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PMHNP LMR Exam Study Guide with Complete Solutions $12.49   Add to cart

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PMHNP LMR Exam Study Guide with Complete Solutions

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  • 2024/2025
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PMHNP LMR Exam Study Guide with Complete Solutions Collaboration vs. Delegation - Answer-Delegate as least as possible Collaborating is preferred and more likely the correct answer When should a PMHNP refer out? (ADPIER) Scenario: Teenager is feeling funny because they inhaled acetone - Answe...

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  • October 15, 2024
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  • 2024/2025
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EMILLECT 2024/2025 ACADEMIC YEAR ©2024 EMILLECT. ALL RIGHTS RESERVED. FIRST PUBLISH OCTOBER 2024.




PMHNP LMR Exam Study Guide with
Complete Solutions

Collaboration vs. Delegation - Answer✔✔-Delegate as least as possible




Collaborating is preferred and more likely the correct answer


When should a PMHNP refer out?




(ADPIER)




Scenario: Teenager is feeling funny because they inhaled acetone - Answer✔✔-It has to be

within the scope of a PMHNP




Assessment


Diagnosis


Plan


Intervention


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,EMILLECT 2024/2025 ACADEMIC YEAR ©2024 EMILLECT. ALL RIGHTS RESERVED. FIRST PUBLISH OCTOBER 2024.



Evaluate


REFER OUT LAST




1) Screen for substance use - is it something I can manage


2) Can order a urine Tox


Does not need to refer out yet!


Lithium therapeutic level - 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


Baseline labs before initiation of lithium - Answer✔✔-TSH


creatinine (0.6-1.2)


Page 2/74

,EMILLECT 2024/2025 ACADEMIC YEAR ©2024 EMILLECT. ALL RIGHTS RESERVED. FIRST PUBLISH OCTOBER 2024.



BUN (10-20)


HCG (all psychotropics females 12-51)


EKG 50+


Urinalysis (check for proteins, 4+ may indicate kidney disease)


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


BBW for Depakote


S/SX of each


Any appropriate labs - Answer✔✔-hepatotoxicity


- RUQ abdominal pain


- yellowing of the skin


- red/brown urine


- fatigued


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, EMILLECT 2024/2025 ACADEMIC YEAR ©2024 EMILLECT. ALL RIGHTS RESERVED. FIRST PUBLISH OCTOBER 2024.



Labs: LFTs (ALT 5-35; AST 5-40)




pancreatitis


- Abdominal pain- especially after meals


- oily stools


- fever


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



Page 4/74

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