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PMHNP Certification Q & AAuthor: Fitzgerald Health Education Associates
This podcast is for NP students studying to pass their PMHNP certification exam. Expert Fitzgerald faculty clinicians share their knowledge and experience to help you dissect the anatomy of a test question so you can better understand how to arrive at the correct test answer. Language: en-us Genres: Courses, Education, How To Contact email: Get it Feed URL: Get it iTunes ID: Get it |
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OCD Prognostic Indicators
Episode 109
Tuesday, 24 February, 2026
A 48-year-old patient who reports a diagnosis of obsessive-compulsive disorder has transferred to your care after moving from out of state. You are unable to obtain medical records and must rely on the patient for information. During the initial appointment the patient says reports a very stressful home life. She has a school-aged daughter with severe chronic illness who requires 24-7 total care, as well as some other stressors related to her other children and finances. The patient says that for several years she has been in exposure-response therapy with intermittent, inconsistent improvement, and took fluvoxamine 300 mg daily which seemed to help for a while but then stopped. Her primary symptom presentation is related to obsessive thoughts, although there is a strong chronic anxiety and depressive component. The obsessive thought patterns are markedly worse when there is a stressful life event, and she has had periods of relief when things are calmer at home. Which of the following aspects of her history is a favorable prognostic indicator? A. Precipitating triggersB. Reported history of treatment C. Presence of children in the home D. Lack of comorbid compulsions
