The PMHNP is conducting a psychiatric evaluation on a 42-year-old woman as part of a pending custody case with her ex-husband. The client is arrogant, believes she should be entitled to special treatment because she is “not really sick like your other clients,” has no empathy for her ex-husband or her children, and believes she is powerful because her family “knows” the family of the judge. The PMHNP suspects this woman has narcissistic personality disorder. The client does not believe anything is wrong with her and expects to receive a “perfect” assessment of her mental health. Which of the following terms best describes this client’s patterns of behavior?

A 26-year-old woman with a history of suicide attempts and unstable romantic relationships has tried many forms of medications without success. Which form of therapy will be most effective for her?

Which concept refers to the tendency of a family to remain stable even in the midst of change?

Which of the following statements is correct?

The PMHNP is preparing to evaluate a new client, a 39-year-old single woman. The client is charming, gregarious, and lively, and she is dressed in colorful clothing. As the session continues, she appears to be excessively emotional and attention-seeking, using dramatic language. She says, "I am just a basket case! I will probably need to come in every week." Which diagnosis would be most appropriate?

A 43-year-old man presents to the psychiatric-mental health nurse practitioner complaining of depressed mood and inability to sleep for the past 3 weeks. The PMHNP diagnoses major depressive disorder. The patient states that in the past, when he had similar episodes, he was placed on a monoamine oxidase inhibitor (MAOI) that proved effective. The PMHNP agrees to use an MAOI because it is the patient's request and it has been successful in the past. Which of the following foods must be completely avoided by this patient while on this medication?

A 26-year-old woman with bipolar disorder has been stable on lithium for 2 years. She presents to the PMHNP with mild confusion, a tremor, and nausea. Upon questioning, she states she recently fell while running and injured her ankle in the fall. Which of the following is most likely to be the cause of her current symptoms?

A 31-year-old male client has come to the PMHNP for a medication follow-up. He tells the prescriber he is feeling "very good" on escitalopram (Lexapro). He feels so good, in fact, that he has decided to add the supplement tryptophan to his medication regimen to "boost" its effect. What is the most appropriate response by the PMHNP?

A 32-year-old woman was diagnosed with schizophrenia approximately 4 years ago. She has been stable on haloperidol for 1 year, following trials with several atypical antipsychotics. Two weeks ago, she began exhibiting mild pseudo-Parkinson's disease symptoms. Because she did not achieve symptom control on so many medications, the PMHNP is reluctant to discontinue the haloperidol and instead chooses to treat the side effect. Which class of medications is the most appropriate for treating these side effects?

A 24-year-old woman with a history of major depressive disorder treated with sertraline is brought to the emergency department by her partner for evaluation of fever, vomiting, and weakness. In the emergency department, her temperature is 103°F, her heart rate is 129 beats per minute, she is agitated and restless, and she displays hyperactive reflexes. Her symptoms began several hours after she used a new medication prescribed by her primary care provider. Which of the following is most likely to be the new medication?

A 42-year-old recently divorced female client is referred to therapy by the PMHNP. The therapist asks the client, "If you woke up tomorrow and all your problems were solved, what would that look like?"
What is this an example of?