Which of the following herbal products or supplements is considered psychoactive?

A 31-year-old male client has come to the PMHNP for a medication follow-up. He tells the prescriber he is feeling "very good" on escitalopram (Lexapro). He feels so good, in fact, that he has decided to add the supplement tryptophan to his medication regimen to "boost" its effect. What is the most appropriate response by the PMHNP?

A decrease in which neurotransmitter, produced in the raphe nuclei of the brainstem, can result in depression, anxiety, and obsessive-compulsive disorder?

A 29-year-old woman is dependent on her husband for many needs that require social interaction. She depends on him to pump her gas and to make all phone calls. She holds a job that requires little to no interaction with others. She is highly sensitive to criticism and fears embarrassment or rejection. She is submissive to the demands of her mother, which causes interpersonal conflict within her marriage. What is her most likely diagnosis?

If identified, how is countertransference best addressed?

A 22-year-old woman is seeing the PMHNP for the second time this week. At her last visit, she told the nurse practitioner she was the "best therapist in the whole world!" This week, however, the client says the PMHNP is "seriously the most horrible therapist in the universe." The patient talks in extremes and seems to see the world in black and white. Which modality helps clients understand that two opposing ideas can both be true?

Jason is a 31-year-old man in recovery for substance use disorder for methamphetamines. He states that he can stay sober for a few months but always relapses due to boredom. He finally was able to stay sober after he got involved in extreme sports (e.g., hang gliding, windsurfing, and parachuting). He told his nurse practitioner, “I had to literally get high in order to stop getting high.” This is an example of:

A 24-year-old woman with a history of major depressive disorder treated with sertraline is brought to the emergency department by her partner for evaluation of fever, vomiting, and weakness. In the emergency department, her temperature is 103°F, her heart rate is 129 beats per minute, she is agitated and restless, and she displays hyperactive reflexes. Her symptoms began several hours after she used a new medication prescribed by her primary care provider. Which of the following is most likely to be the new medication?

Which of the following therapies is time-limited, focused on the present, and is effective for adults and adolescents?

Which of the following best describes a general approach to trauma-informed care?

A 28-year-old woman with a history of unstable interpersonal relationships, self-harm, suicide attempts, mood lability, substance abuse, and extreme irritability presents to the psychiatric nurse practitioner for an evaluation. She states, “I just want to know what’s wrong with me. I feel like I spend 95% of my time either angry or on the floor crying in the fetal position.” The PMHNP suspects this client has borderline personality disorder. In this scenario, how would the discomfort the client experiences as a result of her behaviors best be described?