LMR Georgette's PMHNP Certification Exam Latest 2025/2026 Questions And Correct Answers(Verified Answers)

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LMR GEORGETTE’S PMHNP CERTIFICATION EX
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AM 2025| BRAND NEW ACTUAL EXAM WITH100
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% VERIFIED QUESTIONS AND CORRECT SOLUT
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IONS| GUARANTEED VALUE PACK| ACEYOUR G
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RADES.

One of your patients receiving psychiatric medication develops aninfe
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ction. What do you consider?
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Agranulocytosis
What antipsychotic is anti-suicidal in schizophrenia?
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Clozapine
When a young woman is suspected of a toxic dose of lithium, whatl
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ab should you obtain initially?
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HCG
If a patient has signs/symptoms of lithium toxicity but you have nola
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bs available, what do you do?
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DC lithium
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A patient with what medical condition is at risk for lithium toxicity?
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Cardiac failure (hyponatremia)
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What are the key indicators for NMS?
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Extreme muscle rigidity u u




Increased CPK u




If a depressed patient is taking a triptan for migraines, what shouldy
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ou prescribe for depression?
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Bupropion
What is first line treatment for MDD? Why?
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SSRIs
Safer in OD u u



What are the 2 antidepressants of choice in a depressed patient withcan
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cer? Why? u




Citalopram (Celexa) Es u u


citalopram (Lexapro) u


less risk for Drug-Drug Interaction
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What is the antidepressant of choice in a depressed patient withsex
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ual dysfunction?
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Bupropion
What is the antidepressant of choice in a depressed patient withd
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ecreased energy? u




Bupropion
What are 3 treatments for depressed patients with neuropathic pain?SN
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RI
TCA (think safety tho)
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Gabapentin/Pregabalin (alpha2 delta ligands) u u u u




BOLD = know u u




Which SSRI is most likely to cause insomnia?
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Fluoxetine (Prozac) u




What question is important to ask in the social history with adepres
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sed patient? u




Alcohol intake (self-medicating) u u




Suicidal ideation for children, adolescents, and young adults <24
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years is a BBW with what medications?
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all Antidepressants
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What question should ask all adolescent patients at each visit?
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Self harm (frequency and severity)
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Which 2 groups is it especially important to ask about SI at eachvisit
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?
Adolescence S u


chizophrenics
Alpha 2 adrenergic receptor blockers (Clonidine and Guanfacine) hav
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e lower tolerability in patients with schizophrenia. What effectsfrom th
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ese meds are limited in this population?
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the neuroprotective effects
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Why do children have a decreased placebo response with
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antidepressants?
Few evidence-based studies
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What is the onset of schizophrenia in males?
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18-25
What is the onset of schizophrenia in females?
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25-35
What question should ask schizophrenic patients at each visit?
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SI
What is the most likely diagnosis in a patient with homicidal ideation?
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Antisocial Personality Disorder u u




What would yo expect to see on an MRI/Pet scan in a patient withschizop
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hrenia?
All structures decreased EXCEPT Ventricles, they are enlarged
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Which class of agents should be avoided in patients withs
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chizophrenia?
Stimulants (will increase DA) u u u



Abnormalities, changes/deficits in which structures of the brain areasso
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ciated with aggressive and impulsive behavior ?
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Prefrontal cortex u u


Amygdala Hippo u


campus Basal g u u


anglia limbic Re u u


gions
What is Assertive Community Treatment (ACT)?
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Form of rehabilitation post hospitalization for Severe Mental Illness (SMI)Ca
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se management approach
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24/7 services u




Can patients receive Assertive Community Treatment (ACT) while int
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he hospital?
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No; think "community" in ACT
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What is the best treatment program for SMI patients with a long Hx ofp
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oor medication adherence?
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Assertive Community Treatment (ACT) u u u




Social skills training in a schizophrenic patient is what type ofprevention
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?
Tertiary
What are 3 benefits of aerobic exercise in schizophrenic patients?
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Increased cognition mprove u u




s Quality of Life improves Lo
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ng-
term healthWhat is a delus
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ion?
A firm belief despite contrary evidence
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Ex: Church members are part of a cult
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How often is Haldol Decanoate typically adminitered?
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monthly
If a patient is receiving Haldol 5 mg PO bid, how much HaldolDecanoate
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should they receive for the 1st month?
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