The PMHNP is seeing a 11-year-old patient who is being managed for obsessive-compulsive disorder. The patient has been in exposure response therapy for almost one year and has been taking fluoxetine 40 mg daily. For the last six months the patient was in an acceptable remission, but today he reports that his obsessive thought processes and compulsive hygiene behaviors have started to become intrusive and are making it difficult for him to manage his day appropriately. Additional assessment today must include which of the following?

Select all that apply

A. Subjective information from the patient

B. Subjective information from the parent

C. Subjective information from the teacher

D. Subjective information from the therapist

An initial psychiatric evaluation should include a comprehensive risk assessment across the lifespan. Which of the following should be part of the initial intake for all patients aged 8 to 24 as part of that risk evaluation?

A. The CAGE questionnaire

B. The ASQ tool

C. The SCARED tool

D. The MCHAT-R questionnaire

---

YouTube: https://www.youtube.com/watch?v=jB53p074Ze0&list=PLf0PFEPBXfq5HGfNV-GbOlYHtDwd35OeG&index=140

The PMHNP is performing a follow-up visit on a 32-year-old male. He is being treated with sertraline 100 mg daily for a major depressive episode that began when he started having serious marital problems. His depressive symptoms have much improved, and he currently denies depressed mood, anhedonia, hopelessness, worthlessness, guilt or irritability. Even sleep has improved, and he is currently satisfied with his response to pharmacotherapy. During the visit, the PMHNP notes that the patient repeatedly voices his opinion that his wife will not consider reconciliation, that she does not understand he has improved and wants to work on the marriage. Despite several attempts to redirect the conversation, the patient repeatedly returns to the topic of his wife not doing her part.

The NP documents which finding with respect to mental status examination?

A. Rumination

B. Echolalia

C. Tangential thought

D. Perseveration

---

YouTube: https://www.youtube.com/watch?v=p_3AhDQt5og&list=PLf0PFEPBXfq5HGfNV-GbOlYHtDwd35OeG&index=139