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?

The PMHNP is seeing a 73 year old female patient diagnosed with dementia and taking a cholinesterase inhibitor. She has recently started displaying symptoms of significant agitation and aggression toward her care givers. What is the best initial choice for treatment among the following medications?

The mother of an 10 year old male currently diagnosed with ADHD accompanies the child to appointment with PMHNP. He has been taking lisdexamfetamine 30 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. What treatment recommendation is most appropriate?

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?

Slow wave sleep (or deep sleep) is most dominant during

The PMHNP is seeing a 73 year old female patient diagnosed with dementia and taking a cholinesterase inhibitor. She has recently started displaying symptoms of significant agitation and aggression toward her care givers. What is the best initial choice for treatment among the following medications?

Match the knife cut with its description:

Which stage of sleep occupies approximately 50% of total sleep time in healthy adults?

Which neurotransmitters are primarily targeted by medications used to treat ADHD?

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?