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?

A 25-year-old man who smokes says his smoking is not a problem now because he is young and healthy. He will quit when he is “older.” The therapist asks him, “What do you consider to be older?” The young man answers, “You know, middle age, like 40 or 50.” The therapist says, “Didn't you tell me your grandfather died from lung cancer at age 49? What would his middle age have been?” The young man quietly says, “I guess my age. Maybe I should think about cutting back.” What technique is this an example of?

A 49-year-old female patient with type 2 diabetes (T2DM) and a BMI of 31 presents to the nurse practitioner with a swollen, thick, rubbery area of the skin on her abdomen. She recently went to the ED for a hypoglycemic episode, but today her fasting blood glucose level is 197. Which of the following most closely aligns with this clinical scenario?

Two weeks ago, the PMHNP prescribed the antidepressant escitalopram (Lexapro) for a 28-year-old female client with generalized anxiety disorder. At her initial appointment, she scored 28 on the Hamilton Anxiety Rating Scale (HAM-A). At today’s follow-up visit, she scored 26. She reports no side effects from the Lexapro. Which of the following is the next step for the PMHNP?

A 16-year-old girl is brought to the PMHNP by her mother for evaluation. The mother thinks her daughter is "crazy" because she wants a nose job. The girl says she looks "hideous” with her big nose, and she will get plastic surgery as soon as she can afford it. Upon examination, the girl denies excessive preoccupation with her appearance, such as repetitive behaviors or mental acts. She says she does not compare her nose to other people's, nor does she make attempts to hide her nose. She says she is not "crazy" and that plastic surgery is common. The mother is upset because her daughter is "too beautiful" to need surgery. Which diagnosis would be most appropriate?

A 32-year-old male patient presents to the nurse practitioner for a follow-up after treatment for Guillain-Barre syndrome. Which of the following is an accurate description of GBS?

A 56-year-old man presents to the PMHNP, stating he was sent by his wife. He explains he used to own a video rental store, and as a result, he has a large collection of VHS tapes. He continues to collect these "antiques" and does not see any problem with this because they are valuable. He admits he never watches them, because he can never decide which one to watch, and he doesn't have a lot of time. He has started running out of space to keep the tapes, and he admits many of them are probably ruined because they have been housed outside in a hot storage unit. Which diagnosis is most appropriate?

A 52-year-old woman with a history of a bilateral oophorectomy presents to the nurse practitioner with complaints of vaginal bleeding and pelvic pain for 2 weeks. What is the best next step?

A 49-year-old female patient presents to the nurse practitioner with new onset iron deficiency anemia. Which meal plan would reflect the patient’s understanding of an appropriate diet?

A 51-year-old Black man is scheduled to undergo a colonoscopy. Which of the following is NOT a contraindication to the procedure?

A 34-year-old woman is diagnosed with carpal tunnel syndrome. Which of the following treatments does NOT improve function in carpal tunnel syndrome?