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Mr. S was a 45-year-old postal service employee who was evaluated at a clinic specializing in the treatment of depression. He claimed to have felt constantly depressed since the first grade without a period of normal mood for more than a few days at a time. His depression was accompanied by lethargy; little or no interest or pleasure in anything; trouble in concentrating; and feelings of inadequacy; pessimism, and resentfulness. His only periods of normal mood occurred when he was home alone, listening to music or watching TV. On further questioning, Mr. S revealed that he could never remember feeling comfortable socially. Even before kindergarten, if he was asked to speak in front of a group of family friends, his mind would go blank. He felt over overwhelming anxiety at children’s social functions, such as birthday parties, which he either avoided or attended in total silence. He could answer questions in class only if he wrote down the answers in advance; even then, he frequently mumbled and could not get the answer out. He met new children with his eyes lowered and embarrassed.  He was convinced that everyone around him though he was “dumb or a jerk.” The PMHNP would diagnose Mr. S with which of the following: 

Antisocial personality disorder is associated with an increased risk for which of the following conditions? 

The etiology of borderline personality disorder involves

A pervasive pattern of grandiosity, lack of empathy, and need for admiration suggests the diagnosis of which of the following personality disorders?

Which of the following is not recommended in psychotherapeutic treatment of patients with borderline personality disorder?

A patient presents to the emergency room (ER) intoxicated with an unknown substance. He presents with ataxia and is highly somnolent on mental status examination, with low blood pressure, heart rate, and respiratory rate. Which of the following substances is the toxicology screen most likely to come back positive for?

Common potential causes of feigning symptoms as a part of malingering include which of the following scenarios? (Choose three correct answers)

Which factor is correlated with an increased risk of suicide and should be included in the emergency room (ER) screens for suicide?

A 17-year-old girl has a 3-year history of major depressive disorder and intermittent suicidal thoughts. She discloses that she has new intermittent thoughts of cutting and made one very superficial cut with her razor a week ago, following a fight she had with her boyfriend. She denies current acute suicidal ideation. What is the most important next step in your clinical management?

How quickly can you normally expect a reply from your instructor on weekdays?