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2024 LMR EXAM WITH CORRECT ANSWERS
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2024 LMR EXAM WITH CORRECT ANSWERS
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2024 LMR EXAM WITH CORRECTANSWERS
Increased Ammonia levels is common in what toxicity ? - CORRECT-
ANSWERSDepakote (Valporic Acid)
3 things Kava is used for - CORRECT-ANSWERS1) Anxiety
2) Stress
3) Insomnia
What does it mean when a patient scores a 27 on the MMSE but diagnosed
with dementia ? - CORRECT-ANSWERS- something wrong with diagnosis
Pt in withdrawal should be referred to - CORRECT-ANSWERSResidential
treatment center
*safest option
Priority Action for pregnant addict - CORRECT-ANSWERS- send to residential
- NOT report to CPS
What to give a person who is withdrawing but has anxiety - CORRECT-
ANSWERS- Buspar
* NOT benzos
What type of nodule in the submandibular node is concerning ? - CORRECT-
ANSWERS- Fixed
- Painless
Score of 2 (or more) on CRAFFT or CAGE
- means what ?
- what should we do ? - CORRECT-ANSWERS- significant
- assess for coping skills
Pharmacies are considered ________, therefore ......... - CORRECT-ANSWERS-
3rd parties
- need a signed release
Dementia Patients - how to know they can give informed consent ? -
CORRECT-ANSWERS- can repeat benefits/risks of meds
,Initial action if pt is too sick to give consent - CORRECT-ANSWERSAssess for
involuntary treatment
At what Piaget stage is magical thinking normal ? - CORRECT-ANSWERS-
Preoperational Stage
- 2- 7 y.o.
At what Piaget stage are you able to test hypothesis & do a science
experiment ? - CORRECT-ANSWERS- Formal operational
- 12 y.o. & up
Fear of failure = what stage - CORRECT-ANSWERSInitiative vs Guilt (3 - 6)
BEFORE sending a script to pharmacy ... - CORRECT-ANSWERSMUST obtain
consent
* violate confidentiality
What type of symptom can stimulants cause ? - CORRECT-ANSWERSTics
What to prescribe if a pt who is taking a stimulants develops tics ? -
CORRECT-ANSWERSGuanfacine
Inpatient - Before D/C ensure what 2 things - CORRECT-ANSWERScoping
skills
WTD: Child reports abuse in front parents (2) - CORRECT-ANSWERS1st -
interview separately
2nd - CPS
2 thing okay to keep confidential from parents - CORRECT-ANSWERS1) Gay
2) Consensual Sex w/ same age
Separating kids from parents during an interview can cause .... - CORRECT-
ANSWERSA ethical dilemma
Before referring out, you should .... - CORRECT-ANSWERSSee if there is
something I can do
Teen c/o "weird/funny" feeling after inhaled acetone ... - CORRECT-
ANSWERS- get a UDS
What type of therapy should be offered once a cultural syndrome is identified
? - CORRECT-ANSWERSBrief Supportive Therapy
, Native Americans believe that mental illness & substance abuse is ... -
CORRECT-ANSWERSImbalance b/t individuals relationship with the world
What race has the highest rate of suicide AND suicide attempts - CORRECT-
ANSWERSNative Americans
Which race believes in a healing stick - CORRECT-ANSWERSNative Americans
What should you do if a nurse try's to take a patients "healing stick" away -
CORRECT-ANSWERS- teach cultural competency
What type of parameters to use when serving/providing education to a multi
cultural population ? - CORRECT-ANSWERSEthnospecific
Susto aka ... - CORRECT-ANSWERSFright
Cultural syndrome : soul leaving body - CORRECT-ANSWERSSusto "fright"
Cultural syndrome: uncontrollable shouting, crying, trembling, heat in the
chest rising to head - CORRECT-ANSWERSAtaque de nervios
Cultural syndrome: fatigue, headache, weight loss, exhaustion, malaise -
CORRECT-ANSWERSMal de ojo
Cultural syndrome: Mollera Caida - CORRECT-ANSWERSSunken Fontanel
Cultural syndrome: Empacho - CORRECT-ANSWERSBlocked intestine
Location of Hepatoxicity pain - CORRECT-ANSWERSRUQ (abdomen)
What type of toxicity: reddish brown urine - CORRECT-
ANSWERSHepatotoxcity (liver)
Interventions for Hepatotoxcity (2) - CORRECT-ANSWERS1) D/C offending
agent
2) check LFT
What type of toxicity:
- disorientation
- lethargy
- respiratory depression
- nausea/vomiting - CORRECT-ANSWERSValporic Acid
Intervention for Valporic Acid toxicity (4) - CORRECT-ANSWERS1) D/C agent
2) Ammonia lab
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