The PMHNP works on an inpatient unit for adult men and women in acute suicidal crisis. Which of the following statements is accurate about gender differences in suicide risk and suicide rates in major depressive disorder (MDD)?

Upon auscultation at the apex, the APRN hears a grade 3 systolic heart murmur that is soft and blowing in character. What does this finding suggest?

Which of the following is considered a constraining factor for growth of the nurse practitioner role?

The PMHNP is evaluating a 72-year-old patient with a history of ischemic stroke. The patient has difficulty finding words and trouble with activities such as brushing her teeth. Which part of her brain was most likely affected by the stroke?

The parents of a 14-year-old female high school freshman bring her to the PMHNP for an evaluation. They believe she should be doing better in high school due to her "gifted" status. They state that she has a formal IQ score of 125 and that her grades were mostly As through 8th grade. Now, she hands in her papers late and her grades are dropping to mostly Bs and Cs. During her psychiatric evaluation, the girl reports that high school is different from elementary school and junior high, because now she has to write papers. She says she often turns them in late due to procrastination and forgetfulness. She reports a long history of inability to sustain attention while in class or doing homework, failure to pay attention to details or finish chores or tasks, significant difficulties with time management, planning and organization. She is forgetful, often loses things, and is easily distracted. She has no history of restlessness or impulsivity, and she is popular with her peers. What is the most likely diagnosis?

The expressive and receptive language development of a 5-year-old girl is severely impaired. The child also displays severe psychomotor retardation, poorly coordinated gait and trunk movements, and stereotypic hand movements. What other associated features would lead the PMHNP to suspect a diagnosis of Rett syndrome rather than autism spectrum disorder in this patient?

A 32-year-old male patient who recently began taking a medication for depression reports that he has had painful erections. The most recent one lasted more than 1 hour. The PMHNP should instruct him to discontinue:

A lumbar puncture would be contraindicated in a 68-year-old woman suspected of having Alzheimer’s disease if she has a history of which of the following?

A 67-year-old man is brought in by his son, who is deeply concerned by his father’s sudden onset of ataxia, myoclonus, and neurocognitive defects. Diffusion weighted MRI identifies multifocal gray matter hyperintensities in the subcortical and cortical regions. An EEG reveals slow, symmetric sharp spikes. What is the most likely diagnosis?

A mother brings her 5-year-old daughter to the PMHNP for concerns about her speech articulation. She has never sustained a head injury, was not exposed to prenatal toxins, was delivered vaginally without problems, is otherwise healthy, and is developmentally in line with her peers. She has struggled with speech articulation; her daycare teachers first noticed it and she received speech therapy beginning at that time. She has no issues relating with her peers, and she is highly imaginative in her play. Despite having speech therapy, her speech is still difficult to understand. What is the most likely diagnosis?

A pediatric nurse practitioner is opening a new clinic and consults with the psychiatric-mental health nurse practitioner about screening tools to help identify children with delays or disorders in the critical early years, before they start school. Which of the following will the PMHNP suggest?