In addition to the physical exam and functional assessment, which of the following is used to assess response to treatment for rheumatoid arthritis?

The pathophysiology of attention deficit-hyperactivity disorder (ADHD) includes neurobiological deficits. Which of the following has been suggested as a pathologic basis for ADHD?

A 39-year-old Cambodian man presents to the PMHNP for an evaluation following an event that he refers to as "Khayal." Which culture-bound syndrome should the PMHNP include in the differential diagnosis?

Which of the following is a biological finding in patients with attention deficit-hyperactivity disorder (ADHD)?

For a 39-year-old woman with a recent diagnosis of psoriatic arthritis who is treatment-naive with mild disease, which of the following would be considered an appropriate first-line therapy?

A 47-year-old woman presents to the PMHNP with a chief complaint of anxiety. She is the primary caretaker for her 79-year-old mother, who has Alzheimer's disease. Which of the following tools will the nurse practitioner use to assess the client's level of anxiety?

A 41-year-old man complains of right ear pain, difficulty closing his right eye, and drooping of the right side of his face. He finds that his right ear is sensitive to loud, low-frequency sounds. When a small spoonful of sugar is applied to the right side of his tongue, he says that it tastes like sand. The physical examination identifies right-sided weakness of the upper and lower face. The patient's symptoms started 2 days ago. Which of the following is the most appropriate treatment at this time?

A 14-year-old boy is being treated for behavioral difficulties at home and at school and has been diagnosed with ADHD. He has been skipping class and often comes home smelling of cigarette smoke. His parents report he has developed sudden facial twitches and makes more frequent repetitive guttural sounds, especially since starting a new medication. His drug screen is negative for unprescribed substances of abuse. Which of the following is the most likely cause of his facial twitches and guttural sounds?

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 1 year. She works from a home office, and it has become unorganized and cluttered. She frequently forgets deadlines for submitting reports, and as a result she turns them in at the last minute. She has been chastised more than once by her boss for not paying attention to details on these necessary reports. Because she does not report to anyone on a day-to-day basis, she often gets completely overwhelmed by the autonomy of the job, and as a result she completely "shuts down." She knows she should be planning her time better, but she has never been good at time management or planning. During her evaluation, she reports making excellent grades until she got to college. She says she can remember not being able to pay attention to teachers as early as first grade, and her report cards frequently said she talked too much. She often got in trouble at home for not finishing chores because she was easily distracted and forgetful. Today, she says she is getting so overwhelmed and anxious about her job performance that she is thinking about quitting. She says her friends are tired of her complaining and tell her she has it "so good." She wishes someone would just tell her exactly what to do every day so she didn't have to think about anything.

A 51-year-old woman is diagnosed with primary osteoarthritis (OA) of the knee. The NP will educate the woman that which of the following could have contributed to or might worsen her OA?

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 somatic concerns?

A 63-year-old man was recently placed on warfarin (Coumadin) by his nurse practitioner. Which of the following supplements will he need to discontinue?

A 56-year-old man presents to the PMHNP, stating he was sent by his wife. He explains he used to own a video rental store, and as a result, he has a large collection of VHS tapes. He continues to collect these "antiques" and does not see any problem with this because they are valuable. He admits he never watches them, because he can never decide which one to watch, and he doesn't have a lot of time. He has started running out of space to keep the tapes, and he admits many of them are probably ruined because they have been housed outside in a hot storage unit. Which diagnosis is most appropriate?

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 embolism?

A 42-year-old man presents to the PMHNP for a follow-up appointment to re-evaluate his symptoms of generalized anxiety disorder. He says, "I have been getting weekly massages and they have helped so much! Why are massages so relaxing?" What is the appropriate response?

Executive dysfunction is commonly associated with which area of the brain?

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 treatment options. Which of the following therapies is considered first line?

During a psychiatric evaluation, the psychiatric-mental health nurse practitioner conducts a psychiatric review of systems (ROS) in which she 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 symptom "trauma"?

A teacher is concerned that a 7-year-old girl does not talk in class. She only talks when she is alone or with specific close friends. This scenario is most consistent with which psychiatric condition?

A PMHNP uses the Autism Diagnostic Observation Schedule (ADOS) to aid in the diagnosis of an 8-year-old boy. She asks the parents to leave the room while she conducts the exam. The parents are hesitant to leave their child and want to know why it is important to leave him alone during the exam. What is the PMHNP's most appropriate response?

A 27-year-old married woman reports to the PMHNP that she is experiencing significant distress in her marriage because she "hates" going to social events, and her husband's job requires attending regular social gatherings. She avoids these activities because she is "terrified" she will do or say something embarrassing, and she has started pretending she has headaches to get out of going to them. Her husband doesn't understand why she doesn't want to go to these parties, which are typically small gatherings of less than 15 people. She admits that when she does go, they end up being "no big deal." The PMHNP will diagnose this woman with which of the following?

An 8-year-old boy begins to exhibit chronic, severe, persistent irritability associated with frequent temper outbursts. Which of the following disorders is he most likely to develop in adulthood?

The parents of a 16-year-old adolescent girl come to the PMHNP requesting treatment for her "so-called gender issues." The mother cries while the father says, "She says she has wanted to be a boy ever since she was 4 years old. This is all just nonsense. It's a phase, and the sooner she gets over it, the better." The daughter acknowledges "feeling like a boy" since the age of 4, and she currently binds her breasts. She also wants to be called by a male name. Her father wants to send her to conversion therapy offered by their church. The mother wants to know the PMHNP's opinion. Which of the following is the most appropriate response?

A 29-year-old man complains of recurrent severe headaches that usually occur in the early morning. Sometimes he is awakened by the headache "like an alarm clock." The pain comes on quickly, within 5-10 minutes, and it lasts 30 to 60 minutes. He describes the pain as excruciating and stabbing. The pain begins at his left nostril and is followed by severe retro-orbital pain. He experiences tearing and nasal stuffiness on the left side of his face. The patient thinks the headaches started when he was given a promotion at work 3 months ago and his stress levels increased. Which of the following is the best course of treatment?