Mental Health Northern Kentucky University Proctored Exam 4

During a telehealth session, a 32-year-old single woman reports being home during the quarantine for a period of 4 months with no outside contact. She says she knows several people who died from COVID

The PMHNP is asked to evaluate a 21-year-old woman with a tear of her anterior cruciate ligament (ACL). The orthopedic surgeon who requested the evaluation says the patient has been in the hospital fo

A dentist refers a 21-year-old woman with a BMI of 26 to the PMHNP after he discovers significant enamel erosion and decay of her front teeth. What diagnosis does the dentist suspect?

A 5-year-old boy dreams that he is riding in a car that starts flying, then turns into a monster. At the end of the dream, he dies. The boy tells his mom, "I became a ghost like Grandpa." Which of the

A 54-year-old Latino man receives a phone call that his mother has had a stroke and is in ICU at his local hospital. Soon after, he begins trembling, then shouting and screaming. The impression is tha

An 8-year-old girl presents with a history of normal vocabulary and grammar skills, but she is unable to use language to share ideas and feelings. Beginning in early childhood, she has been unable to

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

A 26-year-old woman in her 37th week of pregnancy tested positive for Group B Strep. To prevent passing the infection to her newborn, how will she be treated?

The mother of a 7-year-old boy presents to the PMHNP for a psychiatric evaluation. She reports that her son exhibits “inattention, aggression, and is getting in trouble at school.” Which of the follow

A 3-year-old girl has a presentation that meets criteria for autism spectrum disorder. However, a careful history identifies that her head growth began to decelerate around 8 months. What diagnosis wi

The PMHNP is evaluating a new patient, a 33-year-old woman. She reports feeling "keyed up" most of the time, having constant muscle tension, and excessively worrying about "every little thing." These

The PMHNP working on an inpatient eating disorders unit is evaluating a 17-year-old girl with suspected anorexia nervosa. Her laboratory results reveal elevated serum cholesterol levels, elevated seru

A 51-year-old woman presents to the nurse practitioner with a chief complaint of "hot flashes." She describes the following symptoms: perspiration, flushing, chills, clamminess, anxiety, and occasiona

A 19-month-old boy has a positive result on the Modified Checklist for Autism in Toddlers (M-CHAT-R/F) screen. What does this indicate?

A 47-year-old woman completed the State-Trait Anxiety Inventory (STAI) and scored 20. What does this score indicate?

Regarding complementary and alternative treatments, which of the following is considered a mind-body intervention?

A 10-year-old boy is brought by his mother to the PMHNP for evaluation of a sudden onset of obsessions, compulsions, and tics. During the history and exam, the PMHNP learns that the child recently had

The PMHNP has just diagnosed a 7-year-old boy with attention-deficit hyperactivity disorder (ADHD). The boy's mother is adamant she does not want him to take medication, and she asks the PMHNP to tell

An urgent care nurse practitioner comes in to examine his patient, a 77-year-old woman who was brought in by her family for altered mental status. He notes that the patient appears restless and does n

A 39-year-old male ICU nurse presents to the PMHNP with symptoms of posttraumatic stress disorder (PTSD) after working in New Orleans during the COVID-19 pandemic. He has nightmares and experiences de

A 7-year-old girl who was formerly completely toilet trained recently began wetting the bed at night. To determine a cause for the enuresis, the nurse practitioner should ask her parents which questio

A 47-year-old man only travels by train despite the necessity of frequently traveling long distances for his job. This causes significant difficulty, since the train trips are much longer than the pla

A 41-year-old Malaysian man is referred to the PMHNP following an incident at work. He says a coworker insulted him, and the next thing he knows the police were called. He does not remember attacking

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,