GEORGETTE PMHNP REVIEW 2026-2027
QUESTIONS AND CORRECT ANSWERS GRADED
A+ PASS GUARANTEED
A male patient informs as adult PMHNP that he has not slept in three days, has
poor concentration, and denies fatigue. The patient's diagnosis is:
A. ADHD
B. Bipolar disorder
C. Panic disorder
D. Primary insomnia
bipolar disorder
The neuroprotective treatment of choice for bipolar disorder is
lithium
According to the current clinical guidelines for treating a patient with bipolar I
disorder mania with psychotic features, an adult psychiatric and mental health
nurse practitioner prescribes:
A.) Lithium
B. Citalopram
C. Lamotrigine
D. Quetiapine
quetiapine
,intrusive reexperiencing of a traumatic event
PTSD
symptoms of PTSD
hyperarousal, avoidance of stimuli associated with trauma, intrusive symptoms
When many answers are remarkably similar, they are usually _____________
wrong
Interprofessional collaboration is encouraged.
Collaborate is usually right.
Delegate is usually wrong.
ADPIER
Assessment, diagnosis, Plan, intervention, evaluate, refer out last.
Lithium
,Normal 0.6-1.2
Lithium toxicity occurs at levels
> 1.5
Signs of Lithium toxicity
severe nausea, diarrhea, vomiting, confusion, drowsiness, muscle weakness, heart
palpitation, coarse hand tremors, unsteady gait
Lithium is gold standard for
MANIA
Lithium has evidence shown to
reduce suicidal ideation
What does lithium cause in neonate, especially 1st trimester
Ebstein anomaly (congenital heart defect)
dehydration and hyponatremia cause lithium levels to
rise
, Baseline labs before initiation of lithium
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
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
staying hydrated
avoiding NSAIDS
compliance
QUESTIONS AND CORRECT ANSWERS GRADED
A+ PASS GUARANTEED
A male patient informs as adult PMHNP that he has not slept in three days, has
poor concentration, and denies fatigue. The patient's diagnosis is:
A. ADHD
B. Bipolar disorder
C. Panic disorder
D. Primary insomnia
bipolar disorder
The neuroprotective treatment of choice for bipolar disorder is
lithium
According to the current clinical guidelines for treating a patient with bipolar I
disorder mania with psychotic features, an adult psychiatric and mental health
nurse practitioner prescribes:
A.) Lithium
B. Citalopram
C. Lamotrigine
D. Quetiapine
quetiapine
,intrusive reexperiencing of a traumatic event
PTSD
symptoms of PTSD
hyperarousal, avoidance of stimuli associated with trauma, intrusive symptoms
When many answers are remarkably similar, they are usually _____________
wrong
Interprofessional collaboration is encouraged.
Collaborate is usually right.
Delegate is usually wrong.
ADPIER
Assessment, diagnosis, Plan, intervention, evaluate, refer out last.
Lithium
,Normal 0.6-1.2
Lithium toxicity occurs at levels
> 1.5
Signs of Lithium toxicity
severe nausea, diarrhea, vomiting, confusion, drowsiness, muscle weakness, heart
palpitation, coarse hand tremors, unsteady gait
Lithium is gold standard for
MANIA
Lithium has evidence shown to
reduce suicidal ideation
What does lithium cause in neonate, especially 1st trimester
Ebstein anomaly (congenital heart defect)
dehydration and hyponatremia cause lithium levels to
rise
, Baseline labs before initiation of lithium
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
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
staying hydrated
avoiding NSAIDS
compliance
