Download LMR Georgette’s PMHNP Certification Exam V2 | Latest 2025/ 2026 Update | Q&A | GRADED A and more Exams Nursing in PDF only on Docsity!
LMR Georgette’s PMHNP Certification
Exam V2 | Latest 2025/ 2026 Update |
Questions and Verified Answers | 100%
Correct | GRADED A.
Question:
Side effects of atypical antipsychotics
Answer:
Risk of metabolic syndrome: increased weight, blood glucose, triglycerides, and insulin resistance
Question:
Zyprexa (Olanzapine) side effect
Answer:
Excessive weight gain
Question:
Seroquel side effects
Answer:
weight gain and sedation; cataracts (assess with slit lamp)
Question:
Thorazine (chlorpromazine)
Answer:
corneal deposits
Question:
Geodon (ziprasidone)
Answer:
weight neutral, take with food, monitor for QT prolongation
Question:
Latuda (lurasidone)
Answer:
eat with med 360 calories
Question:
Risperdal and Reglan
Answer:
Reglan is a D2 dopamine antagonist and should be avoided with Risperdal for 2 hours. It decreases the absorption of the Risperdal.
Question:
First line antipsychotic in children
Answer:
Risperdal (max 3 mg/day)
Answer:
Lyrica and gabapentin
Question:
Celexa and Lexapro side effect
Answer:
Prolonged QT interval
Question:
Effexor side effect
Answer:
elevated bp
Question:
false positives
Answer:
benzos- zoloft
Question:
what to avoid with MAOIs
Answer:
Tyramine (aged cheese, wine, pickled herring)
Question:
What can happen when TCAs and MAOIs are combined?
Answer:
Increased norepinephrine causing a hypertensive crisis (flushing, explosive headache in the back of head)
Question:
How to treat hypertensive crisis from MAOI and TCA combo
Answer:
Phentolamine
Question:
What is 1st line antidepressant for children?
Answer:
Prozac
Question:
Tx OCD in kids
Answer:
Zoloft
Question:
Question:
Risk with celexa and cipro
Answer:
QTC prolongation
Question:
Imitrex (sumatriptan) and Celexa
Answer:
Serotonin syndrome
Question:
Trazodone (Desyrel)
Answer:
Priapism
Question:
Tamoxifen (Nolvadex) and BFP
Answer:
bupropion, fluoxetine, and paxil can cause reoccurence of cancer when given with tamoxifen
Question:
Acute disseminated encephalomyelitis (ADEM) action
Answer:
check cytokines (will be increased), neuro exam, assess asymmetry of extremities, send to ER
Question:
alcohol dehydrogenase
Answer:
an enzyme in the stomach that breaks down alcohol; women have less than men
Question:
Endocrine findings suggestive of alcohol dependency
Answer:
testicular atrophy, gynecomastia, and sexual dysfunction
Question:
Kava Kava
Answer:
used for anxiety, causes sedation, metabolized in liver- monitor LFTs
Question:
Kava kava and levodopa
Answer:
causes decreased absorption of levodopa
Question:
decreased testosterone in women
Answer:
less blood to vagina causes dryness, mood changes, decreased libido
Question:
Rett Syndrome
Answer:
progressive neurological developmental disorder, more in females, seizure/scoliosis risk, decelerated head growth
Question:
Tx for menopausal women
Answer:
tai chi, flaxseed, soy
Question:
CAT for PTSD
Answer:
Guided imagery
Question:
imagery rehearsal therapy
Answer:
a treatment involving rewriting a nightmare by visualizing positive images while awake
Question:
EMDR
Answer:
eye movement desensitization and reprocessing (desensitization, installation, body scan)
Question:
critical incident stress management (CISM)
Answer:
introduction fact thought reaction symptoms teaching re-entry
Question:
adjustment disorder
Answer:
reaction to a specific life event; less than 6 months
Question:
ODD vs. Conduct Disorder
Answer:
ODD is persistent, hostile, defiant behavior without serious violations of basic rights of other, conduct disorder is with violations of basic right of others (often legal violations)
Question:
factitious disorder
Answer:
Condition in which a person acts as if he or she has a physical or mental illness when he or she is not really sick.
Question:
Malingering
Answer:
secondary gain is present
Question:
conversion disorder
Answer:
neurological symptoms that cannot be explained by medical disease or culturally sanctioned behavior
Question:
Somatic Disorders
Answer:
no medical explanation
Question:
brief psychotic disorder
Answer:
Psychotic disturbance involving delusions, hallucinations, or disorganized speech or behavior but lasting less than 1 month; often occurs in reaction to a stressor.
Question:
schizophreniform disorder
Answer:
Psychotic disorder involving the symptoms of schizophrenia but lasting less than 6 months.
Question:
Schizophrenia
Answer:
a psychological disorder characterized by delusions, hallucinations, disorganized speech, and/or diminished, inappropriate emotional expression
Question:
schizoaffective disorder
Answer:
- distress
- hospitalization required
Question:
hypomania:
Answer:
< 1 week of symptoms
- no hospitalization required
Question:
Bipolar I vs Bipolar II
Answer:
Bipolar I: All that is required for Dx is 1 Manic Episode (No depressive episode needed). Bipolar II: Requires at least one depressive episode and a Hypomanic Episode
Question:
Tics are found in what percentage of children
Answer:
Question:
Tourette's Neurotransmitters
Answer:
increased dopamine
Question:
Non-stimulants for ADHD
Answer:
atomoxetine (Strattera) clonidine (Catapres) guanfacine (Tenex)
Question:
signs of amphetamine abuse
Answer:
irritable, weight loss
Question:
Stimulant intoxication symptoms
Answer:
high feeling pupillary dilation euphoria gregariousness grandiosity repetitive behavior anger impaired judgement weakness
Answer:
Over 30 is severe
Question:
Hamilton Anxiety Rating Scale
Answer:
a. 14 items scored on a scale of 0 (not present) to 4 (severe) b. total score range 0- 56 c. Mild severity- < d. mild-mod 18- 24 e. mod - severe 25- 30
Question:
PHQ-9 scoring
Answer:
0 - 4 none 5 - 9 mild depression 10 - 14 moderate 15 - 19 mod. severe 20 - 27 severe depression
Question:
Zung Self-Rating Depression Scale
Answer:
Self-rated- Over 70 high risk for suicide.
Question:
GAD-7 scale
Answer:
More than 15 severe
Question:
Vanderbilt Scales
Answer:
Screening for ADHD and common comorbidities: oppositional-defiant, conduct, anxiety and depression
Question:
Detox with hepatic dysfunction
Answer:
Ativan or Serax
Question:
Avoid cymbalta with alcohol patients why?
Answer:
Liver damage- check LFTs
