The PMHNP works on an inpatient geriatric behavioral health unit. During the psychiatric evaluation, he asks the clients to draw a clock and recall three items. Which of the following assessment tools requires these actions?

A lumbar puncture would be contraindicated in a 68-year-old woman suspected of having Alzheimer’s disease if she has a history of which of the following?

A 24-year-old man with a tibial fracture is suspected of having compartment syndrome. Of the following, which action by the nurse practitioner would be the most INAPPROPRIATE?

A 25-year-old female client presents to the PMHNP for a psychiatric evaluation. She reports having moods that are "all over the place," but the moods never meet the level of full-blown mania or a major depressive episode. She says people call her "moody" and "unreliable." Which of the following conditions does she most likely meet diagnostic criteria for?

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 following interventions?

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?

The PMHNP is evaluating a 72-year-old patient with a history of ischemic stroke. The patient has difficulty finding words and trouble with activities such as brushing her teeth. Which part of her brain was most likely affected by the stroke?

A 67-year-old man is brought in by his son, who is deeply concerned by his father’s sudden onset of ataxia, myoclonus, and neurocognitive defects. Diffusion weighted MRI identifies multifocal gray matter hyperintensities in the subcortical and cortical regions. An EEG reveals slow, symmetric sharp spikes. What is the most likely diagnosis?

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 53-year-old woman of Asian descent was recently diagnosed with osteoporosis. When should treatment for this disease begin?

A 67-year-old man on a geriatric inpatient unit is being evaluated for cognitive impairment and mild dementia. He did not complete high school. Considering this, which of the following would be the most appropriate tool for initial assessment?

A 24-year-old female client completed the Mood Disorder Questionnaire (MDQ) and scored 7. What does this score indicate to a PMHNP?

An 18-year-old man is involved in a motorcycle accident and sustains a closed head injury. After being in a coma for a few weeks, he awakens to find he has no memory of his family or life, and his cognitive function has declined to that of a 9- or 10-year-old child. His memories of his family and life never return, and he must re-learn how to perform activities of daily living. These findings are most consistent with:

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?

Which of the following most closely describes forensic risk assessment?

The expressive and receptive language development of a 5-year-old girl is severely impaired. The child also displays severe psychomotor retardation, poorly coordinated gait and trunk movements, and stereotypic hand movements. What other associated features would lead the PMHNP to suspect a diagnosis of Rett syndrome rather than autism spectrum disorder in this patient?

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 "mood"?

A 78-year-old woman reflects back on her life and has few regrets. According to Erikson, she has accomplished which of the following?

A psychiatric-mental health nurse practitioner in private practice frequently codes for 30 minutes of psychotherapy for clients with whom she only spent 5 minutes on a medication recheck. What type of fraud is this?

A 21-year-old woman presents to the PMHNP with a chief complaint of "being depressed for a while now." After a complete psychiatric evaluation with administration of the PHQ-9, the PMHNP considers sending this patient for inpatient hospitalization. Which of the following was her likely score?

The PMHNP is evaluating a new 17-year-old client with a history of delinquent behavior, including a recent arrest for vandalism. The nurse practitioner suspects conduct disorder based on the client's history and current presentation. According to Erikson, such behavior is a result of the failure to resolve which psychosocial developmental stage?

The mother of an 8-year-old boy brings him to the PMHNP for an assessment of attention deficit-hyperactivity disorder. Which of the following is the PMHNP most likely to utilize?

The PMHNP on an inpatient substance disorder unit is reviewing the labs for a 17-year-old patient diagnosed with anorexia nervosa who was recently introduced to a caloric intake program. She has pain on eating, and her labs are as follows: phosphorus 0.7 mg/dL, potassium 1.4 mEq/L, and magnesium 1.8 mg/dL. Which of the following is this patient most at risk for?

A PMHNP is planning to open an independent practice. As he prepares a budget, he examines the cost of doing business. During the pandemic, his former partners complained about the amount of postage they had to use to mail patients their updated COVID-19 clinic rules. Postage is an example of what type of cost?