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 visual processing abilities. Which area of the brain is responsible for this function?

The nurse practitioner provides education about treatments to a 45-year-old woman with a diagnosis of chronic low back pain. Which of the following is NOT considered a first-line treatment for chronic low back pain?

A 22-year-old woman diagnosed with bipolar disorder missed her last two appointments with the PMHNP after she was started on lithium (Eskalith). Her mother brought her to a third appointment. The patient was excited to see the PMHNP, as evidenced by her rapid rate of speech and discussion about the book she was writing. The patient went on to say that God had spoken directly to her and given her a message that only she could give to the world. She said she hadn’t been able to sleep for at least 1 week because she had been so busy working on this book, but she felt “absolutely incredible” despite her lack of sleep. Both the patient and the mother insist she has not stopped taking her medication. The PMHNP orders laboratory studies, including a lithium level. Which level of lithium will be subtherapeutic and indicate a need for an increased dose?

A 42-year-old woman recently diagnosed with rheumatoid arthritis asks the nurse practitioner about disease-modifying antirheumatic drugs (DMARDs). Which of the following statements about DMARDs is INCORRECT?

A 52-year-old woman is at her regular medication management appointment with her PMHNP. Her father was recently diagnosed with Alzheimer's disease, and she wants to know what herbal products she can use to prevent memory loss. She tells the PMHNP, "I have heard a lot about ginkgo biloba being good for the brain and memory. What's your opinion?"

The PMHNP is treating an 81-year-old man believed to have dementia. She asks him questions about memories that his family has described as prominent aspects of his life. The patient is unable to recall any of these memories. Which area of the brain is affected?

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?

A 22-year-old woman recently began treatment with fluoxetine (Prozac) for major depressive disorder. She now exhibits symptoms of mania. She completes the Young Mania Rating Scale (YMRS) and her score is 25. What does this indicate?

The clock-drawing test (CDT) has become a standard cognitive screening tool around the world. Like all cognitive screening tests, it is designed to detect early brain changes to determine if a person may be experiencing dementia. Which of the following statements most accurately depicts the usefulness of this test?

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 praxis abilities. Which area of the brain is responsible for this function?

A 28-year-old woman is referred to the PMHNP with symptoms of hypomania following the birth of her first child. Which of the following statements about postpartum hypomania is correct?