The PMHNP is evaluating a 4-year-old boy who is brought in by his foster mother. The child has been living with her for 1 week, and she is concerned about this behavior. Staff at the day care center he attends report that he displays fear unrelated to particular activities. Even when distressed, he does not seek comfort in, nor respond to, any staff members. What additional information about this child would be important in determining whether his symptoms represent reactive attachment disorder (RAD) or autism spectrum disorder (ASD)?

The PMHNP is treating a 17-year-old girl who is an inpatient on an eating disorder unit. This patient has type 1 diabetes in addition to bulimia nervosa. Today she complains of dizziness, nausea, confusion, and weakness. What is her most likely diagnosis?

A 47-year-old woman presents to the PMHNP with a chief complaint of anxiety. She is the primary caretaker for her 79-year-old mother, who has Alzheimer's disease. Which of the following tools will the nurse practitioner use to assess the client's level of anxiety?

A 41-year-old Malaysian man is referred to the PMHNP following an incident at work. He says a coworker insulted him, and the next thing he knows the police were called. He does not remember attacking the coworker, but he was arrested for assault. Which culture-bound syndrome should the PMHNP include in the differential diagnosis?

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?

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 3-year-old girl with a history of prenatal exposure to methamphetamines is brought to the PMHNP by her grandmother for an evaluation of her readiness to attend preschool. She demonstrates substantial delays across multiple domains of functioning, including communication, learning, attention, and motor development. These deficits will limit her ability to interact with same-age peers. She also requires substantial support in all activities of daily living at home. Due to custodial circumstances, her grandmother is a poor historian and is unable to provide information about the age of onset for these symptoms. What is the most appropriate diagnosis?

A pregnant 30-year-old woman complains of persistent numbness on the palmar surface of her right hand and of pain in her right arm. Her symptoms are more severe in the morning. Neurologic examination reveals a sensory deficit in the right thumb and the index and middle fingers, as well as on the lateral half of the ring finger. The patient has weakness when abducting the thumb. Which of the following is considered first-line treatment?

A 5-year-old boy dreams that he is riding in a car that starts flying, then turns into a monster. At the end of the dream, he dies. The boy tells his mom, "I became a ghost like Grandpa." Which of the following would be an appropriate statement by the NP to the mother?

Which virtue is associated with successful resolution of the psychosocial developmental stage Industry vs. Inferiority?

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?