Mental Health Northern Kentucky University Proctored Exam 6

A 23-year-old woman presents to the PMHNP with a chief complaint of "nervous tension." After a full evaluation and the administration of the Hamilton Anxiety Scale (HAM-A), the PMHNP diagnoses her wit

A 41-year-old male client has just been diagnosed with nephrogenic diabetes insipidus (NDI) and asks the nurse practitioner for more information about the disorder. Which one of the following statemen

A 29-year-old pregnant woman presents to her nurse practitioner (NP) for a prenatal visit. The NP advises her to receive vaccination against whooping cough and influenza. Which of the following, besid

The father of an 18-year-old girl who is being treated for generalized anxiety disorder with panic attacks calls the PMHNP with questions about the medications she was prescribed. He demands the infor

A mother presents to the nurse practitioner with her 14-year-old son for a wellness check and a flu shot. The mother inquires about a sign she saw in the waiting room regarding human immunodeficiency

A 49-year-old man with a history of a liver transplant presents with painless purplish spots on his face and mouth. The nurse practitioner suspects which of the following?

The PMHNP is evaluating a 27-year-old woman who has been diagnosed with posttraumatic stress disorder due to a childhood history of sexual trauma. Today she has brought her husband with her. He report

A 31-year-old woman with a history of intellectual disability and congenital heart defects presents to the nurse practitioner with new onset neurologic deficits. Magnetic resonance imaging is contrain

The psychiatric-mental health nurse practitioner is treating a 26-year-old woman diagnosed with bipolar I disorder who has exhibited a partial response to Lamictal 200 mg PO BID. The PMHNP wants to au

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?

A nurse practitioner has just diagnosed a 14-year-old boy with Klinefelter syndrome. What is the most appropriate treatment?

The PMHNP primarily works with older adult patients who frequently present with cognitive issues. He knows many people with Lewy body dementia are misdiagnosed or do not receive diagnosis for 18 month

A 36-year-old woman of Chinese descent presents to the PMHNP after a referral from her primary care physician, who has worked up her physical complaints. These physical complaints include headaches, d

During an initial psychiatric evaluation on a 65-year-old man who is new to the practice, the patient expresses concern about his left foot "shaking." One of the differential diagnoses for dementia of

A 19-year-old girl sustained multiple long bone fractures as a result of a motor vehicle crash and now is at risk for fat embolism. Which of the following signs and symptoms strongly suggest fat embol

A 63-year-old White man presents with bowing deformity of his legs, gait abnormality, and tingling and weakness in his left leg. He is diagnosed with Paget’s disease of bone and asks the NP about his

Kelly is a 22-year-old woman who was involved in a motor vehicle accident (MVA) 1 year ago. She now presents to the mental health clinic with her mother, who complains that Kelly's personality has cha

A 26-year-old woman with bipolar disorder explains to the PMHNP that she stopped taking her medication during a manic episode, but she now wants to start again. Prior to re-initiating lithium (Eskalit

The PMHNP is evaluating a 7-year-old boy who is brought in by his grandmother. The child has epicanthal skin folds, a short nose, a small head circumference, and a smooth, indistinct philtrum. What is

The major characteristic that differentiates between delirium and dementia of Alzheimer’s type (DAT) is:

A 37-year-old woman who gave birth to twins 24 hours ago suddenly develops blurred vision, severe headaches, and upper abdominal pain under the ribs on her right side. Her last blood pressure reading

An 85-year-old female patient with dementia who is an inpatient in a facility with geriatric psychiatric services asks the PMHNP if she can have her lavender essential oil to smell when she is agitate

A 68-year-old male patient on an inpatient geropsychiatric unit scored 3 on the Lewy Body Composite Risk Score (LBCRS). What does this score indicate?

The PMHNP is working on an inpatient geropsychiatric unit. He is conducting the Montreal Cognitive Assessment (MoCA) on an 89-year-old woman with suspected dementia. He asks her to draw a clock to tes

A 25-year-old female pharmaceutical sales representative presents to the PMHNP for an evaluation due to what she calls an increasing level of anxiety about her job, which she has had for approximately