A 19-year-old female presents to primary care with multiple physical complaints affecting different organ systems. She reports significant distress about the symptoms and has seen three providers in the past 6 months. She has missed work and stopped socializing due to worry about her health. The symptoms have persisted for more than six months. Which diagnosis is MOST consistent with this presentation?

A 30-year-old patient with obsessive-compulsive disorder (OCD) reports severe fear of contamination and spends several hours per day washing their hands. The PMHNP begins cognitive behavioral therapy (CBT) using exposure and response prevention (ERP). During treatment, the therapist asks the patient to touch a public door handle and then refrain from washing their hands afterward, while remaining in the situation until anxiety decreases. Which principle of CBT for OCD is demonstrated in this intervention?

A 21-year-old female client presents to the emergency department with “stomach issues.” She denies frequent vomiting, but states that she has frequent diarrhea that has recently included blood. Labs reveal: potassium of 2.9 mEq/L, and metabolic alkalosis. She later tells a nurse that she frequently uses laxative due to a “slow digestive system”. The patient’s BMI is 20.2 kg/m².  Which eating disorder does the PMHNP suspect most based on these assessment findings?

A 10-year-old client is brought to the emergency room with vomiting and severe stomach pain. A CT demonstrates an intestinal obstruction. The client’s parents report that the child frequently is found eating soil and grass in the backyard. Which disorder does the PMHNP suspect?

A 16-year old client is brought to the clinic by a parent due to noticeable hair loss on the scalp and eyebrows. Dermatologic evaluation reveals no medical condition causing the hair loss. Which of the following findings is required for diagnosis of trichotillomania according to DSM-5 criteria?

A 42-year-old patient that is prescribed olanzapine for schizophrenia presents to outpatient office for follow-up appointment. Patient’s yearly labs come back at: Triglycerides 210 mg/dL, HDL 35 mg/dL, and fasting glucose of 118 mg/dL. Patient’s family history is negative for diabetes, hypertension, and dyslipidemia. The patient’s waist-to-height ratio is calculated at 0.60. What is the most appropriate interpretation of these assessment findings?

Click the link to write four Excel questions in ExPrep. Enter Password: AT%27 in the first worksheet to see the remaining questions in the Excel file.  Excel would save as you go. At completion, you MUST TurnIn (top right corner) and Submit the file in ExPrep to be graded. After submission, close the browser tab, return back to Brightspace to Submit the Quiz (ignor the warning that Q7 hasn’t been completed). Click link here: ExPrep Grader

The nurse is performing a functional assessment on an 82-year-old patient who recently had a stroke. Which question would be most important to ask?

A 3,856 kg truck (Truck A) headed East at 55 mi/h (24.6 m/s) collides with a 6,000 kg truck (Truck B) headed West at 40 mi/h (17.9 m/s). Immediately after the collision, Truck B is moving East at 7.27 mi/h (3.25 m/s). What is Truck A’s speed and direction immediately after the collision?

Planets A, B, and C lie along a straight line, in that order. Calculate the total magnitude and direction of the gravitational force exerted on planet B (25 kg), if planet A (4.2 x 1030kg) is 6.1 x 1012m to the left of object B and planet C (9.5 x 1040 kg) is 2.6 light years to the right of object B. 1 light year = 9.461 x 1015 m