The PMHNP is evaluating a 35 year old patient that meets criteria for major depressive disorder (MDD).  During the evaluation, the patient also endorses previous periods where they have increased goal directed behaviors, irritability, flights of ideas, decreased need for sleep, and distractibility, lasting 5 days at a time.  Which of the following diagnoses is MOST likely at this time?

An 18 year old male patient with depression has been taking fluoxetine (Prozac) for 10 days (10 mg daily in AM for 7 days and 20 mg daily for the last 3 days) but tells the PMHNP that the medication is not working as she feels the depression is unchanged.  The best response is for the PMHNP to: 

A PMHNP in private practice is experiencing feelings of resentment toward a patient who missed his last two appointments at the last minute because he forgot.  Which of the following is an example of a therapeutic response?

You are the PMHNP in an outpatient clinic assessing a new patient for initial evaluation.  The patient notes that they have had 3 years of hypomanic symptoms that you note do not meet criteria for a hypomanic episode per the DSM-5 and they also have numerous periods of depressive symptoms that do not meet criteria for a MDD episode.  Which of the following statements is most likely?

During the Babylonian captivity, the popes were all

Martin Luther denounced indulgences because

Land use was improved through the three-field system, which:

Which of the following factors helps explain the reason for the initiation of the Renaissance in Italy?

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If 2 m3 of a gas at 22oC and 1 atm of pressure is placed under a pressure of 4.5 atm, the temperature of the gas rises to 42o C. What is the new volume in m3 ? Round answer to the thousandths place.