A 69 year old patient comes in for an initial assessment by the PMHNP. There is evidence of some symptoms of depression. In performing the functional assessment, the PMHNP asks which of the following of the patient:

Which of the following is it most important for the PMHNP to be aware of in regard to legal implications surrounding abuse of developmentally disabled children, child abuse and abuse of elderly in the states in which they practice?

The APRN sees a three-year old male for symptoms of inattention, irritability, impulsivity, and hyperactivity. Which of the following medications is a reasonable consideration and FDA approved for treatment?

The mother of an 8 year old male currently diagnosed with ADHD accompanies the child to appointment with PMHNP. He has been taking methylphenidate ER 18 mg every day. The mother recently started a new job and has concerns that the patient has become increasingly angry, impulsive and irritable over the last 4 weeks, pushing his younger brother and threatening to hit mother if she takes his tablet away. He is not falling asleep until very late and consistently wakes up irritable. Mother is concerned that the child needs medication for bipolar disorder because he is happy one minute and then mad as soon as he doesn’t get his way. Mother says, “He’s just like his estranged biological father”. After contacting the school staff and reviewing behavior checklists returned by teachers, it is clear there are no major behavioral concerns at school, only mild impulsivity and distractibility during the initial portion of each day. Which of the following recommendations by the PMHNP reflects contingency management?

A 48-year-old man is evaluated for excessive daytime sleepiness. His overnight polysomnography is normal. During multiple sleep latency testing (MSLT), he falls asleep within 4 minutes on average and enters REM sleep during two of the nap trials. He reports no history of cataplexy. CSF hypocretin levels are normal. Which diagnosis is most appropriate?

A 67-year old previously healthy male patient with a history of well-controlled Type I diabetes mellitus and hypertension is brought to the emergency department by his son for active confusion and irritability that began several days ago. The patient has a history of bipolar II which has been treated successfully with lurasidone for a number of years. The diagnosis based on these findings is

Which of the following is not an accurate statement about Nightmare Disorder?

A 78 year old male sees an APRN in the outpatient mental health clinic accompanied by his 44 year old son. Routine workup by the PCP was negative. The patient has had a progressive decline in health and memory loss and can no longer perform ADLs. He has a hand tremor, is anxious and forgets to take his medications. He does not sleep well and often wanders around the house at night; he has left the stove turned on multiple times after cooking. The father has been living with his son for the past several months and the son reports noticing the gradual memory problems several years ago, but it recently increased after the death of the patient’s wife. The patient denies suicidal or homicidal thoughts. There is no evidence of delusions or hallucinations. Which of the following best fits this scenario?

Which of the following is true about narcolepsy

A 49-year-old woman with obesity and COPD reports chronic morning headaches and nonrestorative sleep. PSG shows sustained oxygen desaturation during sleep and elevated CO₂ levels, but no significant apnea or hypopnea events. What is the most likely diagnosis?