A 62-year-old woman with a 15-year history of schizophrenia presents for a routine follow-up. She has been taking a first-generation antipsychotic for many years. Her daughter reports that over the past several months, the patient has developed involuntary movements of her mouth and tongue, including lip smacking, tongue protrusion, and chewing motions. The movements persist even when the patient is not aware of them and are becoming socially embarrassing.  Which of the following adverse effects is MOST consistent with this presentation? 

Which of the following therapies is first-line for borderline personality disorder?

A 26-year-old woman presents to a PMHNP after multiple emergency department visits for self-inflicted cutting behavior and intense interpersonal conflicts. She reports a long history of “feeling empty,” fear of abandonment, and rapidly shifting relationships. She describes impulsive behaviors and episodes of intense anger followed by shame.  She is diagnosed with Borderline personality disorder.  Which of the following is the most appropriate first-line treatment? 

Which of the following negative symptoms is most likely to improve with antipsychotic treatment?

A 41-year-old man presents to a PMHNP for evaluation of chronic relationship and work-related stress. He reports being “extremely detail-oriented” and states that coworkers often complain he is rigid and overly focused on rules and perfectionism. He has difficulty delegating tasks, is preoccupied with orderliness, and becomes distressed when things are not done “the right way.” What is the most likely diagnoses?

Which medical condition is most likely to mimic psychosis with visual hallucinations?

The primary mechanism of most antipsychotic medications is?

A 12-year-old boy presents with auditory hallucinations for 4 months, no mood symptoms, and declining school performance. Which diagnosis is most likely?

Which of the following is the strongest risk factor for childhood-onset schizophrenia?

A decision tree for managing clients with comorbid psychiatric and medical disorders has two steps. What does the first step determine?