The PMHNP is evaluating a new client who reports symptoms of one hypomanic episode and at least one major depressive episode. Which psychiatric condition is most closely associated with these experiences?

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 51-year-old woman is diagnosed with primary osteoarthritis (OA) of the knee. The NP will educate the woman that which of the following could have contributed to or might worsen her OA?

The PMHNP is working on an inpatient geropsychiatric unit. He is conducting the Montreal Cognitive Assessment (MoCA) on an 89-year-old woman with suspected dementia. He asks her to draw a clock to test her planning, sequencing, and organizing abilities. Which area of the brain is responsible for planning, sequencing, and organizing?

Kelly is a 22-year-old woman who was involved in a motor vehicle accident (MVA) 1 year ago. She now presents to the mental health clinic with her mother, who complains that Kelly's personality has changed drastically in the past year. Upon thorough examination, Kelly most likely has experienced an injury to which part of her brain?

A 35-year-old man with bipolar I disorder presents with a new-onset manic episode and is successfully treated with medication adjustment. He notes chronic depressive symptoms that, on reflection, long preceded his manic episodes. He describes these symptoms as "feeling down," having decreased energy, and more often than not, having no motivation. He denies other depressive symptoms but feels that these alone have been sufficient to negatively affect his marriage. Which diagnosis best fits his presentation?

A 36-year-old man is evaluated by the PMHNP for a recent incident in which he stayed up for several nights in a row, had much more energy than usual, and believed he was talking to God. He was diagnosed with bipolar disorder. In reviewing his medications, the PMHNP finds he is taking acetaminophen 500 mg BID, bupropion XL (Wellbutrin) 150 mg once daily, Sam-E for pain from an old football injury, and alprazolam 0.5 mg pm for agitation. Which of these should be discontinued immediately?

Regarding complementary and alternative treatments, which of the following is considered a mind-body intervention?

A 67-year-old man on a geriatric inpatient unit with no high school education scored 30 on the St. Louis University Mental Status Exam (SLUMS). What does this score indicate?

A 49-year-old female patient has been taking gabapentin for 6 months. It has produced some relief for her neuropathic pain, but she still rates her average daily pain at about a 5. What would be the next most appropriate treatment?

The PMHNP is conducting a Mini-Mental State Exam (MMSE) on an 82-year-old man. The client scores 15. What does this score indicate?