Download LMR - Georgette's; PMHNP Certification Exam 2025 With Complete Solutions | 100% solved | and more Exams Nursing in PDF only on Docsity!
LMR - Georgette's; PMHNP Certification
Exam 202 5 With Complete Solutions |
100% solved | top grade A+
What drugs should be avoided with Kava Kava? {{Ans- Alprazolam CNS depressants (e.g., phenobarbital, zolpidem) Cultural Formulation Interview perform what 3 functions? {{Ans- Clarify meaning of illness Empower the patient Validate symptoms within cultural context What does a cultural formulation interview do? {{Ans- cultural assessment What is the normal range for TSH? {{Ans- 0.5 - 5.0 mu/L
What are lab values in Hyperthyroidism {{Ans- Decreased TSHIncreased T4 and T What are labs in Hypothyroidism? {{Ans- Increased TSHDecreased T4 and T What are 5 primary symptoms of Hyperthyroidism? {{Ans- Heat intolerance Agitation, Anxiety, IrritabilityTachycardia Mood swingsWeight loss What are 4 primary symptoms of Hypothyroidism? {{Ans- Cold intoleranceLethargy Weight gain Decreased libido Hypothyroidism mimics symptoms of what psychiatric disorder? {{Ans- Depression Hyperthyroidism mimics symptoms of what psychiatric disorder? {{Ans- Mania
Respiratory depressionNausea/vomiting Disorientation, Lethargy, Respiratory depression, and Nausea/vomiting are symptoms of toxicity withwhat drug? {{Ans- Valproic acid With suspected toxicity with valproic acid, what labs should be drawn? {{Ans- DC drug Check drug level Obtain LFTs Obtain ammonia level What is the major side effect with Kava Kava? {{Ans- Liver damage What herbal supplement is sued for anxiety, stress, and insomnia? {{Ans- Kava Kava What are 5 symptoms of Stephen's Johnson Syndrome? {{Ans- Fever Body aches Severe red rashPeeling skin Facial and tongue swelling
Severe red rash, Fever, Body aches, Peeling skin, and Facial and tongue swelling are symptoms of {{Ans- Stephen's Johnson Syndrome Which mood stabilizer causes the least weight gain? {{Ans- Lamotrigine (Lamictal) Which 3 SGAs cause the least weight gain? {{Ans- Lurasidone (Latuda)Aripiprazole (Abilify) Ziprasidone (Geodon) Which SGA is the least sedating? {{Ans- Aripiprazole (Abilify) What are 3 hallmark symptoms of delirium? {{Ans- Acute disturbance of LOCimpaired cognition inattention Acute disturbance of LOC, cognition, and inattention are hallmark symptoms of {{Ans- Delirium
DepressionPsychosis What medication to treat acne cause cause birth defects? {{Ans- Isotretinoin (Accutane) What is the therapeutic range for lithium? {{Ans- 0.6-1.2 mEq/L What medication has a neuroprotective effect for bipolar disorder? {{Ans- Lithium What is the gold standard for treating manic episodes {{Ans- Lithium What mood stabilizer has anti-suicidal effects? {{Ans- Lithium What 5 labs should be drawn with lithium? {{Ans- Thyroid panel (TSH)Serum creatinine BUN UrinalysisHCG
What is a normal SCr range? {{Ans- 0.6-1.2 mg/dL What is the normal range for BUN? {{Ans- 10 - 20 mg/dL When should you suspect kidney disease with a urinalysis? {{Ans- 4+ protein 4+ protein in the kidney suggests {{Ans- Kidney disease What are 7 side effects of lithium? {{Ans- HypothyroidismFine hand tremors Maculopapular rash GI upset (N/V/D, cramps, anorexia) Polyuria, polydipsia, diabetes insipidus T-wave inversions Leucocytosis What are 7 signs of lithium toxicity? {{Ans- Severe nausea, vomiting, diarrheaConfusion Drowsiness Muscle weakness
{{Ans- DehydrationHyponatremia What birth defect can lithium cause? {{Ans- Ebstein anomaly (congenital heart defect) What 3 neurotransmitters are associated with ADHD? {{Ans- DNS What 3 parts of the brain are affected with ADHD? {{Ans- Frontal cortex Basal ganglia Reticular Activating System The Frontal cortex, Basal ganglia, Reticular Activating System are associated with which psychiatric disorder? {{Ans- ADHD Inattentive Type ADHD demonstrates abnormalities in which part of the brain? {{Ans- Prefrontal cortex What should be done before placing a patient on stimulants for ADHD (priority)?
{{Ans- Cardiac history
{{Ans- Circumstantiality ("goes in circles") Themes that occupy a patient's thoughts and perceptual disturbances is called {{Ans- Thought content Thought content includes 3 items {{Ans- Suicidal ideation Homicidal ideation Hallucinations/Delusions Asking a patient to count backward from 100 by seven (serial 7s) measures 3 processes {{Ans- Concentration Attention Calculation Asking the year, season, date, month, and location measures {{Ans- Orientation Asking a patient to repeat "bed, bad, ball" measures {{Ans- Registration (ability to learn new material) Asking a patient to repeat objects 5 minutes later measures {{Ans- Recall (memory)
Asking the patient who is the president of the US or governor of state is measuring {{Ans- Fund of Knowledge What is a simple test that can be administered in a minute or two to measure possible dementia? {{Ans- Clock Drawing Test Impairments in the clock drawing test (CDT) can be associated with damage to {{Ans- Right parietal lobe (right hemisphere) Hyperactivity of dopamine in the mesolimbic pathway modulates {{Ans- positive psychotic symptoms Decreased dopamine in the mesocortical pathway (dorsolateral prefrontal cortex) leads to what 2 symptoms? {{Ans- Negative symptoms Depressive symptoms The nigrostriatal pathway modulates {{Ans- motor movements Dopamine has what
Headache Fever Nosebleeds Bleeding gums Skin rash SOB Pallor, Fatigue, Headache, Fever, Nosebleeds, Bleeding gums, Skin rash, and SOB are symptoms of {{Ans- Aplastic anemia What ethnic group is most susceptible to SJS with carbamazepine? {{Ans- Asians Having the HLA-B1502 allele increases the risk for {{Ans- SJS Which ethic group is at most likely to have the HLA-B1502 allele? {{Ans- Asians Asians are most likely to have what allele? {{Ans- HLA-B* In which ethnic group must you screen for the HLA-B*1502 allele before initiating therapy? {{Ans- Asian Which 2 drugs have the highest likelihood of causing agranulocytosis? {{Ans- Clozaril Carbamazepine A sudden fever, chills, a sore throat, and weakness are symptoms of {{Ans- AgranulocytosisWhat are 4 symptoms of agranulocytosis
{{Ans- A sudden fever Chills Sore throatWeakness At what ANC should clozapine be stopped (even if asymptomatic)? {{Ans- < What is neutropenia? {{Ans- <2000 PMNs What is agranulocytosis? {{Ans- <500 ANC What does DIGFAST stand for? {{Ans- DistractibilityIndiscretion Grandiosity
What is the required duration of behavior for a DSM- 5 diagnosis of Oppositional Defiant Disorder(ODD)? {{Ans- 6 months How many symptoms must a child with Oppositional Defiant Disorder (ODD) display to meet DSM-5criteria? {{Ans- 4 An enduring pattern of angry or irritable mood and argumentative, defiant, or vindictive behavior ischaracteristic of {{Ans- Oppositional Defiant Disorder (ODD) What is the mainstay treatment of Oppositional Defiant Disorder (ODD)? {{Ans- Therapy What is the primary therapy used to treat Oppositional Defiant Disorder (ODD)? {{Ans- Child and parent problem-solving skills training A repetitive and persistent pattern of behavior in which the rights of others or societal norms or rulesare violated is what disorder? {{Ans- Conduct Disorder
What are 3 characteristics of Conduct Disorder? {{Ans- Destruction of propertyDeceit or theft Lack of remorse What 2 factors differentiate Conduct Disorder from ODD? {{Ans- SeverityAggression What are 4 pharmacologic treatments for Conduct Disorder? {{Ans- Antipsychotics Mood stabilizers SSRIs Alpha agonists What is the mainstay treatment for Conduct Disorder? {{Ans- Therapy What type of therapy is used in the treatment of Conduct Disorder? {{Ans- Behavioral therapy What is Multisystemic family therapy? {{Ans- Home-based model for youth with serious antisocial and criminal offenses by empowering parents with resources and skills and reducing barriers to resources needed for effective managementof youth
