A 16-year old female is referred to PMHNP for a score of 10 on the PHQ-9. She is medication-naïve and presents as short-tempered, irritable, and responds to questions with cynical, clipped answers. She complains of poor sleep and feeling tired over the past 6 months after her boyfriend broke up with her. She watches a lot of TV and likes to be alone in her room. Her BMI is 26, weight is 6 lb less than a month ago and vital signs are WNL. She recently quit the yearbook staff and says she’s no longer interested in going to college. Which of the following according to the current DSM differentiates her disorder from the same disorder in an adult patient?

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?

A 64 year old patient seen by the APRN complains of multiple physical ailments, much fatigue and physical restlessness. She fidgets through out the interview. The patient reports much difficulty remaining asleep at night for the past month and admits that she has lost interest in going out with friends in her social circle. She expresses guilt about many things in her earlier life and reports occasional suicidal thoughts. She no longer associates with her closest friends. Weight is unchanged, vital signs are in normal range. The APRN strongly suspects and further assesses for

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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?

Which of the following is not a recommendation for evaluating an older adult who presents with symptoms of depression?

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

Which of the following is the most important consideration when prescribing SSRIs to adolescents?

Which of the following is an example of transference during in an initial psychiatric interview?