LMR Georgette’s PMHNP Exam
UPDATED ACTUAL QUESTIONS AND
CORRECT ANSWERS
What should you not do when advocating for a patient? - CORRECT ANSWER Judge
or confront
What class of medication is contraindicated with tics? - CORRECT
ANSWER Stimulants
What should you provide for prior to assessing abuse victims? - CORRECT
ANSWER A safe environment
What are your actions if a child reports abuse? - CORRECT ANSWER 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? - CORRECT
ANSWER Report to CPS
In what setting as an inpatient provider should you interview a patient? - CORRECT
ANSWER Use a private room with the door partially open
How should you begin your interview with adolescents? - CORRECT ANSWER By
building rapport with them by ensuring confidentiality absent exceptions
Should you interview adolescents with or without parents? - CORRECT
ANSWER Without
What if an adolescent tells you they are homosexual and they don't want their parents to
know? - CORRECT ANSWER This is confidential
,The patient is being discharged and would like their labs faxed to the rehab facility. What is
your initial action? - CORRECT ANSWER Get informed consent/ROI
What do you do if a medical evaluation is needed? - CORRECT ANSWER 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? - CORRECT ANSWER 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? - CORRECT ANSWER No; brief supportive therapy - not medication
A mother states her child is experiencing a cultural illness. What is your initial action? -
CORRECT ANSWER Respect the mother's cultural understanding of illness prior to
assessment
Native Americans view mental illness and SUDs as? - CORRECT ANSWER An
imbalance between the individual and the world
What ethnic group has the highest rate of suicidality in the US? - CORRECT
ANSWER 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? - CORRECT ANSWER Teach cultural sensitivity
and make accommodations for patient to have healing stick available such as 1:1
Psychoeducation should be based on? - CORRECT ANSWER Cultural context
How do you promote health in a location with multiple ethnicities and education levels? -
CORRECT ANSWER Multiple cultural education and ethnospecific assessment
parameters
, What if a patient wants a traditional healer? - CORRECT ANSWER Allow this -
remember ROI/informed consent
Normal TSH? - CORRECT ANSWER 0.5-5.0
TSH < 0.5 = ? - CORRECT ANSWER Hyperthyroidism
TSH > 5.0 = ? - CORRECT ANSWER Hypothyroidism
Relationship between TSH & T3/T4? - CORRECT ANSWER Inverse
Hyperthyroidism can present as? - CORRECT ANSWER Mania
Hypothyroidism can present as? - CORRECT ANSWER Depression
Normal depakote level? - CORRECT ANSWER 50-125
Toxic depakote level? - CORRECT ANSWER 150+
Birth defect caused by depakote? - CORRECT ANSWER Spina Bifida
S/S of depakote toxicity? - CORRECT ANSWER Disorientation, lethargy, decreased
respiratory rate, and N/V
What to do if there is depakote toxicity? - CORRECT ANSWER D/C depakote and
check VPA level, LFTs, and ammonia
S/S of hepatotoxicity? - CORRECT ANSWER RUQ pain, reddish brown urine,
jaundice, fatigue, and elevated LFTs
UPDATED ACTUAL QUESTIONS AND
CORRECT ANSWERS
What should you not do when advocating for a patient? - CORRECT ANSWER Judge
or confront
What class of medication is contraindicated with tics? - CORRECT
ANSWER Stimulants
What should you provide for prior to assessing abuse victims? - CORRECT
ANSWER A safe environment
What are your actions if a child reports abuse? - CORRECT ANSWER 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? - CORRECT
ANSWER Report to CPS
In what setting as an inpatient provider should you interview a patient? - CORRECT
ANSWER Use a private room with the door partially open
How should you begin your interview with adolescents? - CORRECT ANSWER By
building rapport with them by ensuring confidentiality absent exceptions
Should you interview adolescents with or without parents? - CORRECT
ANSWER Without
What if an adolescent tells you they are homosexual and they don't want their parents to
know? - CORRECT ANSWER This is confidential
,The patient is being discharged and would like their labs faxed to the rehab facility. What is
your initial action? - CORRECT ANSWER Get informed consent/ROI
What do you do if a medical evaluation is needed? - CORRECT ANSWER 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? - CORRECT ANSWER 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? - CORRECT ANSWER No; brief supportive therapy - not medication
A mother states her child is experiencing a cultural illness. What is your initial action? -
CORRECT ANSWER Respect the mother's cultural understanding of illness prior to
assessment
Native Americans view mental illness and SUDs as? - CORRECT ANSWER An
imbalance between the individual and the world
What ethnic group has the highest rate of suicidality in the US? - CORRECT
ANSWER 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? - CORRECT ANSWER Teach cultural sensitivity
and make accommodations for patient to have healing stick available such as 1:1
Psychoeducation should be based on? - CORRECT ANSWER Cultural context
How do you promote health in a location with multiple ethnicities and education levels? -
CORRECT ANSWER Multiple cultural education and ethnospecific assessment
parameters
, What if a patient wants a traditional healer? - CORRECT ANSWER Allow this -
remember ROI/informed consent
Normal TSH? - CORRECT ANSWER 0.5-5.0
TSH < 0.5 = ? - CORRECT ANSWER Hyperthyroidism
TSH > 5.0 = ? - CORRECT ANSWER Hypothyroidism
Relationship between TSH & T3/T4? - CORRECT ANSWER Inverse
Hyperthyroidism can present as? - CORRECT ANSWER Mania
Hypothyroidism can present as? - CORRECT ANSWER Depression
Normal depakote level? - CORRECT ANSWER 50-125
Toxic depakote level? - CORRECT ANSWER 150+
Birth defect caused by depakote? - CORRECT ANSWER Spina Bifida
S/S of depakote toxicity? - CORRECT ANSWER Disorientation, lethargy, decreased
respiratory rate, and N/V
What to do if there is depakote toxicity? - CORRECT ANSWER D/C depakote and
check VPA level, LFTs, and ammonia
S/S of hepatotoxicity? - CORRECT ANSWER RUQ pain, reddish brown urine,
jaundice, fatigue, and elevated LFTs
