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28-year-old women was diagnosed with generalized anxiety disorder a year ago and has been treated with sertraline for the past 8 weeks. She is still having generalized anxiety most days of the week. She does feel less depressed. She is taking 50 mg q day, most logical next steps would be.

A 40-year-old man with recurrent MDD presents with worsening hopelessness, job loss, and alcohol use. Which factor most increases acute suicide risk?

A 48-year-old reports an irresistible urge to move her legs at bedtime, describing crawling sensations that improve with walking. Symptoms occur nightly and disrupt sleep. She uses no caffeine or stimulants.Which evidence-based pharmacologic approach is most appropriate?

A PMHNP evaluates coping after a traumatic house fire. The patient identifies supportive friends, uses problem-solving, and maintains hope. This demonstrates?

A 40-year-old nurse reports feeling “on edge” since working through a series of traumatic codes in the ICU. She denies PTSD symptoms but describes chronic hyperarousal and difficulty relaxing. She is interested in “something practical I can do in the moment” rather than talk therapy. The PMHNP teaches her skills such as tracking body sensations, grounding attention on neutral or pleasant sensations, and shifting focus away from distress signals to promote nervous system balance. Which model is most consistent with these interventions?

A 60-year-old woman has taken clonazepam 1 mg TID for 5 years. She wants to stop because of memory problems and falls. What is the safest discontinuation strategy?

A patient with chronic suicidal ideation but no current plan is being discharged from outpatient crisis stabilization. Which intervention has the strongest evidence for reducing future risk?

A DNP tests a new triage workflow to cut ED psychiatric wait times. This project is:

An adult with ADHD on immediate-release methylphenidate requests an early refill, saying they “lost their pills again.” PDMP review shows multiple recent fills from different pharmacies. What is the most appropriate next step?

A 65-year-old man survives a cardiac arrest but now repeatedly asks the same questions and cannot recall events from the past hour. He remembers his past and recognizes family. MRI reveals bilateral hypoxic injury to the medial temporal lobes. Which brain structure is most likely damaged?