GEORGETTE'S LMR (GEORGETTE'S
PMHNP CERTIFICATION) Exam
Questions and Correct Answers|
Updated
What should you not do when advocating for a patient?
Judge or confront
What class of medication is contraindicated with tics?
Stimulants
What should you provide for prior to assessing abuse victims?
A safe environment
What are your actions if a child reports abuse?
First interview separately from parents then report to CPS
What should you do if a child plays with toys in a way that you suspect abuse?
Report to CPS
,In what setting as an inpatient provider should you interview a patient?
Use a private room with the door partially open
How should you begin your interview with adolescents?
By building rapport with them by ensuring confidentiality absent exceptions
Should you interview adolescents with or without parents?
Without
What if an adolescent tells you they are homosexual and they don't want their
parents to know?
This is confidential
The patient is being discharged and would like their labs faxed to the rehab
facility. What is your initial action?
Get informed consent/ROI
What do you do if a medical evaluation is needed?
Refer out - this is out of scope
What do you do if a patient is takes something and is feeling really funny/unwell
in your office?
Collect UDS and then refer out
,Is it considered a mental illness if it is an expected response culturally? What do
you offer as treatment?
No; brief supportive therapy - not medication
A mother states her child is experiencing a cultural illness. What is your initial
action?
Respect the mother's cultural understanding of illness prior to assessment
Native Americans view mental illness and SUDs as?
An imbalance between the individual and the world
What ethnic group has the highest rate of suicidality in the US?
Native Americans
If a patient believes they need a healing stick in their room, but the staff nurses
removed it from them - what should you do?
Teach cultural sensitivity and make accommodations for patient to have healing
stick available such as 1:1
Psychoeducation should be based on?
Cultural context
How do you promote health in a location with multiple ethnicities and
education levels?
, Multiple cultural education and ethnospecific assessment parameters
What if a patient wants a traditional healer?
Allow this - remember ROI/informed consent
Normal TSH?
0.5-5.0
TSH < 0.5 = ?
Hyperthyroidism
TSH > 5.0 = ?
Hypothyroidism
Relationship between TSH & T3/T4?
Inverse
Hyperthyroidism can present as?
Mania
Hypothyroidism can present as?
Depression
PMHNP CERTIFICATION) Exam
Questions and Correct Answers|
Updated
What should you not do when advocating for a patient?
Judge or confront
What class of medication is contraindicated with tics?
Stimulants
What should you provide for prior to assessing abuse victims?
A safe environment
What are your actions if a child reports abuse?
First interview separately from parents then report to CPS
What should you do if a child plays with toys in a way that you suspect abuse?
Report to CPS
,In what setting as an inpatient provider should you interview a patient?
Use a private room with the door partially open
How should you begin your interview with adolescents?
By building rapport with them by ensuring confidentiality absent exceptions
Should you interview adolescents with or without parents?
Without
What if an adolescent tells you they are homosexual and they don't want their
parents to know?
This is confidential
The patient is being discharged and would like their labs faxed to the rehab
facility. What is your initial action?
Get informed consent/ROI
What do you do if a medical evaluation is needed?
Refer out - this is out of scope
What do you do if a patient is takes something and is feeling really funny/unwell
in your office?
Collect UDS and then refer out
,Is it considered a mental illness if it is an expected response culturally? What do
you offer as treatment?
No; brief supportive therapy - not medication
A mother states her child is experiencing a cultural illness. What is your initial
action?
Respect the mother's cultural understanding of illness prior to assessment
Native Americans view mental illness and SUDs as?
An imbalance between the individual and the world
What ethnic group has the highest rate of suicidality in the US?
Native Americans
If a patient believes they need a healing stick in their room, but the staff nurses
removed it from them - what should you do?
Teach cultural sensitivity and make accommodations for patient to have healing
stick available such as 1:1
Psychoeducation should be based on?
Cultural context
How do you promote health in a location with multiple ethnicities and
education levels?
, Multiple cultural education and ethnospecific assessment parameters
What if a patient wants a traditional healer?
Allow this - remember ROI/informed consent
Normal TSH?
0.5-5.0
TSH < 0.5 = ?
Hyperthyroidism
TSH > 5.0 = ?
Hypothyroidism
Relationship between TSH & T3/T4?
Inverse
Hyperthyroidism can present as?
Mania
Hypothyroidism can present as?
Depression
