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A 14 year old female stammers and feels totally foolish when one of her classmates or her teacher asks her a question during class. She hopes to remain unnoticed because she thinks others will judge her and she will feel humiliated. The most likely diagnosis is

During and initial interview, the patient reports that she has a very hard time concentrating much of the time, she has problems initiating sleep, she feels tired much of the time and she worries a great deal about how well she is treating her children and what others might be thinking of the way she is disciplining her children. She tells the APN that several times a week she feels like her throat is closing up, her heart pounds and she feels like she is “going crazy”. She requests a prescription for Ritalin because of poor concentration. Your evaluation of her symptoms leads you to a diagnosis of

The APRN doing an initial psychiatric evaluation asks the patient to stick out his/her tongue. Which of the following is being tested?

A 30-year-old female with Generalized Anxiety Disorder (GAD) reports worsening symptoms of irritability, fatigue, and muscle tension despite adequate trial of fluoxetine. What should the PMHNP consider next?

A 58 year old patient seen by the APRN complains a great deal of trouble remaining asleep at night (has multiple awakenings), says she has lost interest in going out with friends, expresses feelings of worthlessness. She denies use of alcohol or drugs. She has been intentionally cutting back on food intake, had an 8 pound weight increase over the last month with a current BMI of 26.8. Vital signs are all WNL. She tells the APRN that methylphenidate may help with symptoms because she has taken it in the past to help with focus. Which of the following is essential to obtain in regard to differential diagnoses given the above 

Which of the following statements are true of both cognitive behavior therapy and interpersonal therapy?

Which of the following is a key strategy in the PMHNP role when managing a patient with complex psychiatric needs?

A 27-year-old patient presents with persistent anxiety, hypervigilance and difficulty regulating emotional responses. Which of the following statements best correlates these symptoms with the underlying neuroanatomy of fear and anxiety?

A 22-year-old woman reports frequent sudden tearfulness, mood swings, extreme irritability, and fatigue a week before beginning her period. These symptoms significantly negatively impact her functioning during this time. The symptoms improve within a few days after menstruation begins. What is the initial treatment recommendation with follow up in one month?

Which of the following is the most appropriate first-line intervention for a child diagnosed with anxiety disorder?