LMR - Georgette's PMHNP Certification Exam
Review; Questions And Answers Verified 100%
Correct
Which SGA is the least sedating?
Aripiprazole (Abilify)
Your pt is taking Kava and you need to add an AS to manage their SCZ, which do
you add?
Aripiprazole (least sedating)
What are 2 hallmark symptoms of delirium?
Acute onset disturbance of LOC impaired
cognition inattention
How are agitation and psychotic symptoms treated in delirium?
Low dose Haldol (QTc check first)
16 y/o C/O feeling funny after inhaling Acetone (nail polish remover). What is your
action?
Do UDS; chances are they may be abusing other substances
What 4 drugs can cause mania?
"SAID"
Steroids
Antidepressants (in BPD)
Isoniazid (INH)
Disulfiram (Antabuse)
What 6 drugs can induce depression?
,"SIP BARB" Steroids
Interferon,
Progesterone
Beta blockers
Accutane, (Isotretinoin)
Retroviral drugs, Antineoplastic drugs
Benzodiazepines
Steroids can induce what 3 psychiatric states?
Mania
Depression
Psychosis
REMEMBER SAFETY FIRST; pt s/p assault, 1st thing you do is_____.
What is the best environment to interview this pt in?
reassure safety, provide environment of safety private
area with door open/partially open
What is the therapeutic range for lithium?
0.6-1.2 mEq/L
Many postpartum women have SI after delivery, yet they don’t have psych evals
before leaving the hospital, what could a possible solution be?
collaborating care between psych and OBGYN to provide the best care for that pt
If collaborating with a provider who is not in the same clinic or hospital, the
informed consent [does/does not] apply?
, Does not, ie pt will need to sign consent for labs/ chart to be sent
When discharging from inpatient you want [to fax/print off-give to pt.] labs for
the outpatient provider before pt discharge?
fax; so the new provider has them for follow-up appointment
Before referring a pt out or discharging them, it is good to ask yourself what
question?
is there something that I could do for this patient first?
What 3 things are MUST KNOWS about Lithium?
has neuroprotective effect for bipolar disorder
the gold standard for treating manic episodes the
mood stabilizer w/ anti-suicidal effects
What mood stabilizer has anti-suicidal effects?
Lithium
What 5 labs should be drawn with lithium?
Thyroid panel (TSH)
Serum creatinine
BUN
Urinalysis
HCG
What is a normal SerumCr range?
0.6-1.2 mg/dL
What is the normal range for BUN?
Review; Questions And Answers Verified 100%
Correct
Which SGA is the least sedating?
Aripiprazole (Abilify)
Your pt is taking Kava and you need to add an AS to manage their SCZ, which do
you add?
Aripiprazole (least sedating)
What are 2 hallmark symptoms of delirium?
Acute onset disturbance of LOC impaired
cognition inattention
How are agitation and psychotic symptoms treated in delirium?
Low dose Haldol (QTc check first)
16 y/o C/O feeling funny after inhaling Acetone (nail polish remover). What is your
action?
Do UDS; chances are they may be abusing other substances
What 4 drugs can cause mania?
"SAID"
Steroids
Antidepressants (in BPD)
Isoniazid (INH)
Disulfiram (Antabuse)
What 6 drugs can induce depression?
,"SIP BARB" Steroids
Interferon,
Progesterone
Beta blockers
Accutane, (Isotretinoin)
Retroviral drugs, Antineoplastic drugs
Benzodiazepines
Steroids can induce what 3 psychiatric states?
Mania
Depression
Psychosis
REMEMBER SAFETY FIRST; pt s/p assault, 1st thing you do is_____.
What is the best environment to interview this pt in?
reassure safety, provide environment of safety private
area with door open/partially open
What is the therapeutic range for lithium?
0.6-1.2 mEq/L
Many postpartum women have SI after delivery, yet they don’t have psych evals
before leaving the hospital, what could a possible solution be?
collaborating care between psych and OBGYN to provide the best care for that pt
If collaborating with a provider who is not in the same clinic or hospital, the
informed consent [does/does not] apply?
, Does not, ie pt will need to sign consent for labs/ chart to be sent
When discharging from inpatient you want [to fax/print off-give to pt.] labs for
the outpatient provider before pt discharge?
fax; so the new provider has them for follow-up appointment
Before referring a pt out or discharging them, it is good to ask yourself what
question?
is there something that I could do for this patient first?
What 3 things are MUST KNOWS about Lithium?
has neuroprotective effect for bipolar disorder
the gold standard for treating manic episodes the
mood stabilizer w/ anti-suicidal effects
What mood stabilizer has anti-suicidal effects?
Lithium
What 5 labs should be drawn with lithium?
Thyroid panel (TSH)
Serum creatinine
BUN
Urinalysis
HCG
What is a normal SerumCr range?
0.6-1.2 mg/dL
What is the normal range for BUN?
