Which of the following methods of drug administration requires a needle? 1. Transdermal 2. Inhalation 3. Subcutaneous 4. Intravenous

Which of the following macromolecules is incorrectly matched to its component molecules (i.e., their subunits)?

The psychiatric-mental health nurse practitioner sees a 12-year-old patient who takes lisdexamfetamine (Vyvanse) 50 mg daily for attention-deficit hyperactivity disorder. The nurse practitioner observes a tic, which the parents report began after the patient began taking the psychostimulant, and it has been stable and not interfering with functioning. Both the parents and the school report that the medication is helpful. The nurse practitioner:

If a person is being evaluated for depression and laboratory results show that the patient’s free T4 level is 0.6ng/dL (normal value is 0.8 to 1.5 ng/dL), and the thyroid-stimulating hormone (TSH) is 7.4 U/ml (normal value is 0.4 to 4.0 mIU/L), this suggests the depression:

A 10-year-old female presents with history of major depressive disorder, single episode that was diagnosed approximately 2 year ago. She originally presented with feeling sad and down most days of the week, some irritability, withdrawing to her room often, low self-esteem, and a decrease in interest for activities she typically enjoyed last year. Patient reports she still has some depressed periods but overall her depression has improved over the last year with her current medication regimen. However mother is concerned that within the last 12 months the patient has become increasingly irritable. The patient reports feeling annoyed or irritated almost daily and for most of the day. She has more frequent outbursts of anger in the last couple months and her anger seems to be triggered by minor incidents or being denied something she has requested. Mother also reports when she has her anger outbursts she will destroy property, scream, and slam doors. Majority of outbursts occur at home, but teachers have noted the change in mood and increase in “snapping” or getting angry with peers at school. Would you consider revising her diagnosis? If so, what would you update her working diagnosis list to?

A patient who has been stable on his long-acting injectable medication calls in to let the PMHNP that he would like to quit smoking.  What is the most appropriate response? 

A 16-year-old girl avoids eating in front of others. She is overweight and embarrassed by the amount of food she eats during a regular mealtime. She feels like she cannot control her eating, sneaks food to consume alone in her bedroom after having at least two helpings of food during regular mealtimes, and takes a backpack full of food to eat alone in a classroom while her peers are at lunch. She regularly tells the teacher that her stomach is upset and obtains permission to skip lunch in the cafeteria. Since becoming overweight, she has tried unsuccessfully to diet for a couple days at a time. However, she ends up feeling totally out of control, eats so much that she feels uncomfortably full, and becomes disgusted with herself. She skips physical education classes because she is embarrassed of her weight and has never liked exercise or sports. She is squeamish about taking any pills because of a sensitive gag reflex. Similarly, she does not engage in self-induced vomiting. Which one of the following diagnoses is most likely?

A 16-year-old boy with a history of substance use disorder reports fatigue, apathy, and anhedonia almost every day and his mother reports increasing irritability and raging behavior.  The boy says he smokes marijuana daily just to feel good and is unwilling to give it up.  The mother wants some sort of medication to help him feel better so that he stops smoking marijuana.  The PMHNP agrees to prescribe fluoxetine 20 mg daily.  What is the most common side effect associated with this medication?

A 34-year-old female comes to an appointment because she is bothered by disturbing and recurrent thoughts of harming her 7-month-old infant, along with hearing voices telling her to do so.  She reports that her thoughts are distressing enough that she has removed all sharp objects from the kitchen so that she cannot stab her baby with a knife.  She has not shared these thoughts with her husband for fear of how he may react to her.  What is the most appropriate treatment for this diagnosis? 

A ten-year-old patient was just diagnosed with pediatric autoimmune neuropsychiatric disorder associated with streptococcal infections (PANDAS). Which of the following symptoms (in addition to obsessive compulsive disorder symptoms) is not commonly associated with PANDAS?