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GEORGETTE REVIEW PMHNP EXAM LATEST 2024/2025 UPDATED QUESTIONS AND CORRECT DETAILED ANSWERS GRADED A+ $28.99
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GEORGETTE REVIEW PMHNP EXAM LATEST 2024/2025 UPDATED QUESTIONS AND CORRECT DETAILED ANSWERS GRADED A+

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GEORGETTE REVIEW PMHNP EXAM LATEST 2024/2025 UPDATED QUESTIONS AND CORRECT DETAILED ANSWERS GRADED A+

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  • July 22, 2024
  • 55
  • 2023/2024
  • Exam (elaborations)
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GEORGETTE REVIEW PMHNP EXAM LATEST
2024/2025 UPDATED QUESTIONS AND CORRECT
DETAILED ANSWERS GRADED A+




When many answers are remarkably similar, they are usually _____________ -
ANSWER-wrong


Interprofessional collaboration is encouraged. - ANSWER-Collaborate is usually
right.
Delegate is usually wrong.


ADPIER - ANSWER-Assessment, diagnosis, Plan, intervention, evaluate, refer
out last.


Lithium - ANSWER-Normal 0.6-1.2


Lithium toxicity occurs at levels - ANSWER-> 1.5

,Signs of Lithium toxicity - ANSWER-severe nausea, diarrhea, vomiting,
confusion, drowsiness, muscle weakness, heart palpitation, coarse hand
tremors, unsteady gait


Lithium is gold standard for - ANSWER-MANIA


Lithium has evidence shown to - ANSWER-reduce suicidal ideation


What does lithium cause in neonate, especially 1st trimester - ANSWER-Ebstein
anomaly (congenital heart defect)


dehydration and hyponatremia cause lithium levels to - ANSWER-rise
Lamotrigine is least likely to cause - ANSWER-sedation or weight gain


Carbamazepine (tegretol) black box warning - ANSWER-agranulocytosis
(decrease WBCs)
aplastic anemia (pallor, fatigue, HA, fever, nosebleeds, bleeding gums, skin
rash, SOA)


Carbamazepine and asians - ANSWER-Screen for HLAB-1502 allele before
initiating, due to high incidence of SJS if positive for allele.


Child-bearing aged women - ANSWER-check for pregnancy before starting
mood stabilizer
start on folic acid to support neural tube development during the first month
that a woman is pregnant


Baseline labs before initiation of lithium - 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 - 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 - ANSWER-staying hydrated
avoiding NSAIDS
compliance


Depakote normal level - ANSWER-50-125


Depakote toxicity level - ANSWER-greater than 150


Teratogenic effects of Depakote - ANSWER-spina bifida


Adverse effects of depakote - 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 - ANSWER-disorientation, lethargy, respiratory
depression, nausea/vomiting


Intervention for depakote toxicity - ANSWER-DC med
check level
LFT
ammonia


MAOI + tyramine causes - ANSWER-hypertensive crisis


Symptoms of hypertensive crisis - ANSWER-elevated BP
sudden explosive like headache
facial flushing
palpitations
pupillary dilation
diaphoresis
fever


Hypertensive crisis occurs with MAOI + - ANSWER-MEPERIDINE
STIMULANTS
decongestants
TCAs
atypicals
St. John's wart
L-tryptophan
asthma meds

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