Mental Health Northern Kentucky University Proctored Exam 4

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?

The psychiatric-mental health nurse practitioner has just diagnosed a 10-year-old boy with attention deficit-hyperactivity disorder (ADHD). She advises the mother that stimulants are first-line treatm

The psychiatric-mental health nurse practitioner is treating a 6-year-old boy with autism spectrum disorder (ASD) who has not responded to 9 months of psychosocial therapy and continues hitting his yo

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

A 19-year-old man presents to the PMHNP for a psychiatric evaluation with a chief complaint of intrusive thoughts and compulsive behaviors. Of the following, which is considered the gold standard asse

While at the urgent care clinic for a routine physical exam, a 27-year-old man experiences a tonic-clonic seizure. While awaiting emergency medical services response, the NP will avoid which of the fo

A patient calls the PMHNP with a question about her newborn. "She has a shrill, high-pitched cry I have never heard before." The PMHNP advises her to do which of the following?

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 sh

A 5-year-old girl tells everyone she meets about the recent death of her family's dog. Then she says, "One day, I am going to die, and so will you." Which of the following statements is correct?

A 9-year-old boy is referred to the PMHNP by the school counselor after his parents request help with his behavioral issues. He is in third grade, and although he is doing "fine" academically, he cons

A mother is concerned about her 14-year-old daughter, who is not experiencing pubertal changes. Her height is lower than average for age. She is of normal intelligence. Upon assessment, the nurse prac

The PMHNP is treating a 13-year-old boy with attention deficit-hyperactivity disorder and Tourette's syndrome with guanfacine (Intuniv). What is the mechanism of action of guanfacine?

A 40-year-old man reports episodes in which he unexpectedly feels a surge of intense fear that peaks within minutes. During this time he feels dizzy, has shortness of breath, heart palpitations, and f

A 16-year-old girl of South Asian descent presents to the PMHNP accompanied by her father. He reports that since the death of her mother months ago, his daughter has been having episodes of strange be

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?

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 d

A 52-year-old woman with a BMI of 31 is diagnosed with osteoarthritis of the knee. The nurse practitioner (NP) instructs the woman that weight loss will help minimize both pain and functional loss. Wh

Which of the following represents one of the key changes from the DSM-4 to the DSM-5?

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 w

A 12-year-old boy takes great pride in the science project he completed for the regional fair. Even though he didn't win, he feels that he did a great job. Which of Erikson's psychosocial stages has t

A mother brings her 9-year-old son to the PMHNP to evaluate him for attention deficit-hyperactivity disorder based on a chief complaint of lack of concentration in class and at home. The PMHNP finds t

A 30-year-old woman who has tried for a year to become pregnant presents to the nurse practitioner, who diagnoses cervical stenosis as the probable cause of her infertility. Which is the most appropri

Following a stroke, a 71-year-old woman experiences a cognitive-linguistic disorder. Which of the following is true about expressive aphasia?

The PMHNP is evaluating a 6-year-old boy with suspected ADHD. Which of the following biological findings should she expect to find that might help confirm diagnosis?

A 58-year-old woman is brought to the PMHNP at the insistence of her adult daughter, who believes her mother has a hoarding problem. The client is adamant she does not have a problem with hoarding. Of