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c. Appearance d. Insight and judgment a. Cranial nerves and reflexes 144. A 29-year-old woman with a history of panic disorder requests a psychiatric home visit because she continues to experience feelings that her environment is not real. She states that this is very unsettling and, as a result, has stopped going out of her home. In a. Psychosis formulating her case, the PMHNP would describe this symptom as the persistence of: b. Derealization c. Depersonalization d. Depressive symptoms b. Derealization 145. Which of the following is the best example of secondary prevention? a. A suicide hotline b. All these listed are great examples c. Social skills training and vocational rehabilitation d. Stress management classes a. A suicide hotline A suicide hotline aims to detect or screen and treat ASAP with a goal of returning people to their original function and wellbeing. 146. Jake described his brother's death stemming from a horrific car accident with minimal discomfort in his expression. Jake's affect would best be described as? a. Normal b. Restricted c. Flat d. Labile