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LMR Georgette’s PMHNP Certification Exam Review | Latest 2025/ 2026 Update | Questions and Verified Answers | 100% Correct | GRADED A |

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Question: When many answers are remarkably similar, they are usually _____________ Answer: wrong Question: Interprofessional collaboration is encouraged. Answer: Collaborate is usually right. Delegate is usually wrong. Question: ADPIER Answer: Assessment, diagnosis, Plan, intervention, evaluate, refer out last.

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LMR Georgette’s PMHNP Certification Exam
Review | Latest 2025/ 2026 Update |
Questions and Verified Answers | 100%
Correct | GRADED A |

Question:
When many answers are remarkably similar, they are usually _____________
Answer:
wrong




Question:
Interprofessional collaboration is encouraged.
Answer:
Collaborate is usually right.
Delegate is usually wrong.




Question:
ADPIER
Answer:
Assessment, diagnosis, Plan, intervention, evaluate, refer out last.

,Question:
Lithium
Answer:
Normal 0.6-1.2




Question:
Lithium toxicity occurs at levels
Answer:
> 1.5




Question:
Signs of Lithium toxicity
Answer:
severe nausea, diarrhea, vomiting, confusion, drowsiness, muscle weakness, heart
palpitation, coarse hand tremors, unsteady gait




Question:
Lithium is gold standard for
Answer:
MANIA

,Question:
Lithium has evidence shown to
Answer:
reduce suicidal ideation




Question:
What does lithium cause in neonate, especially 1st trimester
Answer:
Ebstein anomaly (congenital heart defect)




Question:
dehydration and hyponatremia cause lithium levels to
Answer:
rise




Question:
Baseline labs before initiation of lithium
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)




Question:
Side Effects of Lithium
Answer:
hypothyroidism
coase hand tremors with toxicity
maculopapular rash
diarrhea, vomiting, cramps--signs of toxicity. Monitor closely.
anorexia
t wave inversions
leukocytosis




Question:
Pt education for lithimum
Answer:
staying hydrated
avoiding NSAIDS
compliance

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