been occurring for about 9 months, and they are causing her significant distress at home and at work. She takes no medications, and her lab work and physical exam are negative for an underlying medical cause for these symptoms. What diagnosis is most likely?

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?

The PMHNP has just diagnosed a patient with excoriation disorder. To fulfill diagnostic criteria for excoriation disorder, the skin-picking must be severe enough to result in which of the following?

A 66-year-old woman presents to the nurse practitioner with complaints of dyspnea, syncope, and palpitations. She believes she is having anxiety, but she has no history of mental health issues and is undergoing no major stressors. Which findings on physical exam would lead the NP to suspect atrial fibrillation?