The PMHNP is working with a 7 year old client who has temper outbursts with physical aggression 4-5 times a week. The family and school reports that this is grossly out of proportion to the situation and this has been happening for the past year. Developmentally the child has normal growth, normal grades, and normal IQ (intelligence) testing scores. The mom reports that she feels like he is acting immature for his age and is irritable and mad most days. She reports that generally he will follow directions at home and at school but he always seems angry, even after having an outburst. Based on the information above, what would the PMHNP note as her provisional diagnosis?

The PMHNP prepares the plan of care for a 5-year-old diagnosed with severe intellectual developmental disorder. Based on the disorder, what outcome is most realistic for this patient by the time they become an adult?

Which option is concealing association mitigation not an effective solution?

The password for your online exam is: laser2The link for the online exam is in the Step 1 folder and you should have opened it in a new tab before you begin this test.Instructions:Before you begin your exam, hold up all sheets of paper you will be using to the camera to show that there is nothing written on it. If your instructor allows the use of formula sheets or a handheld calculator, please hold these up to the camera as well.Enter the password found above into the online exam tab open in Step 1 and complete the exam. Once completed, hold up each completed sheet of paper to the camera.Answer the Yes/No question below and proceed to the next question.DO NOT SUBMIT OR CLOSE YOUR TEST before answering all the questions.Question:I have completed and submitted my online exam and I have held up all my sheets of paper (front and back) to record an image of them on the camera.

Equipment was purchased at the beginning of 2022 for $850,000. At the time of its purchase, the equipment was estimated to have a useful life of six years and a salvage value of $100,000. The equipment was depreciated using the straight-line method of depreciation through 2024. At the beginning of 2025, the estimate of useful life was revised to a total life of eight years and the expected salvage value was changed to $62,500. The amount to be recorded for depreciation expense for 2025, reflecting these changes, is:

Malaria and HIV often coexist in patients due to geographic overlap. Which of the following would be true regarding these co-existing infections? 

A patient presents with high fever, rash, and neck pain. Lab results show the presence of a Gram-negative diplococcus. The indicated microbe produces an endotoxin that causes internal bleeding (most prominently displayed as small pinpoint hemorrhages); the microbe uses an adhesion mechanism that produces twitching motility, giving the organism the appearance of twitching forward. Based on this information, which of the following adhesion mechanisms is being used by the causative agent?

An epidemiologist studying diphtheria in Eastern Europe gathers information about the total number of active cases in a given area and the number of new cases in that area over a given time. If an epidemic occurs, which of the following would the epidemiologist notice?

Pathogenicity islands are segments of a pathogen’s chromosome acquired by horizontal gene transfers, such as 

What do these graphs show?