GEORGETTE'S LMR (GEORGETTE'S
PMHNP CERTIFICATION) EXAM 300
QUESTIONS AND CORRECT
DETAILED ANSWERS WITH EXPERT
FEEDBACK 2ALREADY A
GRADED|BRAND NEW!!
/. What should you not do when advocating for a patient? - Answer-✅Judge or confront
/.What class of medication is contraindicated with tics? - Answer-✅Stimulants
/.What should you provide for prior to assessing abuse victims? - Answer-✅A safe
environment
/.What are your actions if a child reports abuse? - Answer-✅First interview separately
from parents then report to CPS
/.What should you do if a child plays with toys in a way that you suspect abuse? -
Answer-✅Report to CPS
/.In what setting as an inpatient provider should you interview a patient? - Answer-
✅Use a private room with the door partially open
/.How should you begin your interview with adolescents? - Answer-✅By building rapport
with them by ensuring confidentiality absent exceptions
/.Should you interview adolescents with or without parents? - Answer-✅Without
/.What if an adolescent tells you they are homosexual and they don't want their parents
to know? - Answer-✅This is confidential
/.The patient is being discharged and would like their labs faxed to the rehab facility.
What is your initial action? - Answer-✅Get informed consent/ROI
/.What do you do if a medical evaluation is needed? - Answer-✅Refer out - this is out of
scope
,/.What do you do if a patient is takes something and is feeling really funny/unwell in your
office? - Answer-✅Collect UDS and then refer out
/.Is it considered a mental illness if it is an expected response culturally? What do you
offer as treatment? - Answer-✅No; brief supportive therapy - not medication
/.A mother states her child is experiencing a cultural illness. What is your initial action? -
Answer-✅Respect the mother's cultural understanding of illness prior to assessment
/.Native Americans view mental illness and SUDs as? - Answer-✅An imbalance
between the individual and the world
/.What ethnic group has the highest rate of suicidality in the US? - Answer-✅Native
Americans
/.If a patient believes they need a healing stick in their room, but the staff nurses
removed it from them - what should you do? - Answer-✅Teach cultural sensitivity and
make accommodations for patient to have healing stick available such as 1:1
/.Psychoeducation should be based on? - Answer-✅Cultural context
/.How do you promote health in a location with multiple ethnicities and education levels?
- Answer-✅Multiple cultural education and ethnospecific assessment parameters
/.What if a patient wants a traditional healer? - Answer-✅Allow this - remember
ROI/informed consent
/.Normal TSH? - Answer-✅0.5-5.0
/.TSH < 0.5 = ? - Answer-✅Hyperthyroidism
/.TSH > 5.0 = ? - Answer-✅Hypothyroidism
/.Relationship between TSH & T3/T4? - Answer-✅Inverse
/.Hyperthyroidism can present as? - Answer-✅Mania
/.Hypothyroidism can present as? - Answer-✅Depression
/.Normal depakote level? - Answer-✅50-125
/.Toxic depakote level? - Answer-✅150+
, /.Birth defect caused by depakote? - Answer-✅Spina Bifida
/.S/S of depakote toxicity? - Answer-✅Disorientation, lethargy, decreased respiratory
rate, and N/V
/.What to do if there is depakote toxicity? - Answer-✅D/C depakote and check VPA
level, LFTs, and ammonia
/.S/S of hepatotoxicity? - Answer-✅RUQ pain, reddish brown urine, jaundice, fatigue,
and elevated LFTs
/.Normal AST? - Answer-✅5-40
/.Normal ALT? - Answer-✅5-35
/.Kava kava can cause? - Answer-✅Liver damage and heavy sedation
/.Kava kava is c/i with? - Answer-✅Benzos or sedatives
/.Mood stabilizer most associated with SJS? - Answer-✅Lamictal
/.Mood stabilizer with least weight gain? - Answer-✅Lamictal
/.SGAs with least weight gain? - Answer-✅ziprasidone, abilify, and latuda
/.Least sedating SGA? - Answer-✅Abilify
/.Routine labs with SGAs? - Answer-✅BMI, hip to waist ratio, glucose, A1C, and lipid
panel
/.Management of metabolic syndrome with SGAs? - Answer-✅1. Nonpharm = exercise
or nutritional counseling
2. Pharm = switch to other SGA with lower chance of metabolic syndrome
/.Carbamazepine can cause? - Answer-✅Agranulocytosis and aplastic anemia
/.What should you screen for prior to starting Asians on carbamazepine and why? -
Answer-✅HLAB1502 Allele; risk of SJS
/.When should you d/c carbamazepine if agranulocytosis is suspected? - Answer-✅If
ANC is < 1000 with or without s/s of infection
/.Lithium range? - Answer-✅0.6 - 1.2
PMHNP CERTIFICATION) EXAM 300
QUESTIONS AND CORRECT
DETAILED ANSWERS WITH EXPERT
FEEDBACK 2ALREADY A
GRADED|BRAND NEW!!
/. What should you not do when advocating for a patient? - Answer-✅Judge or confront
/.What class of medication is contraindicated with tics? - Answer-✅Stimulants
/.What should you provide for prior to assessing abuse victims? - Answer-✅A safe
environment
/.What are your actions if a child reports abuse? - Answer-✅First interview separately
from parents then report to CPS
/.What should you do if a child plays with toys in a way that you suspect abuse? -
Answer-✅Report to CPS
/.In what setting as an inpatient provider should you interview a patient? - Answer-
✅Use a private room with the door partially open
/.How should you begin your interview with adolescents? - Answer-✅By building rapport
with them by ensuring confidentiality absent exceptions
/.Should you interview adolescents with or without parents? - Answer-✅Without
/.What if an adolescent tells you they are homosexual and they don't want their parents
to know? - Answer-✅This is confidential
/.The patient is being discharged and would like their labs faxed to the rehab facility.
What is your initial action? - Answer-✅Get informed consent/ROI
/.What do you do if a medical evaluation is needed? - Answer-✅Refer out - this is out of
scope
,/.What do you do if a patient is takes something and is feeling really funny/unwell in your
office? - Answer-✅Collect UDS and then refer out
/.Is it considered a mental illness if it is an expected response culturally? What do you
offer as treatment? - Answer-✅No; brief supportive therapy - not medication
/.A mother states her child is experiencing a cultural illness. What is your initial action? -
Answer-✅Respect the mother's cultural understanding of illness prior to assessment
/.Native Americans view mental illness and SUDs as? - Answer-✅An imbalance
between the individual and the world
/.What ethnic group has the highest rate of suicidality in the US? - Answer-✅Native
Americans
/.If a patient believes they need a healing stick in their room, but the staff nurses
removed it from them - what should you do? - Answer-✅Teach cultural sensitivity and
make accommodations for patient to have healing stick available such as 1:1
/.Psychoeducation should be based on? - Answer-✅Cultural context
/.How do you promote health in a location with multiple ethnicities and education levels?
- Answer-✅Multiple cultural education and ethnospecific assessment parameters
/.What if a patient wants a traditional healer? - Answer-✅Allow this - remember
ROI/informed consent
/.Normal TSH? - Answer-✅0.5-5.0
/.TSH < 0.5 = ? - Answer-✅Hyperthyroidism
/.TSH > 5.0 = ? - Answer-✅Hypothyroidism
/.Relationship between TSH & T3/T4? - Answer-✅Inverse
/.Hyperthyroidism can present as? - Answer-✅Mania
/.Hypothyroidism can present as? - Answer-✅Depression
/.Normal depakote level? - Answer-✅50-125
/.Toxic depakote level? - Answer-✅150+
, /.Birth defect caused by depakote? - Answer-✅Spina Bifida
/.S/S of depakote toxicity? - Answer-✅Disorientation, lethargy, decreased respiratory
rate, and N/V
/.What to do if there is depakote toxicity? - Answer-✅D/C depakote and check VPA
level, LFTs, and ammonia
/.S/S of hepatotoxicity? - Answer-✅RUQ pain, reddish brown urine, jaundice, fatigue,
and elevated LFTs
/.Normal AST? - Answer-✅5-40
/.Normal ALT? - Answer-✅5-35
/.Kava kava can cause? - Answer-✅Liver damage and heavy sedation
/.Kava kava is c/i with? - Answer-✅Benzos or sedatives
/.Mood stabilizer most associated with SJS? - Answer-✅Lamictal
/.Mood stabilizer with least weight gain? - Answer-✅Lamictal
/.SGAs with least weight gain? - Answer-✅ziprasidone, abilify, and latuda
/.Least sedating SGA? - Answer-✅Abilify
/.Routine labs with SGAs? - Answer-✅BMI, hip to waist ratio, glucose, A1C, and lipid
panel
/.Management of metabolic syndrome with SGAs? - Answer-✅1. Nonpharm = exercise
or nutritional counseling
2. Pharm = switch to other SGA with lower chance of metabolic syndrome
/.Carbamazepine can cause? - Answer-✅Agranulocytosis and aplastic anemia
/.What should you screen for prior to starting Asians on carbamazepine and why? -
Answer-✅HLAB1502 Allele; risk of SJS
/.When should you d/c carbamazepine if agranulocytosis is suspected? - Answer-✅If
ANC is < 1000 with or without s/s of infection
/.Lithium range? - Answer-✅0.6 - 1.2
