The PMHNP is seeing a patient who has been struggling with a collection of anxiety and depressive symptoms. She is resistant to pharmacotherapy and prefers to begin with a psychotherapy approach. As it turns out, the primary source of her symptoms is that she is married to a spouse in the military and has had to move thousands of miles from home, friends and family.

An attempt to implement solution-focused therapy would include which of the following techniques?

A. Motivational interviewing

B. Cognitive restructuring

C. Social skills training

D. The miracle question

The PMHNP is interviewing a new patient, a 32-year-old single female who is presenting for evaluation of underlying anxiety. While collecting a social history the PMNP asks the patient if she has a boyfriend. The patient is uncomfortable with the question as she is lesbian and is now afraid that the PMHNP will not treat her fairly and with dignity.

The PMHNP is most likely demonstrating which of the following?

A. An appropriate approach to collecting social history

B. A manifestation of implicit bias

C. An overt implementation of her value system

D. A conscious disregard for alternative lifestyles

---

YouTube: https://www.youtube.com/watch?v=6kyWMh95t18&list=PLf0PFEPBXfq5HGfNV-GbOlYHtDwd35OeG&index=105

A 64-year-old patient presents with new onset anxiety. She denies any history of anxiety disorder or any psychiatric disorder previously in her life, but for the last 9 months she has been having episodes that she describes as “attacks.” Out of the blue she will develop a sense of racing heart, hyperventilation, numbness and tingling in her arms, and feeling lightheaded. She worries about this a lot, and now worries virtually all the time about why this is happening. It is causing difficulty with sleeping, and she finds herself being very irritable at home and at work.

These episodes last for “a few minutes” and then subsides on its own. She takes medication for high blood pressure and high cholesterol, but otherwise reports being very healthy.

What aspect of this scenario is suggestive that there might be an underlying organic cause of her symptoms?

A. Age of onset

B. Character of episodes

C. Medical history

D. Duration of episodes