GEORGETTE PMHNP REVIEW
GUIDE 2025
BY DR. JULIAN PhD
Georgette PMHNP Review Guide 2025 – Complete
Psychiatric Mental Health Nurse Practitioner Prep
with NGN-Style Questions, Diagnostic Criteria,
Psych Meds & Exam Strategies | ANCC & Board
Exam Ready
,Georgette PMHNP Review Guide 2025
When many answers are remarkably similar, they are usually _____________-CORRECT
ANSWER ✔✔ wrong
Interprofessional collaboration is encouraged. -CORRECT ANSWER ✔✔ Collaborate is usually
right.
Delegate is usually wrong.
ADPIER-CORRECT ANSWER ✔✔ Assessment, diagnosis, Plan, intervention, evaluate, refer
out last.
Lithium-CORRECT ANSWER ✔✔ Normal 0.6-1.2
Lithium toxicity occurs at levels-CORRECT ANSWER ✔✔ > 1.5
Signs of Lithium toxicity-CORRECT ANSWER ✔✔ severe nausea, diarrhea, vomiting,
confusion, drowsiness, muscle weakness, heart palpitation, coarse hand tremors, unsteady gait
Lithium is gold standard for-CORRECT ANSWER ✔✔ MANIA
Lithium has evidence shown to-CORRECT ANSWER ✔✔ reduce suicidal ideation
What does lithium cause in neonate, especially 1st trimester-CORRECT ANSWER ✔✔ Ebstein
anomaly (congenital heart defect)
dehydration and hyponatremia cause lithium levels to-CORRECT ANSWER ✔✔ rise
,Baseline labs before initiation of lithium-CORRECT ANSWER ✔✔ 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-CORRECT ANSWER ✔✔ 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-CORRECT ANSWER ✔✔ staying hydrated
avoiding NSAIDS
compliance
Depakote normal level-CORRECT ANSWER ✔✔ 50-125
Depakote toxicity level-CORRECT ANSWER ✔✔ greater than 150
Teratogenic effects of Depakote-CORRECT ANSWER ✔✔ spina bifida
Adverse effects of depakote-CORRECT ANSWER ✔✔ alopecia
, hepatotoxicity (RUQ pain or brown/red urine--order LFTs) AST 5-40, ALT 5-35, yellowing of
skin or eyes, fatigue
Signs of Depakote toxicity-CORRECT ANSWER ✔✔ disorientation, lethargy, respiratory
depression, nausea/vomiting
Intervention for depakote toxicity-CORRECT ANSWER ✔✔ DC med
check level
LFT
ammonia
MAOI + tyramine causes-CORRECT ANSWER ✔✔ hypertensive crisis
Symptoms of hypertensive crisis-CORRECT ANSWER ✔✔ elevated BP
sudden explosive like headache
facial flushing
palpitations
pupillary dilation
diaphoresis
fever
Hypertensive crisis occurs with MAOI +-CORRECT ANSWER ✔✔ MEPERIDINE
STIMULANTS
decongestants
TCAs
atypicals
St. John's wart
GUIDE 2025
BY DR. JULIAN PhD
Georgette PMHNP Review Guide 2025 – Complete
Psychiatric Mental Health Nurse Practitioner Prep
with NGN-Style Questions, Diagnostic Criteria,
Psych Meds & Exam Strategies | ANCC & Board
Exam Ready
,Georgette PMHNP Review Guide 2025
When many answers are remarkably similar, they are usually _____________-CORRECT
ANSWER ✔✔ wrong
Interprofessional collaboration is encouraged. -CORRECT ANSWER ✔✔ Collaborate is usually
right.
Delegate is usually wrong.
ADPIER-CORRECT ANSWER ✔✔ Assessment, diagnosis, Plan, intervention, evaluate, refer
out last.
Lithium-CORRECT ANSWER ✔✔ Normal 0.6-1.2
Lithium toxicity occurs at levels-CORRECT ANSWER ✔✔ > 1.5
Signs of Lithium toxicity-CORRECT ANSWER ✔✔ severe nausea, diarrhea, vomiting,
confusion, drowsiness, muscle weakness, heart palpitation, coarse hand tremors, unsteady gait
Lithium is gold standard for-CORRECT ANSWER ✔✔ MANIA
Lithium has evidence shown to-CORRECT ANSWER ✔✔ reduce suicidal ideation
What does lithium cause in neonate, especially 1st trimester-CORRECT ANSWER ✔✔ Ebstein
anomaly (congenital heart defect)
dehydration and hyponatremia cause lithium levels to-CORRECT ANSWER ✔✔ rise
,Baseline labs before initiation of lithium-CORRECT ANSWER ✔✔ 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-CORRECT ANSWER ✔✔ 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-CORRECT ANSWER ✔✔ staying hydrated
avoiding NSAIDS
compliance
Depakote normal level-CORRECT ANSWER ✔✔ 50-125
Depakote toxicity level-CORRECT ANSWER ✔✔ greater than 150
Teratogenic effects of Depakote-CORRECT ANSWER ✔✔ spina bifida
Adverse effects of depakote-CORRECT ANSWER ✔✔ alopecia
, hepatotoxicity (RUQ pain or brown/red urine--order LFTs) AST 5-40, ALT 5-35, yellowing of
skin or eyes, fatigue
Signs of Depakote toxicity-CORRECT ANSWER ✔✔ disorientation, lethargy, respiratory
depression, nausea/vomiting
Intervention for depakote toxicity-CORRECT ANSWER ✔✔ DC med
check level
LFT
ammonia
MAOI + tyramine causes-CORRECT ANSWER ✔✔ hypertensive crisis
Symptoms of hypertensive crisis-CORRECT ANSWER ✔✔ elevated BP
sudden explosive like headache
facial flushing
palpitations
pupillary dilation
diaphoresis
fever
Hypertensive crisis occurs with MAOI +-CORRECT ANSWER ✔✔ MEPERIDINE
STIMULANTS
decongestants
TCAs
atypicals
St. John's wart
