The PMHNP uses motivational interviewing (MI) to help a 45-year-old man who states that he would like to quit smoking. She asks her client questions such as, "What is the benefit to quitting smoking?" and "What is it costing you to continue smoking?" These questions are an example of what type of MI skill?

The PMHNP diagnoses a 25-year-old woman with generalized anxiety disorder with panic attacks. Terrified by the panic attacks, she requests medication, saying, “I need something to control them immediately.” The patient is otherwise fit and healthy and has no history of substance abuse or dependence. Which of the following strategies would be reasonable?

A 35-year-old woman with hypertension, multiple sclerosis, diabetes, and chronic fatigue syndrome presents to the nurse practitioner with a chief complaint of "vaginal itching with white, cottage cheese-like discharge." Which answer choice is a risk factor for this chief complaint?

A 25-year-old married woman explains to the PMHNP that she spends an inordinate amount of time tweezing her eyebrows every evening. She says she has anxiety when she looks in the mirror and sees asymmetry in her eyebrows. She tries to pull every hair that is out of place. This can take more than an hour each evening, and it is becoming problematic because she is still unhappy after tweezing. She only stops when her husband demands it, after telling her how beautiful she is and that the asymmetry is "all in her head." She still feels an urge to tweeze her eyebrows every night in an attempt to "fix" them. What diagnosis is the most appropriate?

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?

The nurse practitioner is educating a 59-year-old man newly diagnosed with heart failure about his diagnosis. Because this patient is comfortable at rest or with mild activity, under which class of heart failure would this patient be categorized according to the New York Heart Association Functional Classification of Heart Failure?

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 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 40-year-old man reports episodes in which he unexpectedly feels a surge of intense fear that peaks within minutes. During this time he feels dizzy, has shortness of breath, heart palpitations, and feels like he is "going crazy." These episodes seem to come "out of the blue" with no trigger that he can identify. He has had them when he has been napping on the weekend or during a break at work. He is starting to think he is really "going crazy," because he has no medical conditions, doesn't drink or smoke, and says there are no new stressors in his life that could be causing this. What is the 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 29-year-old female client with posttraumatic stress disorder (PTSD) is resistant to eye movement desensitization and reprocessing therapy (EMDR) because she has heard that past traumas must be re-experienced. She said she avoids thinking about the trauma and does not want to re-live it. What is the most appropriate response?