Which of the following are considered the four cultural and influential determinants of health?

The PMHNP is working at an outpatient substance use facility clinic that provides treatment with buprenorphine. Which of the following is the clinic most likely to use in its policies and procedures prior to the induction of buprenorphine?

During an appointment with his psychiatric-mental health nurse practitioner (PMHNP), a 35-year-old man makes a credible threat to murder the ex-husband of his girlfriend. Of the following, what should the PMHNP do?

A 17-year-old boy presents to the psychiatric-mental health nurse practitioner at the request of his mother. He has a chief complaint of anxiety. During the evaluation, he states that he worries about his friends who engage in risky behavior when they drink. He says he “sometimes” drinks on weekends, but his father was an alcoholic so he would never let it get “that far.” Which of the following is an effective screening tool for substance use and high-risk behaviors in children and adolescents?

A 45-year-old man with chronic alcoholism appears in the emergency department with disorientation and confusion. A neurologic examination shows ataxia and disconjugate eye movements. What is the most appropriate treatment?

Ethics are an important aspect of the nurse practitioner role. Ethics consist of moral duties, obligations, and responsibilities. Which of the following terms refers to the ethical principle that asserts nurses should be fair in all aspects of care?

The Institute of Medicine (IOM) is an independent, nonprofit organization that works outside the government to provide unbiased and authoritative advice to decision-makers and the public. Which IOM report identified key issues that contribute to poor quality of care and adverse patient outcomes?

A 72-year-old woman with a longstanding history of alcohol use disorder is admitted to the geriatric behavioral unit. She has retrograde and anterograde amnesia, and she displays confabulation during her psychiatric evaluation. What diagnosis is most appropriate?

The PMHNP is seeing a 34-year-old male client who recently decided to stop smoking marijuana after smoking it for 15 years. He is having trouble abstaining from marijuana, even though his wife has threatened to divorce him if he continues to smoke. Using the principles of motivational interviewing, which of the following would be the most appropriate response from the PMHNP to enhance his motivation to change?

A 28-year-old man is seeking treatment for opioid use disorder with buprenorphine. He currently takes escitalopram for generalized anxiety disorder, prazosin for posttraumatic stress disorder-related nightmares, and alprazolam for panic attacks. Which of these medications should the psychiatric-mental health nurse practitioner consider discontinuing prior to induction of buprenorphine?

A 22-year-old female client with bipolar disorder is late for her medication follow-up appointment with the PMHNP. She calls the office and reports she is lost, although she has been to the office many times. When she arrives, she is manic. She expresses psychotic delusions that people are "out to get" her, and she says she will shoot if she "has to." She does not want to be hospitalized. She states, "I am more clear-headed than I have ever been." What should be the nurse practitioner's next steps?