A 24-year-old man with schizophrenia is started on a second-generation antipsychotic after multiple hospitalizations for psychosis. At a 3-month follow-up visit, he reports significant improvement in hallucinations and delusions but expresses concern that he has gained 18 pounds since starting the medication. The psychiatric-mental health nurse practitioner notes that this medication is associated with a high risk of metabolic side effects, including substantial weight gain.  Which of the following antipsychotic medications is MOST strongly associated with weight gain and metabolic syndrome? 

 A 52-year-old man with Alcohol use disorder presents to a PMHNP seeking medication-assisted treatment. He reports a 20-year history of heavy alcohol consumption and has had multiple relapses after detoxification. He is highly motivated to maintain abstinence and states, “I want something that will make me sick if I drink again so I don’t go back to it.”  He has no history of liver failure and is not currently using opioids.  Which of the following medications is most consistent with his stated goal? 

Which of the following is considered a positive symptoms of schizophrenia?

Which psychosocial intervention improves functioning in childhood schizophrenia?

Personality disorders and schizophrenia have distinct symptoms. What is the most prominent symptoms that distinguishes a personality disorder from a diagnosis of schizophrenia?

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?