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?

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?

During a psychiatric evaluation, the PMHNP conducts a psychiatric review of systems (ROS) in which she 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 "elimination"?

The PMHNP has diagnosed a 9-year-old boy with attention deficit hyperactivity disorder (ADHD) and is prescribing medication. As she discusses the medication with the mother, she can see the mother is becoming visibly anxious. What does the PMHNP do next?

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 31-year-old woman presents to the PMHNP for a regular medication management appointment. While there, she mentions concerns that her 16-month-old son might have autism, and she asks the nurse practitioner how to have him evaluated for the condition. Which of the following is the most appropriate response?

A 9-year-old girl witnessed the violent murder of a close family member. She now says she is blind. However, she flinches when objects are quickly moved toward her face. There is no neurologic evidence of blindness. What is the most likely diagnosis?

A 13-year-old boy presents to the PMHNP accompanied by his mother, who complains of a change in behavior for the past 2 months. The mother says her son frequently loses his temper, is easily angered, is resentful, and is spiteful toward her. This behavior started approximately 4 weeks after she and the boy's father separated and the father moved out of the home. Which of the following helps the PMHNP to rule out oppositional defiant disorder (ODD)?

A 39-year-old Cambodian man presents to the PMHNP for an evaluation following an event that he refers to as "Khayal." Which culture-bound syndrome should the PMHNP include in the differential diagnosis?

While at the urgent care clinic for a routine physical exam, a 27-year-old man experiences a tonic-clonic seizure. While awaiting emergency medical services response, the NP will avoid which of the following interventions?

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?