Which of the following is correct about the administration of the pneumococcal vaccine?

A 15-year-old boy is sent for diagnostic testing following symptoms of wheezing and coughing during outdoor football practice. The findings showed reversible airway obstruction secondary to bronchial hyperreactivity, airway inflammation, mucus plugging, and smooth muscle hypertrophy. Which of the following is most consistent with these findings?

A 47-year-old male patient undergoing chemotherapy has a platelet count of 20,000 per microliter. Which of the following statements by the NP demonstrates correct education in regard to the low platelet count?

A 49-year-old woman is diagnosed with Sjogren syndrome following complaints of a foreign body sensation in her eyes and a dry mouth. Which one of the following is NOT characteristic of Sjogren syndrome?

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 has diagnosed a 9-year-old boy with attention deficit hyperactivity disorder (ADHD) and is prescribing medication. As she discusses the medication with the mother, she can see the mother is becoming visibly anxious. What does the PMHNP do next?

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 34-year-old Hispanic woman who is 8 weeks pregnant presents to the nurse practitioner for a prenatal visit. Which of the following is primary prevention for reducing this patient's risk of developing coronary heart disease?

A 25-year-old man who smokes says his smoking is not a problem now because he is young and healthy. He will quit when he is “older.” The therapist asks him, “What do you consider to be older?” The young man answers, “You know, middle age, like 40 or 50.” The therapist says, “Didn't you tell me your grandfather died from lung cancer at age 49? What would his middle age have been?” The young man quietly says, “I guess my age. Maybe I should think about cutting back.” What technique is this an example of?

A 42-year-old male client tells the PMHNP he is experiencing anxiety about death, and is asking himself questions about the meaning of his life. "Why am I here and what does it matter if I am just going to die?" The PMHNP should recommend which of the following forms of therapy?

A PMHNP would like to monitor a client's progress in anxiety symptom reduction over time using a clinician-administered anxiety rating scale. Which of the following is the most commonly used clinician-administered anxiety rating scale?