The PMHNP is seeing a patient who presents with a chief complaint of feeling depressed. Further exploration reveals that while the patient does have several symptoms of a depressive episode, he does not quite meet criteria for any of the commonly encountered depressive disorders. The primary issue seems to center around the fact that the client feels as if his life has no meaning. He says he gets up, he gets dressed, goes to work, pays the bills, does all of the things he is supposed to do in life, but he struggles with the question, “what is the point? Why does any of it matter?

The PMHNP recognizes that the patient might benefit from which of the following types of therapy?

A. Cognitive behavioral therapy

B. Behavioral therapy

C. Psychodynamic therapy

D. Existential therapy

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YouTube: https://www.youtube.com/watch?v=5CwRoe9maZQ&list=PLf0PFEPBXfq5HGfNV-GbOlYHtDwd35OeG&index=102

The PMHNP is evaluating a 69-year-old patient who has self-referred for evaluation. The patient retired from his professional role as a CEO from a major fortune 500 company 8 months ago and admits that he feels himself sinking into an uncharacteristic depression. For most of his life he has been a high-achiever, and he retired 8 months ago with the intention of enjoying the wealth he worked so hard to build. While he did take some big trips and had a lot of fun at first, now he feels oddly empty and for no good reason feels himself sinking into depression.

According to Erikson’s stages of psychosocial development this patient may be having maladaptive resolution of which stage?

A. Identity versus role confusion

B. Initiative versus guilt

C. Generativity versus stagnation

D. Ego integrity versus despair

Which of the following medical conditions should be considered when a patient presents complaining of new onset episodes of anxiety-like symptoms including hypervigilance, tremulousness, tachycardia, and palpitations?

A. Hypothyroidism

B. Insulinoma

C. Anemia

D. Hepatitis