Which of the following treatments is most commonly used for resetting the circadian rhythm in patients with Delayed Sleep Phase Disorder (DSPD)?

Which of the following is NOT a recommended treatment approach for individuals with Gender Dysphoria?

The psychiatric mental health nurse practitioner (PMHNP) is precepting a PMHNP student on the floor. The student notices that there are some distinct behaviors noted in one patient’s chart:  “Unstable and frequent mood changes; feelings of anxiety and chronic feelings of emptiness”  The PMHNP quizzes the PMHNP student and asks “what kind of therapy do you think this patient will be in?” The student nurse knows that what therapy is likely indicated for this patient? 

When adjusting valproate (Depakote) for treatment of mania and bipolar disorder the target serum level is between:

Which of the following is a key component of long-term management for individuals with Bipolar Disorder to reduce the risk of relapse?

An adult patient is diagnosed with bipolar disorder. They want to stop medication due to side effects that are impacting their quality of life. They report they were once very physically active but have now gained weight and feel lethargic on their current medications. They have a history of multiple inpatient admissions due to severe decompensation and psychosis. The psychiatric mental health nurse practitioner feels that discontinuation of medication could potentially exacerbate the patient’s chronic mental illness. Currently the patient shows no signs of impaired thought process. Best course of action for the nurse practitioner is to provide information regarding the risks, benefits and treatment alternatives and to:

Which of the following best describes the relationship between chronic pain and mental illness?

Which of the following is the most likely indication for prescribing an atypical antipsychotic (such as aripiprazole or quetiapine) in the treatment of depression?

A suicidal patient with chronic depressive disorder presents to your office in tears. He tells you he cannot stop thinking about ending his life because he is so depressed. You ask him if he has a plan, and he details where he could buy a gun and where he would go to shoot himself. You worry that the patient will carry out this plan because he has not had adequate control of his symptoms since his last antidepressant change one month ago. You discuss inpatient hospitalization for stabilization but the patient refuses. Your next step in management of this patient would be to:

Another psychiatric mental health nurse practitioner is reviewing a patient chart with you. You are a PMHNP student and eager to learn. The PMHNP asks you which of the following medications this patient may be taking.   Patient stated on admission: “I am on several medications. I have been on them for years, I have always been depressed and nothing works well. I don’t know what the medication names are. All I know if that they told me I can not eat fermented foods. Who wants to eat fermented foods anyways yuck!” Based on the statement made by the patient on intake when reviewing current medications, you determine that which medication is likely being taken?