A.G. is a 51-year-old female patient who is being managed for a variety of mental health conditions including bipolar disorder, opioid use disorder, generalized anxiety disorder, and adjustment disorder. Her medication regimen includes a buprenorphine-based medication for OUD, an antipsychotic, an SSRI, and antihistamine.

The physical examination documentation for each encounter should include a(n) :

A. A PHQ-9

B. An AIMS score

C. A GAD-7

D. An ORT

A 31-year-old Middle Eastern female presents to establish care. She recently relocated to the United States with her husband and is struggling with living in an environment so different from that in which she grew up. She shares that her husband seems more comfortable because he is working and integrating outside of the home, but she does not have that experience and feels very isolated from everything she knows. She is in her first trimester of pregnancy with their first child, and clearly struggling with the cultural shift of living in the United States.

The PMHNP recognizes that the best approach to this patient includes:

A. Assisting with the integration of her cultural values into her those of her new home

B. Encouraging the patient that maintenance of her native cultural values should remain the mainstay of her life

C. Referring the patient to a culturally-similar therapist who can help her maintain her cultural identity

D. Facilitating her shift into the cultural mores and folkways most compatible with her new living circumstances

The PMHNP is conducting a new patient assessment with a patient who has self-referred for treatment of her panic attacks. The patient relates that she has had anxiety for years, and that she has episodes during which she gets very agitated, she can feel her heart pounding, feels as if she cannot breathe, feels very shaky, and has to sit down and wait for it to pass. These episodes can last for more than 15 minutes until she starts to calm down.

Which of the following is inconsistent with diagnostic criteria of a panic attack?

A. The duration is too short

B. The duration is too long

C. There is no report of worrying in between episodes

D. There is no report of intense fear

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YouTube: https://www.youtube.com/watch?v=Fgx3jTEMvEk&list=PLf0PFEPBXfq5HGfNV-GbOlYHtDwd35OeG&index=83