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Development is divided into two stages – embryonic and fetal stages. The stage that represents the time of general organogenesis (establishment of major organs) is:

A 20 year old female is extremely distressed by a negligible deviation in her nasal septum. She is very self-conscious about it in public and it hinders her from engaging with others socially. She checks it frequently—every time she comes across a mirror or some other means of checking her reflection. A thorough psychiatric interview reveals no psychotic symptoms, no past history of significant worry or depression and no other untoward symptoms. The most likely diagnosis is

What is the diagnostic criterion for Genito-Pelvic Pain/Penetration Disorder?

A 36-year-old male presents for evaluation of anxiety due to ongoing sexual difficulties. He reports significant frustration over a prolonged inability to ejaculate during sexual activity with his partner. He notes that, despite being able to achieve an erection and engage in sexual intercourse, there is a marked delay in ejaculation and sometimes no ejaculation at all. This has been going on at least six months and occurs in most of his partnered sexual encounters. There are no other identifiable medical conditions, and there are no indications of significant psychological distress beyond his sexual concerns. Based on the clinical presentation, which of the following is the most accurate diagnostic criterion for his condition?

A 9-year-old boy is brought to the clinic due to recurrent soiling and involuntary bowel movements, impacting his social interactions and causing great embarrassment for the child. The parents seek interventions to address the issue. Which approach should be used first by the PMHNP to address encopresis in this 9-year-old boy?

Through an initial interview, an APRN finds that a patient’s reported psychological factors are adversely affecting the patients documented heart condition, leading to significantly compromised functioning. An appropriate diagnosis is

Match the following presentations with diagnosis. Each option may be used once, more than once, or not at all.

A 12-year-old boy is brought to the clinic for an initial psychiatric evaluation after being suspended from school for bringing a knife and threatening a teacher. His mother reports that he stole a knife and a video game in the past month and recently ran away from home overnight. During the session, he yells profanities at his mother and threatens the APRN.According to DSM-5 criteria, which of the following is required to confirm a diagnosis of Conduct Disorder?

A mother brings in an 11 year old child for an initial psychiatric evaluation. The child reports his mood changes when he is reprimanded by mother. The mother is concerned because her child checks homework over and over to be sure it is right and it is often very late before he will calm down enough to put his books away and go to bed. She doesn’t have other complaints about his behavior—he keeps his room in perfect order and helps keep order in the house. He is rigid in routine and must check under his bed five times before he will get in bed. He also must turn the lights off and on six times before he gets into bed. If he “messes up”, he must start the ritual over again. The mother is concerned because it is interfering with his sleep time. He denies hallucinations and developmentally is normal. The diagnosis is

A 9-year-old boy exhibiting argumentativeness, defiance, and disobedience is brought in by his mother for an initial psychiatric interview. He is occasionally aggressive and blames others for his problems. In considering pharmacological intervention, the PMHNP recognizes ___________ is FDA approved to treat this disorder.