GEORGETTE REVIEW PMHNP 2 NEWEST
2026 WITH QUESTIONS AND CORRECT
DETAILED ANSWERS FROM A VERIFIED
SOURCE| BRAND NEW VERSION!!!
When many answers are remarkably similar, they are usually
_____________ - CORRECT ANSWER-wrong
Interprofessional collaboration is encouraged. - CORRECT
ANSWER-Collaborate is usually right.
Delegate is usually wrong.
ADPIER - CORRECT ANSWER-Assessment, diagnosis, Plan,
intervention, evaluate, refer out last.
Lithium - CORRECT ANSWER-Normal 0.6-1.2
Lithium toxicity occurs at levels - CORRECT ANSWER-> 1.5
,Signs of Lithium toxicity - CORRECT ANSWER-severe nausea,
diarrhea, vomiting, confusion, drowsiness, muscle weakness, heart
palpitation, coarse hand tremors, unsteady gait
Lithium is gold standard for - CORRECT ANSWER-MANIA
Lithium has evidence shown to - CORRECT ANSWER-reduce
suicidal ideation
What does lithium cause in neonate, especially 1st trimester -
CORRECT ANSWER-Ebstein anomaly (congenital heart defect)
dehydration and hyponatremia cause lithium levels to - CORRECT
ANSWER-rise
Baseline labs before initiation of lithium - CORRECT ANSWER-TSH
creatinine (0.6-1.2)
BUN (10-20)
HCG (all psychotropics females 12-51)
EKG 50+
Urinalysis (check for proteins, 4+ may indicate kidney disease)
,Side Effects of Lithium - CORRECT ANSWER-hypothyroidism
coase hand tremors with toxicity
maculopapular rash
diarrhea, vomiting, cramps--signs of toxicity. Monitor closely.
anorexia
t wave inversions
leukocytosis
Pt education for lithimum - CORRECT ANSWER-staying hydrated
avoiding NSAIDS
compliance
Depakote normal level - CORRECT ANSWER-50-125
Depakote toxicity level - CORRECT ANSWER-greater than 150
Teratogenic effects of Depakote - CORRECT ANSWER-spina bifida
Adverse effects of depakote - CORRECT ANSWER-alopecia
, hepatotoxicity (RUQ pain or brown/red urine--order LFTs) AST 5-40,
ALT 5-35, yellowing of skin or eyes, fatigue
Signs of Depakote toxicity - CORRECT ANSWER-disorientation,
lethargy, respiratory depression, nausea/vomiting
Intervention for depakote toxicity - CORRECT ANSWER-DC med
check level
LFT
ammonia
MAOI + tyramine causes - CORRECT ANSWER-hypertensive crisis
Symptoms of hypertensive crisis - CORRECT ANSWER-elevated BP
sudden explosive like headache
facial flushing
palpitations
pupillary dilation
diaphoresis
fever
2026 WITH QUESTIONS AND CORRECT
DETAILED ANSWERS FROM A VERIFIED
SOURCE| BRAND NEW VERSION!!!
When many answers are remarkably similar, they are usually
_____________ - CORRECT ANSWER-wrong
Interprofessional collaboration is encouraged. - CORRECT
ANSWER-Collaborate is usually right.
Delegate is usually wrong.
ADPIER - CORRECT ANSWER-Assessment, diagnosis, Plan,
intervention, evaluate, refer out last.
Lithium - CORRECT ANSWER-Normal 0.6-1.2
Lithium toxicity occurs at levels - CORRECT ANSWER-> 1.5
,Signs of Lithium toxicity - CORRECT ANSWER-severe nausea,
diarrhea, vomiting, confusion, drowsiness, muscle weakness, heart
palpitation, coarse hand tremors, unsteady gait
Lithium is gold standard for - CORRECT ANSWER-MANIA
Lithium has evidence shown to - CORRECT ANSWER-reduce
suicidal ideation
What does lithium cause in neonate, especially 1st trimester -
CORRECT ANSWER-Ebstein anomaly (congenital heart defect)
dehydration and hyponatremia cause lithium levels to - CORRECT
ANSWER-rise
Baseline labs before initiation of lithium - CORRECT ANSWER-TSH
creatinine (0.6-1.2)
BUN (10-20)
HCG (all psychotropics females 12-51)
EKG 50+
Urinalysis (check for proteins, 4+ may indicate kidney disease)
,Side Effects of Lithium - CORRECT ANSWER-hypothyroidism
coase hand tremors with toxicity
maculopapular rash
diarrhea, vomiting, cramps--signs of toxicity. Monitor closely.
anorexia
t wave inversions
leukocytosis
Pt education for lithimum - CORRECT ANSWER-staying hydrated
avoiding NSAIDS
compliance
Depakote normal level - CORRECT ANSWER-50-125
Depakote toxicity level - CORRECT ANSWER-greater than 150
Teratogenic effects of Depakote - CORRECT ANSWER-spina bifida
Adverse effects of depakote - CORRECT ANSWER-alopecia
, hepatotoxicity (RUQ pain or brown/red urine--order LFTs) AST 5-40,
ALT 5-35, yellowing of skin or eyes, fatigue
Signs of Depakote toxicity - CORRECT ANSWER-disorientation,
lethargy, respiratory depression, nausea/vomiting
Intervention for depakote toxicity - CORRECT ANSWER-DC med
check level
LFT
ammonia
MAOI + tyramine causes - CORRECT ANSWER-hypertensive crisis
Symptoms of hypertensive crisis - CORRECT ANSWER-elevated BP
sudden explosive like headache
facial flushing
palpitations
pupillary dilation
diaphoresis
fever
