Georgette PMHNP Review Questions and
Answers (2026) | Full Test Bank with
Verified Solutions | Grade A+
• What is a common mistake when reading test questions? -✓✓Skimming over the
words or reading them too quickly.
• What should you do with the answer choices? -✓✓Read all the answer choices and
narrow down to two possible right answers.
• What type of answer choices should you be wary of? -✓✓Absolutes such as 'all', 'only',
'always', 'never', etc., which are usually wrong.
• What does ABC stand for in nursing prioritization? -✓✓Airway, Breathing, and
Circulation.
• What is the first action if a patient has inhaled acetone? -✓✓Perform a urine drug
screen.
• What is the importance of culture in nursing care? -✓✓Culture should be included in all
nursing care and responses should respect cultural contexts.
• What is a culturally expected response to a stressful event? -✓✓It does not
necessarily indicate mental illness; it may be a normal response within their cultural
context.
• What is 'susto' in the Latino population? -✓✓A folk illness believed to result from a
shocking experience causing the soul to leave the body.
• What are the symptoms of 'ataque de nervios'? -✓✓Uncontrollable shouting, crying,
trembling, and aggression.
• What does 'mal de ojo' refer to? -✓✓Symptoms such as fatigue, headache, weight
loss, and malaise.
• What is the significance of 'empacho'? -✓✓It refers to indigestion or blocked intestines.
• What does 'mollera caida' mean? -✓✓It refers to a sunken fontanel in infants.
,• What is the concept of 'wind-cold' illness in TCM? -✓✓A pattern of symptoms
associated with an invasion of the body by external pathogenic factors, particularly wind
and cold.
• What is apoptosis? -✓✓Neuronal loss or cell death.
• What is the normal range for Thyroid-stimulating hormone (TSH)? -✓✓0.5-5.0 Mu/L.
• What symptoms mimic hypothyroidism? -✓✓Symptoms of depression.
• What symptoms mimic hyperthyroidism? -✓✓Symptoms of mania.
• What is divalproex sodium also known as? -✓✓Valproic acid (Depakote).
• What is a major concern when taking Depakote? -✓✓Hepatotoxicity (liver toxicity).
• What are signs of valproic acid toxicity? -✓✓Disorientation, lethargy, respiratory
depression, nausea/vomiting.
• What should be done if a patient shows signs of hepatotoxicity? -✓✓Discontinue the
offending agent and perform a liver function test.
• What is the therapeutic range for valproic acid? -✓✓50-125 pg/mL.
• What is the toxicity level for valproic acid? -✓✓Greater than 150 pg/mL.
• What should be included in a cultural formulation interview? -✓✓Clarify the meaning of
illness, contextualize the situation, and empower the patient.
• What is the role of interprofessional collaboration in nursing? -✓✓It is encouraged, not
delegating.
• What is a safety plan in nursing? -✓✓A plan that ensures safety for the patient and
others.
• What are the signs of valproic acid toxicity? -✓✓Disorientation, lethargy, respiratory
depression, nausea/vomiting.
• What interventions should be taken for valproic acid toxicity? -✓✓Discontinue
medication and check valproic acid levels, liver function tests, and ammonia levels.
• What serious condition can Depakote cause? -✓✓Pancreatitis, indicated by upper
abdominal pain, tenderness, fever, rapid pulse, nausea, vomiting, and oily stools.
, • What is Kava used for? -✓✓Anxiety, stress, insomnia, and muscle tension.
• What serious side effect can Kava cause? -✓✓Liver damage.
• What is a major interaction of Kava? -✓✓Concurrent use with alcohol may increase
the risk of liver toxicity.
• Which medications should not be used with Metoprolol? -✓✓Paroxetine and
Fluoxetine due to the risk of hypotension and bradycardia.
• What vitamins can improve depressive symptoms? -✓✓Vitamin B12, B6, Folate, and
Omega 3 Fatty acids.
• Which antipsychotics can cause QT prolongation? -✓✓Ziprasidone, Quetiapine,
Haloperidol, and Citalopram.
• Which SSRIs are considered least sedating? -✓✓Escitalopram (Lexapro) and
Fluoxetine.
• What is a paradoxical effect in medication? -✓✓When a medication produces the
opposite effect of its intended use.
• What is the most effective treatment for serotonin discontinuation syndrome? -
✓✓Resuming the antidepressant at the previously prescribed dose.
• What serious condition can Lamotrigine cause? -✓✓Stevens-Johnson syndrome
(SJS).
• Which mood stabilizer causes the least weight gain? -✓✓Lamotrigine (Lamictal).
• What are the antipsychotics that cause the least weight gain? -✓✓Ziprasidone,
Aripiprazole, and Lurasidone.
• What routine labs should be checked for patients on antipsychotics that can cause
weight gain? -✓✓Glucose, lipid panel, BMI, and hip-to-waist ratio.
• What nonpharmacologic strategies can manage antipsychotic-induced weight gain? -
✓✓Exercise and nutritional counseling.
• What lab tests are typically conducted for a new patient with mental illness? -
✓✓Comprehensive Metabolic Panel (CMP), Lipid Panel, A1C, CBC, Thyroid Function
Tests, Vitamin D Levels, Urinalysis.
Answers (2026) | Full Test Bank with
Verified Solutions | Grade A+
• What is a common mistake when reading test questions? -✓✓Skimming over the
words or reading them too quickly.
• What should you do with the answer choices? -✓✓Read all the answer choices and
narrow down to two possible right answers.
• What type of answer choices should you be wary of? -✓✓Absolutes such as 'all', 'only',
'always', 'never', etc., which are usually wrong.
• What does ABC stand for in nursing prioritization? -✓✓Airway, Breathing, and
Circulation.
• What is the first action if a patient has inhaled acetone? -✓✓Perform a urine drug
screen.
• What is the importance of culture in nursing care? -✓✓Culture should be included in all
nursing care and responses should respect cultural contexts.
• What is a culturally expected response to a stressful event? -✓✓It does not
necessarily indicate mental illness; it may be a normal response within their cultural
context.
• What is 'susto' in the Latino population? -✓✓A folk illness believed to result from a
shocking experience causing the soul to leave the body.
• What are the symptoms of 'ataque de nervios'? -✓✓Uncontrollable shouting, crying,
trembling, and aggression.
• What does 'mal de ojo' refer to? -✓✓Symptoms such as fatigue, headache, weight
loss, and malaise.
• What is the significance of 'empacho'? -✓✓It refers to indigestion or blocked intestines.
• What does 'mollera caida' mean? -✓✓It refers to a sunken fontanel in infants.
,• What is the concept of 'wind-cold' illness in TCM? -✓✓A pattern of symptoms
associated with an invasion of the body by external pathogenic factors, particularly wind
and cold.
• What is apoptosis? -✓✓Neuronal loss or cell death.
• What is the normal range for Thyroid-stimulating hormone (TSH)? -✓✓0.5-5.0 Mu/L.
• What symptoms mimic hypothyroidism? -✓✓Symptoms of depression.
• What symptoms mimic hyperthyroidism? -✓✓Symptoms of mania.
• What is divalproex sodium also known as? -✓✓Valproic acid (Depakote).
• What is a major concern when taking Depakote? -✓✓Hepatotoxicity (liver toxicity).
• What are signs of valproic acid toxicity? -✓✓Disorientation, lethargy, respiratory
depression, nausea/vomiting.
• What should be done if a patient shows signs of hepatotoxicity? -✓✓Discontinue the
offending agent and perform a liver function test.
• What is the therapeutic range for valproic acid? -✓✓50-125 pg/mL.
• What is the toxicity level for valproic acid? -✓✓Greater than 150 pg/mL.
• What should be included in a cultural formulation interview? -✓✓Clarify the meaning of
illness, contextualize the situation, and empower the patient.
• What is the role of interprofessional collaboration in nursing? -✓✓It is encouraged, not
delegating.
• What is a safety plan in nursing? -✓✓A plan that ensures safety for the patient and
others.
• What are the signs of valproic acid toxicity? -✓✓Disorientation, lethargy, respiratory
depression, nausea/vomiting.
• What interventions should be taken for valproic acid toxicity? -✓✓Discontinue
medication and check valproic acid levels, liver function tests, and ammonia levels.
• What serious condition can Depakote cause? -✓✓Pancreatitis, indicated by upper
abdominal pain, tenderness, fever, rapid pulse, nausea, vomiting, and oily stools.
, • What is Kava used for? -✓✓Anxiety, stress, insomnia, and muscle tension.
• What serious side effect can Kava cause? -✓✓Liver damage.
• What is a major interaction of Kava? -✓✓Concurrent use with alcohol may increase
the risk of liver toxicity.
• Which medications should not be used with Metoprolol? -✓✓Paroxetine and
Fluoxetine due to the risk of hypotension and bradycardia.
• What vitamins can improve depressive symptoms? -✓✓Vitamin B12, B6, Folate, and
Omega 3 Fatty acids.
• Which antipsychotics can cause QT prolongation? -✓✓Ziprasidone, Quetiapine,
Haloperidol, and Citalopram.
• Which SSRIs are considered least sedating? -✓✓Escitalopram (Lexapro) and
Fluoxetine.
• What is a paradoxical effect in medication? -✓✓When a medication produces the
opposite effect of its intended use.
• What is the most effective treatment for serotonin discontinuation syndrome? -
✓✓Resuming the antidepressant at the previously prescribed dose.
• What serious condition can Lamotrigine cause? -✓✓Stevens-Johnson syndrome
(SJS).
• Which mood stabilizer causes the least weight gain? -✓✓Lamotrigine (Lamictal).
• What are the antipsychotics that cause the least weight gain? -✓✓Ziprasidone,
Aripiprazole, and Lurasidone.
• What routine labs should be checked for patients on antipsychotics that can cause
weight gain? -✓✓Glucose, lipid panel, BMI, and hip-to-waist ratio.
• What nonpharmacologic strategies can manage antipsychotic-induced weight gain? -
✓✓Exercise and nutritional counseling.
• What lab tests are typically conducted for a new patient with mental illness? -
✓✓Comprehensive Metabolic Panel (CMP), Lipid Panel, A1C, CBC, Thyroid Function
Tests, Vitamin D Levels, Urinalysis.
