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Two of Darwin’s finches display a character displacement when they occur as sympatric species. Which of the statements correctly interprets the graph? Galapagos Finches 

A 55-year-old patient with a 15-year history of schizophrenia, managed long-term on first-generation antipsychotics, presents with involuntary, choreiform movements of the tongue, lips, and extremities. The PMHNP correctly diagnoses Tardive Dyskinesia (TD). According to current guidelines, what is the most appropriate first-line treatment approach for managing this patient’s TD?

Which of the following statement about the treatment of bipolar mania in an older adult patient is true?

Reflect on today’s lesson. Analyze the challenges you personally face when talking to someone face to face. Knowing your midterm assignment, what will be the biggest challenge you foresee with completing this assignment? How do you plan to overcome it? 

An adolescent patient is discharged on carbamazepine (Tegretol) after an admission for acute mania. About 4 weeks later, the patient had an cacute manic episode despite having been initially  stabilized on carbamazepine (Tegretol).  Whihc of the following is the most likely cause of the breakthrough episode?  

The PMHNP is managing an adolescent who is taking clonidine (Catapres) as an adjunct to stimulant therapy for ADHD treatment. On follow-up, they would like to stop the medication due to side effects.  Which of the following is recommended?

Divalproex Sodium (Depakote) may be used to treat acute mania.  Which of the following statements about its use among pediatric patients is the most accurate?  

An 18-year-old female with Anorexia Nervosa (AN), who remains significantly underweight (BMI 16.0 kg/m²), has had a suboptimal response to evidence-based psychotherapeutic interventions (e.g., Family-Based Treatment/CBT). She reports persistent low mood, anhedonia, and poor concentration, resulting in a PHQ-9 score indicating moderately severe depression. She has no acute suicidality but reports worsening obsessive thoughts about food and body image. Which of the following pharmacological agents is the most appropriate next step in her treatment plan, in conjunction with continued supportive care?

A PMHNP is prescribing a patient sertraine (Zoloft) for generalized anxiety disorder.  Which of the following is an early adverse effect of selective serotonin reuptake inhibitors (SSRIs) that may cause the patient to discontinue therapy prior to he onset of their intended effect?  

A PMHNP is evaluating a college student who was brought to student health by their roommate.  The roomate states, “I think my roommate is going crazy.  They have been studying for finals and have been up for hours pacing the room and sweating.  Every time I tell them to relax, they tell me to shut up, and threaten to punch me in the face.”  The roommat is concerned the patient may have taken a medication that was not prescribed to them.  To confirm the roomate’s suspicion the PMHNP orders a uring drug screen (UDS).  Which medication is most likely to show up positive on this patient’s USD?