lOMoAR cPSD| 66470069
Georgette.LMR.2026.(2).-.notes
, lOMoAR cPSD| 66470069
Last.Minute.Review.(LMR)
❖.Exam.Layout
Scientific.Foundation:.33.Questions.(22%)
Advanced.Practice.Skills:.41.Questions.(27%)
Diagnosis.and.Treatment.33.Questions.(22%)
Psychotherapy.and.Related.Theories:.17.Questions.(11%)
Ethical.and.Legal.Principles:.26.Questions.(17%)
Total:.150
▪ 175.Questions.(25.are.Pilot.Questions)
●.175-50=.150=.500.POINTS
▪ 105/150.=.350/500.Points.=.PASS
3.5.Hours.Allotted.❖
.Test.Taking.Strategies
Read.the.entire.question.carefully.before.answering.and.identify.what.the.question.is.as
king
Do.not.skim.over.the.words.or.read.them.too.quickly.
▪ Pay.attention.to.keywords
Do.not.read.into.the.question
▪ Only.use.the.information.provided.to.answer.the.question
▪ Do.not.make.any.assumptions.or.add.information
▪ Try.not.to.apply.what.you..personally.do.in.practice
▪ Apply.what.you.know.from.modules.and.LMR
Read.all.the.answer.choices.▪
Narrow.down.to.2.possible.options
● pay.attention.the.the.last.sentence.of.the.question
▪ Partially.CORRECT.ANSWER.:s.are.not.the.answer
If.all.answers.seem.correct,.choose.umbrella.ter
m
When.two.answer.choices.are.the .opposite.of.one.another, .one.is.usually.correct
▪
▪
▪ The.right.answer.might.have.the.same.words.as.the.question,.or.synonym
▪ Chose.client-focused.answers
Downloaded.by.Geff.Mwaura.()
, lOMoAR cPSD| 66470069
When.many.response.choices.are.remarkably.similar,. they.are.usually.wrong
▪
● i.e.,.tics,.examiner.provides.3.stimulants.and.1.non-
stimulant,.even.without.knowing.stimulants.are.contraindicated.in.tics.just.seein
g.3.similar.choices.can.help.you.choose.an.answer.option
♦.tics.→.contraindication.to.stimulant.medication
▪
“Refer.for.medical.evaluation”.→.usually.incorrect.▪
Be.wary.of.absolutes
● All,.only,.always,.never,.must,.never,.none,.everything
● USUALLY.WRONG
Questions.that.use.adjectives.like.“priority”.or.“initial.action”.test.your.ability.to.prioritize
,.think.ABC,.Maslow’s,.nursing.process,.etc.
▪ Airway,.breathing,.circulation.(1)
▪ Maslow’s.Hierarchy.of.Needs.(2)
● Physiologic.needs.(food,.water,.warmth,.rest,.safety,.and.security,.etc.)
Safety.for.the.patient.is.usually.the.right.answer ●
● Safety.comes.before.nursing.process
♦.i.e.,.patient.tells.you.that.they.have.been.a.victim.of.abuse/rape,.priority.actio
n.→.provide.environment.of.safety,.Maslow’s.before.nursing.process
♦.i.e.,.child.comes.in.WITH..PARENT,.child.tell.you.they.have.been.abused.→.
interview.child.separately .→then.report.to.CPS
♦.i.e.,.child.comes.to.office.WITHOUT.PARENTS,.suspect.abuse.based.on.how.
child.plays.with.toy.(sexually).→..immediately.report.to.CPS.no.need.to.in
vestigate.on.own
suspicion.alone.is.enough.to.report.to.CPS
♦.i.e.,.interviewing.ADOLESCENTS,.interview.without.parent.→.let.them.know.t
hat.interview.is.confidential,.unless.harm.to.self.or.others.→.therapeutic.alli
ance.interview.WITHOUT.parents.unless.adolescents.request.it
i.e.,.can.create.ethical.dilemma.between.child,.parent,.and.provider.
(support.confidentiality
when.trying.to.separate.during.interview.→.advocate.for.adolescent.
)
Downloaded.by.Geff.Mwaura.()
, lOMoAR cPSD| 66470069
interested.in.same.sex.→.keep.confidential
consensual.relationship.with.someone.of.same.age.→.keep.confidential.c
onsensual.relationship.with.someone.of.different.age.→.may.want.to.tell.
parents
♦.i.e.,.inpatient.provider.→..ensure.patient.can.stay.safe.and.cope.effectively,.do
.not.discharge.someone.who.talks.about.self-
harm.without.support.system.no-
harm.or.safety.contract.→.answer.usually.incorrect.behavioral.management.a
nd.support.→.starts.after.admission
♦.i.e.,.do.not.interview.patients.in.room.or.day.room,.interview.in.private.area.w
ith.door.partially.open,.safety.over.privacy.d/t.aggression
▪ Nursing.process.(assessment.before.intervention).(3)
● Assessments.collect.data.to.support.problems.towards.resolution.●.Vital.signs,.l
ab.values,.etc..
Critical.thinking.is.important
▪.i.e.,.signs.of.lithium.toxicity,.priority.action,.d/c.lithium.and.check.serum.lithium.levels
Interprofessional.collaboration.is.encouraged
▪ Delegation.questions.are.usually.wrong
● i.e.,.ask.someone.else.to.perform.task,.usually.wrong,.choose.where.you.are.acti
vely.getting.involved.or.collaborating.with.another.professional
▪ Pick.questions.where.the. PMHNP.is.actively.involved
● i.e.,.Discharging.patient.to.rehab.facility,.facility.is.requesting.labs,.first.step.to.re
ceive.consent.from.patient.to.then.fax.the.labs,.do.not.just.send.over.labs
▪ Answer.options.that.include.“collaboration”.are.usually.correct
▪.Answers.options.that.state.“ask.the.dietitian”.or.“ask.the.charge.nurse”.are.usually.inc
orrect
● i.e.,.Collaborate.with.OB.for.patient.with.postpartum.depression.for.psychiatric.
evaluation.to.assess.SI/HI,.d/t.lack.of.assessments.post-partum.
▪ Avoid.medical.interventions.in.outpatient
● i.e.,.anorexia.nervosa,.cannot.stabilize.in.outpatient.but.can.complete.labs
▪.Referring.for.medical.evaluation.is.last.resort,.you.can.prepare.the.patient.prior.to.re
ferral.
● i.e.,.preliminary.urine.drug.screen.before.discharging.to.rehab.facility,.obtain.inf
ormed.consent.and.fax.over.labs.
Downloaded.by.Geff.Mwaura.()
Georgette.LMR.2026.(2).-.notes
, lOMoAR cPSD| 66470069
Last.Minute.Review.(LMR)
❖.Exam.Layout
Scientific.Foundation:.33.Questions.(22%)
Advanced.Practice.Skills:.41.Questions.(27%)
Diagnosis.and.Treatment.33.Questions.(22%)
Psychotherapy.and.Related.Theories:.17.Questions.(11%)
Ethical.and.Legal.Principles:.26.Questions.(17%)
Total:.150
▪ 175.Questions.(25.are.Pilot.Questions)
●.175-50=.150=.500.POINTS
▪ 105/150.=.350/500.Points.=.PASS
3.5.Hours.Allotted.❖
.Test.Taking.Strategies
Read.the.entire.question.carefully.before.answering.and.identify.what.the.question.is.as
king
Do.not.skim.over.the.words.or.read.them.too.quickly.
▪ Pay.attention.to.keywords
Do.not.read.into.the.question
▪ Only.use.the.information.provided.to.answer.the.question
▪ Do.not.make.any.assumptions.or.add.information
▪ Try.not.to.apply.what.you..personally.do.in.practice
▪ Apply.what.you.know.from.modules.and.LMR
Read.all.the.answer.choices.▪
Narrow.down.to.2.possible.options
● pay.attention.the.the.last.sentence.of.the.question
▪ Partially.CORRECT.ANSWER.:s.are.not.the.answer
If.all.answers.seem.correct,.choose.umbrella.ter
m
When.two.answer.choices.are.the .opposite.of.one.another, .one.is.usually.correct
▪
▪
▪ The.right.answer.might.have.the.same.words.as.the.question,.or.synonym
▪ Chose.client-focused.answers
Downloaded.by.Geff.Mwaura.()
, lOMoAR cPSD| 66470069
When.many.response.choices.are.remarkably.similar,. they.are.usually.wrong
▪
● i.e.,.tics,.examiner.provides.3.stimulants.and.1.non-
stimulant,.even.without.knowing.stimulants.are.contraindicated.in.tics.just.seein
g.3.similar.choices.can.help.you.choose.an.answer.option
♦.tics.→.contraindication.to.stimulant.medication
▪
“Refer.for.medical.evaluation”.→.usually.incorrect.▪
Be.wary.of.absolutes
● All,.only,.always,.never,.must,.never,.none,.everything
● USUALLY.WRONG
Questions.that.use.adjectives.like.“priority”.or.“initial.action”.test.your.ability.to.prioritize
,.think.ABC,.Maslow’s,.nursing.process,.etc.
▪ Airway,.breathing,.circulation.(1)
▪ Maslow’s.Hierarchy.of.Needs.(2)
● Physiologic.needs.(food,.water,.warmth,.rest,.safety,.and.security,.etc.)
Safety.for.the.patient.is.usually.the.right.answer ●
● Safety.comes.before.nursing.process
♦.i.e.,.patient.tells.you.that.they.have.been.a.victim.of.abuse/rape,.priority.actio
n.→.provide.environment.of.safety,.Maslow’s.before.nursing.process
♦.i.e.,.child.comes.in.WITH..PARENT,.child.tell.you.they.have.been.abused.→.
interview.child.separately .→then.report.to.CPS
♦.i.e.,.child.comes.to.office.WITHOUT.PARENTS,.suspect.abuse.based.on.how.
child.plays.with.toy.(sexually).→..immediately.report.to.CPS.no.need.to.in
vestigate.on.own
suspicion.alone.is.enough.to.report.to.CPS
♦.i.e.,.interviewing.ADOLESCENTS,.interview.without.parent.→.let.them.know.t
hat.interview.is.confidential,.unless.harm.to.self.or.others.→.therapeutic.alli
ance.interview.WITHOUT.parents.unless.adolescents.request.it
i.e.,.can.create.ethical.dilemma.between.child,.parent,.and.provider.
(support.confidentiality
when.trying.to.separate.during.interview.→.advocate.for.adolescent.
)
Downloaded.by.Geff.Mwaura.()
, lOMoAR cPSD| 66470069
interested.in.same.sex.→.keep.confidential
consensual.relationship.with.someone.of.same.age.→.keep.confidential.c
onsensual.relationship.with.someone.of.different.age.→.may.want.to.tell.
parents
♦.i.e.,.inpatient.provider.→..ensure.patient.can.stay.safe.and.cope.effectively,.do
.not.discharge.someone.who.talks.about.self-
harm.without.support.system.no-
harm.or.safety.contract.→.answer.usually.incorrect.behavioral.management.a
nd.support.→.starts.after.admission
♦.i.e.,.do.not.interview.patients.in.room.or.day.room,.interview.in.private.area.w
ith.door.partially.open,.safety.over.privacy.d/t.aggression
▪ Nursing.process.(assessment.before.intervention).(3)
● Assessments.collect.data.to.support.problems.towards.resolution.●.Vital.signs,.l
ab.values,.etc..
Critical.thinking.is.important
▪.i.e.,.signs.of.lithium.toxicity,.priority.action,.d/c.lithium.and.check.serum.lithium.levels
Interprofessional.collaboration.is.encouraged
▪ Delegation.questions.are.usually.wrong
● i.e.,.ask.someone.else.to.perform.task,.usually.wrong,.choose.where.you.are.acti
vely.getting.involved.or.collaborating.with.another.professional
▪ Pick.questions.where.the. PMHNP.is.actively.involved
● i.e.,.Discharging.patient.to.rehab.facility,.facility.is.requesting.labs,.first.step.to.re
ceive.consent.from.patient.to.then.fax.the.labs,.do.not.just.send.over.labs
▪ Answer.options.that.include.“collaboration”.are.usually.correct
▪.Answers.options.that.state.“ask.the.dietitian”.or.“ask.the.charge.nurse”.are.usually.inc
orrect
● i.e.,.Collaborate.with.OB.for.patient.with.postpartum.depression.for.psychiatric.
evaluation.to.assess.SI/HI,.d/t.lack.of.assessments.post-partum.
▪ Avoid.medical.interventions.in.outpatient
● i.e.,.anorexia.nervosa,.cannot.stabilize.in.outpatient.but.can.complete.labs
▪.Referring.for.medical.evaluation.is.last.resort,.you.can.prepare.the.patient.prior.to.re
ferral.
● i.e.,.preliminary.urine.drug.screen.before.discharging.to.rehab.facility,.obtain.inf
ormed.consent.and.fax.over.labs.
Downloaded.by.Geff.Mwaura.()
