The nurse practitioner is educating a 52-year-old man who was recently diagnosed with peptic ulcer disease. Which of the following statements by the patient indicates a need for further teaching?

A 66-year-old man presents to his nurse practitioner for a routine physical exam. While reviewing his chart, the NP notes that the patient has never been tested for hepatitis C (HCV). What are the current guidelines for HCV testing?

A 22-year-old man reports that he hears someone knocking on his door at night, but every time he answers the door, no one is there. He thinks he hears his neighbors outside talking, even when he knows they are not home. He says he knows it’s his “imagination," but he feels “compelled” to answer the door, “no matter what time of day,” even if he is sleeping. He says he has had similar episodes “in the past,” but this has been going on for at least 6 months, and it has become problematic. What is the most appropriate diagnosis?

A 66-year-old woman presents to the nurse practitioner with complaints of dyspnea, syncope, and palpitations. She believes she is having anxiety, but she has no history of mental health issues and is undergoing no major stressors. Which findings on physical exam would lead the NP to suspect atrial fibrillation?

A first-time mother brings her 6-month-old son in for a well-visit. She tells the nurse practitioner that she is delaying vaccination because he is “not in daycare,” and she doesn’t want to “overload his immune system.” What is the NP’s most appropriate response?

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 70-year-old man walks in the office unassisted and is swaying from one side to the other. Which of the following screening tests should be used to identify cerebellar function in this patient?

In which phase of Eye Movement Desensitization and Reprocessing (EMDR) does the client visualize the trauma along with a positive thought and then scan their body mentally to identify any tension within?

A 26-year-old woman presents to the psychiatric-mental health nurse (PMHNP) for an evaluation. She has a history of trauma and reports weekly flashbacks, depression, startle responses, severe anxiety, and difficulty sleeping. Which medication is FDA-approved for posttraumatic stress disorder (PTSD)?

A 51-year-old woman with a history of generalized anxiety disorder (GAD) has been treated with 20 mg of paroxetine (Paxil) for 6 months. The dose was increased to 40 mg at her last visit 2 weeks ago due to increased symptoms of anxiety. Now she reports “hot flashes” and significant hyperhidrosis to her psychiatric mental health nurse practitioner. Which of the following statements is NOT correct about this clinical scenario?

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 35-year-old White man with a history of diabetes is scheduled for cataract surgery. He receives cyclopentolate hydrochloride (Cyclogyl) eye drops. The nurse practitioner knows the patient understands how to use the medication when he says:

A 21-year-old unmarried man has near-daily intrusive thoughts that his neighbors knock on his door at night. He tells the PMHNP he knows this knocking is just his "imagination" because the neighbors work nights and are not home. However, he feels compelled to get out of bed and open the door, no matter what time it is. He opens and closes the door repeatedly for at least an hour, sometimes longer. He says he has had this problem "in the past" and did not seek help for it. This time it has been going on at least 6 months and is becoming "problematic." It is interfering with his ability to get a good night's sleep, and he is having problems at work. His roommate is also very troubled by it. The PMHNP will diagnose him with which of the following?

A 36-year-old woman presents with pain, aching, stiffness, and swelling in her hands for 6 months. She reports a family history of rheumatoid arthritis (RA). Which of the following is NOT a risk factor for RA?

A 32-year-old woman presents to the psychiatric nurse practitioner with a 3-month history of concentration difficulty, irritability, and depression. She has not experienced these symptoms at any other time in her life. During an extensive history inquiry, the woman states that 4 months prior to her visit with the nurse practitioner, she had experienced a short-term flu-like illness and noticed a bull's eye-shaped rash on her calf. She has noted no other symptoms since then, until the mood symptoms began. Her physical examination and laboratory findings are within normal limits. Which of the following is the most likely diagnosis?

A 16-year-old girl has a bald spot on her scalp, and her mother brings her to the PMHNP on the advice of her primary care provider after all medical causes are ruled out. The girl admits to pulling out her hair in class when she is bored, but says she tends to pull it out more often in math class where she is making Cs. This is the first year she is not doing well in math, and her mother says it is "stressing her out." What is the most appropriate diagnosis?

A 21-year-old patient with a history of asthma presents with sudden onset shortness of breath and difficulty breathing. Which characteristics would help the nurse practitioner make a differential diagnosis of an anaphylactic reaction?

A 15-year-old boy is newly diagnosed with type 1 diabetes mellitus (T1DM). The nurse practitioner is educating both he and his mother about the disease. Which of the following statements is incorrect?

A 53-year-old woman of Asian descent was recently diagnosed with osteoporosis. Which of the following is NOT considered a risk factor for fracture in patients with osteoporosis?

During a psychiatric evaluation, the psychiatric-mental health nurse practitioner conducts a psychiatric review of systems (ROS) in which he reviews common psychiatric symptoms that may not have been elicited in the history of present illness (HPI). Which of the following questions is most likely designed to elicit a response for the system "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?

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?

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?

A 29-year-old man presents with classic signs and symptoms of panic disorder. In addition to medication, the PMHNP will recommend which of the following forms of therapy?