The PMHNP is evaluating a new 17-year-old client with a history of delinquent behavior, including a recent arrest for vandalism. The nurse practitioner suspects conduct disorder based on the client's history and current presentation. According to Erikson, such behavior is a result of the failure to resolve which psychosocial developmental stage?

During a psychiatric evaluation, the psychiatric-mental health nurse practitioner 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 "eating and feeding"?

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 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?

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 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?

The parents of a 16-year-old adolescent girl come to the PMHNP requesting treatment for her "so-called gender issues." The mother cries while the father says, "She says she has wanted to be a boy ever since she was 4 years old. This is all just nonsense. It's a phase, and the sooner she gets over it, the better." The daughter acknowledges "feeling like a boy" since the age of 4, and she currently binds her breasts. She also wants to be called by a male name. Her father wants to send her to conversion therapy offered by their church. The mother wants to know the PMHNP's opinion. Which of the following is the most appropriate response?

A 54-year-old Latino man receives a phone call that his mother has had a stroke and is in ICU at his local hospital. Soon after, he begins trembling, then shouting and screaming. The impression is that he is completely out of control. Which culture-bound syndrome should the PMHNP include in the differential diagnosis?

A 2-year-old boy presents to the nurse practitioner with new onset seizures and a history of a port wine stain at birth. Which of the following is not a clinical feature of Sturge-Weber syndrome (SWS)?

The mother of an 8-year-old boy brings the child to the psychiatric-mental health nurse practitioner for an evaluation. She states that she thinks her son has ADHD. The mother says the boy’s father is reluctant to try medication and believes the boy just needs to “focus.” The mother wants to try medication and somehow show the father that it will help her son. Which of the following is a tool that could be used to objectively measure behavior changes prior to and during medication administration?

A 23-year-old woman presents to the PMHNP with a chief complaint of "nervous tension." After a full evaluation and the administration of the Hamilton Anxiety Scale (HAM-A), the PMHNP diagnoses her with generalized anxiety disorder. He plans to use today's HAM-A score as a baseline and then readminister the scale at every follow-up appointment to monitor treatment. Her score today is 20. What does this score indicate?