A 24-year-old woman is being seen by her primary care practitioner for a routine check-up. Although her body mass index is normal, she indicates on a screening form that she is unhappy about her weight. Upon further exploration during intake with the nurse, she reports feeling that she has lost control over episodes of excessive eating that occur over a period of about an hour happening several times a week. As a result, she engages in rigorous exercise for up to several hours at a time daily. This has resulted in being too tired for work the next day, as well as minor muscular injuries. She denies the following compensatory behaviors: self-induced vomiting; misuse of laxatives, diuretics or other medications; and fasting. Which one of the following is the most likely diagnosis?

If an initial trial of a psychostimulant is ineffective for symptoms of attention-deficit/hyperactivity disorder at optimal dosing, which of the following is generally the best next step?

An 8-year-old girl is referred to you for evaluation for disruptive behavior in school.  The teachers report that she will make disruptive sounds or shout out in class.  Other than these instances she is described as polite and well kempt, but restless.  This clinical presentation is most consistent with which of the following disorders?

A 25-year-old female presents to the emergency department, having just witnessed an accident.  Her speech is pressured.  She states, “There were a lot of people in need of care at the scene, and I should know because I have traveled to many Third World countries.  I know how bad needs can get.  The people were injured, and I was hit by a car before but I did not suffer any injuries.  There were a lot of police cars and ambulances.”  The patient was triaged to psychiatry.  The PMHNP describes her thought process as:

A 7-week old infant presents in the primary care clinic with her mother for a well child checkup.  Mother expresses some concern with the infant’s feeding pattern.  She is slow at sucking and is difficult to position during feeding.  What findings on the neurologic exam would cause concern about this infant?

The mother of a 19-year-old male is convinced his bipolar condition was caused by his drinking and substance use.  Which of the following statements is true regarding bipolar disorder?

Which of the following are the initial signs of caloric insufficiency in Failure to Thrive?

A patient meeting criteria for major depressive disorder is prescribed fluoxetine 20 mg daily.  The PMHNP is reviewing the chart for a meritorious negligence claim.  Which of the following conditions should have been documented and excluded from the differentials before prescribing a selective serotonin reuptake inhibitor (SSRI)?

Which of the following would best exemplify using patient- and family-centered care when creating a care plan for an adolescent patient?

Which of the following best describes candida diaper dermatitis?