During a telepsychiatry session, a patient reports active suicidal ideation with a plan. The PMHNP realizes the patient is physically located in a different state than the provider’s practice. What is the PMHNP’s first priority?

A patient develops fever, rigidity, autonomic instability, and elevated CK after antipsychotic initiation. Diagnosis?

A veteran with PTSD seeks therapy for nightmares. Which approach is most evidence-based?

A PMHNP using Peplau’s interpersonal theory emphasizes which primary goal during the orientation phase of the therapeutic relationship?

A patient asks why fluoxetine takes weeks to help. The best explanation is?

A 22-year-old reports repeatedly pulling out scalp hair when anxious. She describes a sense of rising tension before pulling, followed by relief afterward, then guilt and attempts to stop. No hallucinations or delusional beliefs are present.Which diagnosis best explains this presentation?

A 72-year-old with subjective memory loss scores 20/30 on MoCA, with deficits in executive functioning and visuospatial skills. Which initial clinical conclusion is most appropriate?

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 53-year-old man with hypertension, migraines, and hyperlipidemia has been treated for depression. He now complains of insomnia. His medications include lisinopril, atorvastatin, bupropion, ibuprofen as needed, and vitamin D. What adjustment could best address the insomnia while maintaining antidepressant efficacy?

A patient develops rigidity and tremor from antipsychotic therapy. Which brain region is affected?