Georgette’s LMR PMHNP Actual Certification
Review 2025 – Psychiatric-Mental Health NP
NEWEST 2025/2026 COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+||BRAND
NEW!!
When does behavior management and support begin? - answer-Admission-
Behavior management and support starts when the patient is admitted. It does
not start couple days after or when they discharge
Where should you interview patients? - answer-When interviewing patient you
want to interview them in the day room where you can have the door slightly
open this allows us to have confidentiality but also keep staff safe.
*Learn as much as you can about the patient BEFORE entering room.
What should you do if a child reports abuse while with parents? - answer--You
should separate parents and child and interview you them separately
-Report them to CPS
A child comes without parents and notice that the child is playing in a sexual
way with a toy. what should you suspect? - answer-*sexual abuse
,-You can immediately report to CPS suspecting alone is enough. You are not
required to notify parents/legal guardian that you are reporting them.
-Put in Sexual precaution when admitted to hospital.
-If the child is standing in a sexual way. (We need to worry about sexual abuse)
When T3 and T4 are high, what happens to the TSH and what happens and
symptoms are experienced ? - answer-The TSH secretion decreases
hyperthyroidism and causes heat intolerance, agitation, anxiety, irritability,
tachycardia, mood swings, weight loss.
When T3 and T4 are low, what happens with TSH what happens and symptoms
are experienced ? - answer-The TSH increases and causes hypothyroidism and
they experience cold intolerance lethargy, weight gain, decrease libido
What is happens if Patient takes depakote (Dipoprolax) while pregnant -
answer-Spina bifida neural tube defect
What are symptoms of Hepatotoxicity ? - answer-Red/ brown urine, RUQ pain
What should you do if a patient is showing signs of Hepatotoxicity? - answer--
Has the patient immediately STOP the medication!
-Check LFT (AST/ALT)
What labs should be checked when a patient is on depakote regulary? -
answer-AST(5-40)/ALT(5-35)(Liver function test right away)
,Therapeutic levels for valproate acid are? - answer-50-125 Toxicity occurs in
levels above 150
What can depakote cause? - answer-It can cause pancreatitis s/s patient
complaining of abdomen pain that radiates to back/
What are signs and symptoms the Nurse may recognize with valproic acid
toxicity? - answer-*Disorientation
*Lethargy
*Respiratory depression
*nausea/vomiting
What would hyponatremia cause in a patient on lithium? - answer-Increased
lithium level
What is Neuroleptic malignant syndrome? - answer-Is the adverse effect of use
of antipsychotic
What causes NMS? - answer-Antipsychotics, especially high potency drugs (e.g.
haloperidol, risperidone)
Pt on medication presents with-:
-**Mutism
, -**Hyperthermia
- Tachycardia
- Diaphoresis
- Altered LOC
What do you suspect? - answer-NMS- will have muscle rigidity as well.
What labs will be abnormal in NMS? - answer--Myoglobinuria
-*** Elevated CPK (muscle contraction/muscle destruction) (Rhabdo)
-Elevated WBC's (leukocytosis)
-Elevated LFT's (liver function tests)
What my you see in the urine in a pt with NMS - answer-Myoglobinuria due to
muscle breakdown (rhabdo)
What is the treatment for NMS? - answer--DC medication
-Dantrolene - If they are having muscle rigidity (Muscle relaxant)
-Bromocriptine If they are trying to increase dopamine (D2 agonist)
When some one is depressed the amygdala? - answer-Depression causes the
amygdala causes it to enlarge.
What is amygdala in charge of? - answer--Fear,
-Anxiety,
-Aggression,
Review 2025 – Psychiatric-Mental Health NP
NEWEST 2025/2026 COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+||BRAND
NEW!!
When does behavior management and support begin? - answer-Admission-
Behavior management and support starts when the patient is admitted. It does
not start couple days after or when they discharge
Where should you interview patients? - answer-When interviewing patient you
want to interview them in the day room where you can have the door slightly
open this allows us to have confidentiality but also keep staff safe.
*Learn as much as you can about the patient BEFORE entering room.
What should you do if a child reports abuse while with parents? - answer--You
should separate parents and child and interview you them separately
-Report them to CPS
A child comes without parents and notice that the child is playing in a sexual
way with a toy. what should you suspect? - answer-*sexual abuse
,-You can immediately report to CPS suspecting alone is enough. You are not
required to notify parents/legal guardian that you are reporting them.
-Put in Sexual precaution when admitted to hospital.
-If the child is standing in a sexual way. (We need to worry about sexual abuse)
When T3 and T4 are high, what happens to the TSH and what happens and
symptoms are experienced ? - answer-The TSH secretion decreases
hyperthyroidism and causes heat intolerance, agitation, anxiety, irritability,
tachycardia, mood swings, weight loss.
When T3 and T4 are low, what happens with TSH what happens and symptoms
are experienced ? - answer-The TSH increases and causes hypothyroidism and
they experience cold intolerance lethargy, weight gain, decrease libido
What is happens if Patient takes depakote (Dipoprolax) while pregnant -
answer-Spina bifida neural tube defect
What are symptoms of Hepatotoxicity ? - answer-Red/ brown urine, RUQ pain
What should you do if a patient is showing signs of Hepatotoxicity? - answer--
Has the patient immediately STOP the medication!
-Check LFT (AST/ALT)
What labs should be checked when a patient is on depakote regulary? -
answer-AST(5-40)/ALT(5-35)(Liver function test right away)
,Therapeutic levels for valproate acid are? - answer-50-125 Toxicity occurs in
levels above 150
What can depakote cause? - answer-It can cause pancreatitis s/s patient
complaining of abdomen pain that radiates to back/
What are signs and symptoms the Nurse may recognize with valproic acid
toxicity? - answer-*Disorientation
*Lethargy
*Respiratory depression
*nausea/vomiting
What would hyponatremia cause in a patient on lithium? - answer-Increased
lithium level
What is Neuroleptic malignant syndrome? - answer-Is the adverse effect of use
of antipsychotic
What causes NMS? - answer-Antipsychotics, especially high potency drugs (e.g.
haloperidol, risperidone)
Pt on medication presents with-:
-**Mutism
, -**Hyperthermia
- Tachycardia
- Diaphoresis
- Altered LOC
What do you suspect? - answer-NMS- will have muscle rigidity as well.
What labs will be abnormal in NMS? - answer--Myoglobinuria
-*** Elevated CPK (muscle contraction/muscle destruction) (Rhabdo)
-Elevated WBC's (leukocytosis)
-Elevated LFT's (liver function tests)
What my you see in the urine in a pt with NMS - answer-Myoglobinuria due to
muscle breakdown (rhabdo)
What is the treatment for NMS? - answer--DC medication
-Dantrolene - If they are having muscle rigidity (Muscle relaxant)
-Bromocriptine If they are trying to increase dopamine (D2 agonist)
When some one is depressed the amygdala? - answer-Depression causes the
amygdala causes it to enlarge.
What is amygdala in charge of? - answer--Fear,
-Anxiety,
-Aggression,
