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?

What are the most common causes of chest pain in adolescents?

What patient presentation would be most indicative of bulimia nervosa?  

A 9-year-old boy presents with progressively worsening right eyelid swelling, pain, and redness for 3 days. He denies blurry vision. Which of the following is more characteristic of orbital cellulitis that periorbital cellulitis?