Last Minute Review PMHNP Georgette’s LMR Final Exam Review Questions and Answers | 100% Pa, Exams of Psychiatry

Download Last Minute Review PMHNP Georgette’s LMR Final Exam Review Questions and Answers | 100% Pa and more Exams Psychiatry in PDF only on Docsity!

Administrator

[COMPANY NAME] [Company address]

PMNHP Psychiatric-Mental Health Nurse Practitioner 2024-

2025Last Minute Review PMHNP Georgette’s LMR Final

Exam Review Questions and Answers | 100% Pass

Guaranteed | Graded A+ |

Science Medicine Psychiatry

https://quizlet.com/859923492/georgettes-lmr-final-

flash-cards/

2 /

15

Georgette's - LMR final

PMNHP Psychiatric-Mental Health Nurse Practitioner 2024-

Last Minute Review PMHNP Georgette’s LMR Final Exam Review

Questions and Answers | 100% Pass Guaranteed | Graded A+ |

Number of Questions in this set (529)

What is the normal range for

TSH?

0.5 - 5.0 mu/L

What are lab values in

Hyperthyroidism

Decreased TSH

Increased T

and T

What are labs in

Hypothyroidism?

Increased TSH

Decreased T

and T

What are 5 primary symptoms

of Hyperthyroidism?

Heat intolerance

Agitation, Anxiety,

Irritability

Tachycardia

Mood

swings

Weight

loss

What are 4 primary symptoms

of Hypothyroidism?

Cold

intolerance

Lethargy

Weight

gain

Decreased libido

Hypothyroidism mimics

symptoms of what psychiatric

disorder?

Depression

Hyperthyroidism mimics

symptoms of what psychiatric

disorder?

Mania

Valproic acid produces what

teratogenic effect?

Spina bifida (neural tube defect)

What is the primary organ Liver (hepatoxicity)

For Inquiries about This or Any Other Exam HMU

[email protected]

https://quizlet.com/859923492/georgettes-lmr-final-

flash-cards/

3 /

15

where valproic acid is toxic?

What are 4 signs of

hepatoxicity?

Abdominal pain in

the RUQ Reddish-

brown urine

Yellowing of the

skin/sclera Fatigue

What is the therapeutic range for valproic 50-

mcg/ml

acid?

https://quizlet.com/859923492/georgettes-lmr-final-

flash-cards/

4 /

15

What is a toxic level of valproic

acid?

150 mcg/ml

What are 4 signs of valproic acid

toxicity?

Disorientation

Lethargy

Respiratory

depression

Nausea/vomiting

Suspect: hepatotoxicity

A patient on depakote

complains of abdominal pain in

the RUQ and reddish- brown

urine. What do you suspect?

What do you do?

Interventions:

-hold med

• draw LFT's (priority)

-VPA/DVP level

With suspected toxicity with

valproic acid, what steps/labs

should be drawn?

D/C drug

Check drug

level Obtain

LFTs

Obtain ammonia level

A pregnant patient is taking

accutane, zyprexa, and abilify.

What medication needs to be

discontinued?

Accutane

Accutane is used for acne and is contraindicated in pregnancy

as it can cause birth defects

What herbal supplement is used

for anxiety, stress, and

insomnia?

Kava Kava

What is a major side effect of

Kava Kava?

Liver damage

What drugs should be avoided

with Kava Kava?

Alprazolam

CNS depressants (e.g., phenobarbital, zolpidem)

Key symptoms:

- Fever

-Burning of mouth/eyes

What are 5 symptoms of

Stephen's Johnson Syndrome

(SJS)?

Additional

symptoms:

Body aches

Severe red

rash Peeling

skin

Facial and tongue swelling

Which mood stabilizer causes

the least weight gain?

Lamotrigine (Lamictal)

Which 3 SGAs cause the least

Lurasidone

(Latuda)

https://quizlet.com/859923492/georgettes-lmr-final-

flash-cards/

5 /

15

weight gain? Aripiprazole

(Abilify)

Ziprasidone

(Geodon)

Which SGA is the least sedating? Aripiprazole (Abilify)

Your patient is taking Kava

Kava and you need to add an

antipsychotic to manage their

schizophrenia. Which

medication do you add?

Aripiprazole (least sedating)

What are 2 hallmark symptoms

of delirium?

Acute onset

Altered LOC

impaired

cognition

inattention

Your 16 year old patient

complains of feeling "funny"

after inhaling Acetone (nail

polish remover). What is your

action?

Obtain a UDS

They may be abusing other substances

What 4 drugs can cause mania?

"SAID"

S teroids

A ntidepressants (in bipolar disorder)

I soniazid (INH)

D isulfiram (Antabuse)

What 6 drugs can induce

depression?

"SIP BARB"

S teroids

I nterferon

P rogester

one

B eta blockers

A ccutane, (Isotretinoin)

R etroviral drugs, Antineoplastic drugs

B enzodiazepines

Steroids can induce what 3

psychiatric states?

Mania

Depressi

on

Psychosis

You see a patient after an

assault. Your initial action

Initial action: reassure safety, provide

Low-dose

Haldol

How are agitation and psychotic symptoms

treated in delirium?

https://quizlet.com/859923492/georgettes-lmr-final-

flash-cards/

6 /

15

is.

What is the best environment

to interview this patient in?

environment of safety Environment: private area

with door open/partially open

What is the therapeutic range

for lithium?

0.6-1.2 mEq/L

Many postpartum women have

SI after delivery, yet they don't

have psychiatric evaluations

performed prior to leaving the

hospital. What could a possible

solution be?

COLLABORATING CARE between psychiatry and OBGYN to

provide the best care for that patient

If you are collaborating with a

provider who is not in the

same clinic or hospital, the

informed consent

[does/does not] apply?

DOES NOT

The patient will need to sign consent for labs/ chart to be sent

When discharging from

inpatient, you want to

[fax/print/give to

patient] their labs for the

outpatient provider before

discharge?

FAX

So that the new provider has them for follow-up appointment

Before referring a patient out

or discharging them, it is good

to ask yourself

[what question]?

Is there something I can do for this patient first?

What 3 things should every

provider know about Lithium?

Lithium has a neuroprotective effect for

bipolar disorder Lithium is the gold

standard for treating manic episodes

Lithium is a mood stabilizer with anti-

suicidal effects

What mood stabilizer has anti-

suicidal effects?

Lithium

Georgette's - LMR final

What 5 labs should be drawn with lithium? BUN

UA

HC

G

What is a normal Serum Cr

range?

0.6-1.2 mg/dL

What is the normal range for 10-20 mg/dL

https://quizlet.com/859923492/georgettes-lmr-final-

flash-cards/

7 /

15

BUN?

When should you suspect

kidney disease with a

urinalysis?

4+ protein

If your patient is on Lithium, you must monitor closely TOXICITY

What are 7 side effects of

lithium?

Hypothyroidis

m Fine hand

tremors

Maculopapula

r rash

GI upset (N/V/D, cramps,

anorexia) Polyuria,

polydipsia, diabetes

insipidus T-wave inversions

Leukocytosis

What are 7 signs of lithium

toxicity?

Key findings:

Severe nausea, vomiting,

diarrhea Course hand

tremor

Additional findings:

Confusion

Drowsiness

Muscle

weakness

Heart

palpitations

Unsteadiness while standing or walking

Which 3 drugs can increase

lithium levels by decreasing

renal clearance?

NSAIDs (ibuprofen,

indomethacin) Thiazides

ACE-Inhibitors

What is a toxic level of lithium? 1.5 mEq/L or higher

At what level do you monitor

lithium closely (but not

discontinue)?

1.3 -1.4 mEq/L or higher

With suspected lithium toxicity,

what is your initial action?

D/C Lithium

Draw Lithium level

Your initial action is not vital signs

What is the appropriate action

if lithium level is 1.5 mEq/L?

D/C lithium

Check lithium level

What 2 conditions can increase

lithium levels?

Dehydration

Hyponatremia

If your patient taking lithium

is on a hike, what do you

Take extra water to avoid dehydration

Thyroid panel

(TSH)

Serum creatinine

https://quizlet.com/859923492/georgettes-lmr-final-

flash-cards/

8 /

15

recommend they do to

prepare?

Dehydration is a condition that can increase lithium levels

What birth defect can lithium

cause?

Ebstein anomaly (congenital heart defect)

When working with adolescents, parents Ethical

dilemma

often feel they have a right to know what is

https://quizlet.com/859923492/georgettes-lmr-final-

flash-cards/

9 /

15

Georgette's - LMR final

going on with their child, but the

teen has a right to

confidentiality. This can create

an

.

CONFIDENTIALITY

When building a therapeutic

alliance with adolescents, it

is important to stress

.

What they say remains confidential unless

-concern for self-harm

-concern for harm to others

-concern for abuse, statutory rape, sexual assault (ex. a teenage

patient romantically involved with an older adult)

Once an adolescent presents a

complaint of abuse even in the

presence of their

parents/caregivers, what is

your initial action?

INTERVIEW ALONE

Then call CPS

What 3 neurotransmitters

are associated with ADHD?

DNS

DA

NE Serotonin

The frontal cortex, basal

ganglia, and reticular

activating system are

associated with which

psychiatric disorder?

ADHD

ADHD inattentive type

demonstrates abnormalities

in which part of the brain?

Prefrontal cortex (PFC)

What priority action should

be completed before placing

a patient on stimulants for

ADHD?

CARDIAC HISTORY

Excessive worry,

apprehension, or anxiety

about events or activities

that occurs more days than

not for a period of at least 6

months is.

Generalized anxiety disorder (GAD)

If a patient presents with a

diagnosis of ADHD and a tic,

what medication class is contraindicated?

https://quizlet.com/859923492/georgettes-lmr-final-

flash-cards/

10

/

Stimulants

If a stimulant was tried and

provided some but not enough

benefit (helped, but not long

enough) what can this mean?

The medication has been cleared from the body

What are the lower age limits

for stimulants for ADHD?

amphetamine = 3yrs

methylphenidate = 6yrs

When considering Clonidine

or Guanfacine for a patient,

the PMHNP knows

[what about how they differ

from each other}?

Clonidine is more sedating than

Guanfacine Guanfacine lasts longer

than Clonidine

What does thought process assess? Thoughts and ideas

A normal thought process is

described as

.

Logical

Linear

Coherent

Goal-

oriented

https://quizlet.com/859923492/georgettes-lmr-final-

flash-cards/

11

/

Georgette's - LMR final

What is tangentiality? Inability to get to the point of communication due to introduction of many new topics

Moving from thought to thought but never getting to the point.

What is circumstantiality?

"going in circles"

A delay in reaching the point of a communication because of

unnecessary and tedious details, though eventually getting to

the point.

The themes that occupy a

patient's thoughts and

perceptual disturbances is called

what?

Thought content

Thought content includes which

3 items?

Suicidal ideation

Homicidal

ideation

Hallucinations/Del

usions

Asking a patient to count

backward from 100 by seven

(serial 7s), or anything going

backwards measures what?

Concentration

Attention

Asking the year, season, date,

month, and location measures

what?

Orientation

Asking a patient to repeat "bed,

red, ball" measures what?

Registration (ability to learn new material)

Asking a patient to repeat

objects 5 minutes later

measures what?

Recall (memory)

Asking the patient who is the

president of the US or

governor of state is

measuring what?

Fund of Knowledge

What is a simple test that can

be administered in a minute or

two to measure possible

dementia?

Clock Drawing Test

Impairments in the clock

drawing test (CDT) can be

associated with damage to

what?

Right parietal lobe (right hemisphere)

Hyperactivity of dopamine in positive psychotic symptoms

"going off on

tangents"

https://quizlet.com/859923492/georgettes-lmr-final-

flash-cards/

12

/

the mesolimbic pathway to the

dorsolateral prefrontal cortex

(DLPFC) modulates

The safest drug switch strategy

is to have a "washout period"

of half-lives

between cessation of the old

medication and the

introduction of the new

medication.

5 1/

Decreased dopamine in the

mesocortical pathway

(dorsolateral prefrontal cortex)

leads to what 2 symptoms?

Negative symptoms (affect, anhedonia, asociality, alogia,

apathy, avolition, depressive symptoms)

The nigrostriatal pathway

modulates what?

motor movements

Dopamine has what type of

relationship with acetycholine

Inverse

Dopamine blockage in the

nigrostriatal pathway leads to

what 4 side effects?

Acute dystonia (stiff neck, muscle spasms

neck/back, pain) Parkinsonism syndromes

Akathisia

Tardive dyskinesia

Blocking DA in the tuberoinfundibular

Hyperprolactinemia

https://quizlet.com/859923492/georgettes-lmr-final-

flash-cards/

13

/

What are 5 symptoms of

hyperprolactinemia?

Amenorrhea

Galactorrhea

Sexual

dysfunction

Gynecomasti

a

Osteoporosis (long-term)

What antipsychotic has the

greatest effect on prolactin?

Risperidone

What is the black box warning

for carbamazepine?

Agranulocytosis

SJS in Asians who are positive for HLA-B*1502 allele

What are 8 symptoms of aplastic

anemia?

Pallor

Fatigue

Headach

e Fever

Noseble

eds

Bleeding

gums Skin

rash

SOB

In which ethnic group must

you screen for the HLA-B*

allele before initiating CBZ

(Tegretol) therapy? Why is it

necessary?

Asians

risk for SJS in Asians (+) for HLA-B*1502 allele

Which 2 drugs have the highest

likelihood of causing

agranulocytosis?

Clozaril

Carbamazepin

e

A sudden fever, chills, a sore

throat, and weakness are

symptoms of

Agranulocytosis

At what ANC should clozapine

be stopped (even if

asymptomatic)?

<

What is neutropenia? <2000 PMNs or WBC <

What is agranulocytosis? (lab

value)

<500 ANC

What does DIGFAST stand for?

D istractib

ility

I ndiscreti

on

Georgette's - LMR final

A child with an Adjustment Disorder with Not going to school, destroying property, driving recklessly,

or fighting

disturbances of conduct may have what

https://quizlet.com/859923492/georgettes-lmr-final-

flash-cards/

14

/

G randiosi

ty F OI

A ctivity

increased

S leep

decreased

T alkativenes

s

What neurological symptoms

might one see in Conversion

Disorder?

Blindness

Mutism

Paralysis

Paresthesia (glove stocking

syndrome) Seizures

When do symptoms typically

begin with Conversion Disorder?

After a stressful experience (suddenly)

What are 5 stressful events in

a child's life that can cause

adjustment disorder?

Family move

Parent

divorce/separatio

n Loss of pet

Birth of sibling

Sudden or chronic illness

Georgette's - LMR final

symptoms?

NOT aggressive (key difference vs CD)

loses temper easily

annoys others

What are some key sx of

Oppositional Defiant Disorder

(ODD)?

angry/resentful

argues with

authority

easily annoyed

blames others

spiteful

refuses to comply with rules/requests from authority figures

https://quizlet.com/859923492/georgettes-lmr-final-

flash-cards/

15

/

🎉 Thank You for Your Purchase! 🎉

📚 Your Assignment Handlers 🎓

🌟 Unlock Your Academic Success with Expert Support! 🌟

We're thrilled to be a part of your academic journey. Whether you need help with essays, ✍ Assignments,

🎉 Exam Prep, 📚 Study Guides, 🎉Coursework Assistance, Online Class Support🎉 , or

any Academic writing Tasks , we've got you covered! Our services include Essays ✍🎉, Research

Papers 🎉 🔍 , Reports 🎉 📈 , Theses and Dissertations 🎓📚 , Annotated Bibliographies

📚 🎉 , Critical Reviews 🎉🎉, and Proposals 🎉🎉. No matter what you need, we're here to support your

success every step of the way! 🌟

🎉 Need Writing Help? We've Got You Covered! ✍

At Your Assignment Handlers, we ensure that all our papers are 100% plagiarism-

free. We conduct plagiarism

checks using Turnitin before submitting any work, guaranteeing that there's

absolutely NO AI or Plagiarism involved. Our service is

both private and confidential, you can chat 🎉 with us directly or confidently place

your order. Rest assured; we always deliver quality work that meets your needs. 🎉

Chat with us here: 🎉DM Open 24/7- 🎉 [email protected]

Get started by Here placing your order now!:- !!!🎉 ORDER NOW🎉 !!!

You can 🎉 WhatsApp: Chat Here (https://wa.link/7actr5) that way I will be able to help u

Much Fast, better and Conveniently with Ease: 🎉 WhatsApp :Chat Here

🎉 Explore More Academic Support Services:

Visit our Website https://payhip.com/YourAssignmenthandlers to discover a

wide range of academic support services and products tailored specifically for

your courses. Our top-tier academic experts are dedicated to helping you excel in

your studies!

🎉 Customized to Your Preferences:

Feel free to request any study resource or assistance. We're here to fulfill your

requests with high-quality, customized solutions that meet your specific needs.

🎉 Share Your Experience:

Your feedback is invaluable! Please consider leaving an honest review of the

product you just purchased. It helps us improve the quality of our offerings and

allows us to reach more students like you who need support.

🎉 Flexible Pricing:

We understand that as a student, budgeting can be tough. We're open to

discussing the price of any product or service available in our stores. Our goal is

to ensure all our customers leave happy and satisfied. We believe that customer

satisfaction is key to building long-lasting relationships and spreading the word

about our services.

🎓 "Your Success, Our Mission. Let's Achieve Academic Excellence Together!" 🎉

Feel free to reach out anytime—We're here to help you succeed! 🎉 🎓