LMR GEORGETTE PMHNP EXAM 4 2026
PSYCHOPHARMACOLOGY REVIEW
QUESTIONS ANSWERS VERIFIED GUIDE
◉ What class of medication is contraindicated with tics?
Answer: Stimulants
◉ What should you provide for prior to assessing abuse victims?
Answer: A safe environment
◉ What are your actions if a child reports abuse?
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?
Answer: Report to CPS
◉ In what setting as an inpatient provider should you interview a
patient?
Answer: Use a private room with the door partially open
◉ How should you begin your interview with adolescents?
,Answer: By building rapport with them by ensuring confidentiality
absent exceptions
◉ Should you interview adolescents with or without parents?
Answer: Without
◉ What if an adolescent tells you they are homosexual and they
don't want their parents to know?
Answer: This is confidential
◉ The patient is being discharged and would like their labs faxed to
the rehab facility. What is your initial action?
Answer: Get informed consent/ROI
◉ What do you do if a medical evaluation is needed?
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?
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?
,Answer: No; brief supportive therapy - not medication
◉ A mother states her child is experiencing a cultural illness. What
is your initial action?
Answer: Respect the mother's cultural understanding of illness prior
to assessment
◉ Native Americans view mental illness and SUDs as?
Answer: An imbalance between the individual and the world
◉ What ethnic group has the highest rate of suicidality in the US?
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?
Answer: Teach cultural sensitivity and make accommodations for
patient to have healing stick available such as 1:1
◉ Psychoeducation should be based on?
Answer: Cultural context
◉ How do you promote health in a location with multiple ethnicities
and education levels?
, Answer: Multiple cultural education and ethnospecific assessment
parameters
◉ What if a patient wants a traditional healer?
Answer: Allow this - remember ROI/informed consent
◉ Normal TSH?
Answer: 0.5-5.0
◉ TSH < 0.5 = ?
Answer: Hyperthyroidism
◉ TSH > 5.0 = ?
Answer: Hypothyroidism
◉ Relationship between TSH & T3/T4?
Answer: Inverse
◉ Hyperthyroidism can present as?
Answer: Mania
◉ Hypothyroidism can present as?
PSYCHOPHARMACOLOGY REVIEW
QUESTIONS ANSWERS VERIFIED GUIDE
◉ What class of medication is contraindicated with tics?
Answer: Stimulants
◉ What should you provide for prior to assessing abuse victims?
Answer: A safe environment
◉ What are your actions if a child reports abuse?
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?
Answer: Report to CPS
◉ In what setting as an inpatient provider should you interview a
patient?
Answer: Use a private room with the door partially open
◉ How should you begin your interview with adolescents?
,Answer: By building rapport with them by ensuring confidentiality
absent exceptions
◉ Should you interview adolescents with or without parents?
Answer: Without
◉ What if an adolescent tells you they are homosexual and they
don't want their parents to know?
Answer: This is confidential
◉ The patient is being discharged and would like their labs faxed to
the rehab facility. What is your initial action?
Answer: Get informed consent/ROI
◉ What do you do if a medical evaluation is needed?
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?
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?
,Answer: No; brief supportive therapy - not medication
◉ A mother states her child is experiencing a cultural illness. What
is your initial action?
Answer: Respect the mother's cultural understanding of illness prior
to assessment
◉ Native Americans view mental illness and SUDs as?
Answer: An imbalance between the individual and the world
◉ What ethnic group has the highest rate of suicidality in the US?
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?
Answer: Teach cultural sensitivity and make accommodations for
patient to have healing stick available such as 1:1
◉ Psychoeducation should be based on?
Answer: Cultural context
◉ How do you promote health in a location with multiple ethnicities
and education levels?
, Answer: Multiple cultural education and ethnospecific assessment
parameters
◉ What if a patient wants a traditional healer?
Answer: Allow this - remember ROI/informed consent
◉ Normal TSH?
Answer: 0.5-5.0
◉ TSH < 0.5 = ?
Answer: Hyperthyroidism
◉ TSH > 5.0 = ?
Answer: Hypothyroidism
◉ Relationship between TSH & T3/T4?
Answer: Inverse
◉ Hyperthyroidism can present as?
Answer: Mania
◉ Hypothyroidism can present as?
