A 21-year-old man with a history of oppositional defiant disorder presents with frequent impulsive behavioral outbursts that are grossly out of proportion to the stressor. He reports that he is unable to control himself and is worried that he might lose his job if his behavior continues. What is the most likely diagnosis?

A patient presents to your office reporting new-onset visual and auditory hallucinations over the past 24 hours. On examination you observe a bilateral hand tremor and psychomotor agitation. Vitals are significant for tachycardia and hypertension. This patient is most likely experiencing withdrawal from which of the following substances?

The etiology of borderline personality disorder involves

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: 

All of the following statements regarding the aspect of personality called temperament are true except: 

Which of the following statements is true regarding the diagnosis of personality disorders?  

A 10-year-old boy is brought to clinic by his mother because of frequent aggressive outbursts. His mother says that over the last several months, her son has been fighting with peers, is openly rude to his teachers, and actively ignores his parents’ rules. She reports that he goes out of his way to bully his younger sister. A week ago, he stole his classmate’s backpack. The classmate began crying, but her son did not return the backpack, apologize, or appear remorseful. The mother says she is worried that if this behavior continues, her son will soon be suspended from school. Which of the following traits displayed by this patient is more suggestive of a diagnosis of conduct disorder than of oppositional defiant disorder (ODD)?

Which of the following statements regarding paranoid personality disorder is true? 

Which of the following is a partial opioid agonist that can be administered to individuals with opioid use disorder for opioid maintenance treatment?

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?