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 29-year-old man complains of recurrent severe headaches that usually occur in the early morning. Sometimes he is awakened by the headache "like an alarm clock." The pain comes on quickly, within 5-10 minutes, and it lasts 30 to 60 minutes. He describes the pain as excruciating and stabbing. The pain begins at his left nostril and is followed by severe retro-orbital pain. He experiences tearing and nasal stuffiness on the left side of his face. The patient thinks the headaches started when he was given a promotion at work 3 months ago and his stress levels increased. Which of the following is the best course of treatment?

A 31-year-old woman with a history of intellectual disability and congenital heart defects presents to the nurse practitioner with new onset neurologic deficits. Magnetic resonance imaging is contraindicated in patients with a history of which of the following?

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?

Following a stroke, a 71-year-old woman experiences a cognitive-linguistic disorder. Which of the following is true about expressive aphasia?

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?

A 48-year-old woman presents to the PMHNP for her regular medication management appointment. She tells the provider she believes she is in menopause and asks if an herbal product is available to help treat the hot flashes. Which of the following has limited evidence to suggest it decreases menopausal symptoms?

A 10-year-old boy is brought by his mother to the PMHNP for evaluation of a sudden onset of obsessions, compulsions, and tics. During the history and exam, the PMHNP learns that the child recently had strep throat. What is the most likely diagnosis?

A mother presents to the nurse practitioner with her 10-year-old son for a routine well check and a flu shot. She asks the NP if there are any vaccines he is not up-to-date on. The NP explains that the HPV vaccine (Gardasil 9) is indicated for which of the following groups?

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?

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?