GEORGETTE ACTUAL 2026 STUDY GUIDE QUESTIONS AND
ANSWERS GRADED A+
✔✔CAGE screening tool - ✔✔cut down, annoyed, guilty, eye opener
✔✔Acute onset
altered level of consciousness
inattenion
poor prognosis--1 year mortality rate of is up to 40% - ✔✔delirium
✔✔Treatment of choice for delirium - ✔✔haloperidol
✔✔Avoid which class in delirium as it tends to prolong it - ✔✔benzos
✔✔impaired executive functioning, impaired problem solving, impaired organizational
skills, altered memory.
slow onset - ✔✔dementia
✔✔John is a 58 year old male patient with Bipolar 1 disorder and has been stable for 5
years on valproate and Seroquel. He was recently started on Flonase by his primary
care. As the PMHNP, you are concerned that the addition of the Flonase may cause
A. A hypertensive crisis
B. SJS
C. NMS
D. a manic episode - ✔✔a manic episode
✔✔A 16-year off boy presents with a long head, large ears, and hyper extensible joints,
is very shy, and starts rocking and flapping his hands when he is upset. Which of the
following is your most likely diagnosis?
A. Tourette disorder
B. Autism
C. Fragile X
D. Rett disorder - ✔✔Fragile X
✔✔What muscle relaxant is recommended to be used in treatment of NMS?
A. Bromocriptine
B. Trihexyphenidyl
C. Dantrolene
D. Benztropine - ✔✔Dantrolene
✔✔A week after raising the dose of clomipramine, a patient treated for depression
presents to the clinic with reports of change in mental status, fever, and hyperreflexxia.
As the treating PMHNP, you know these symptoms are consistent with which of the
following?
,A. NMS
B. EPS
C. Hypertensive crisis
D. Serotonin syndrome - ✔✔serotonin syndrome
✔✔A 24 year olf female attempts suicide by overdose on an MAOI phenelzine. She is
stabilized in the hospital. Ten days later she is started on venlafaxine and becomes
tachycardia and diaphoretic, and develops myoclonic jerks. What condition is this?
A. NMS
B. Opisthotonos
C. Akathisia
D. Serotonin syndrome - ✔✔serotonin syndrome
✔✔a 17 year old arrives at the emergency department with nonspecific complaints The
patient's temperature is 100.8, pulse rate and blood pressure are elevated, and pupils
are dilated with decreased reaction to light. Two days ago, the patient began taking
sertraline for the treatment of depression. the patient has a history of substance use and
smoked marijuana one week ago. The diagnosis is - ✔✔serotonin syndrome
✔✔Patient being treated for psychosis for 2 weeks develops symptoms of NMS. The
following factors help the pMHNP to differentiate NMS from serotonin syndrome.
A. autonomic instability, diaphoresis, tremors
B. Hyperthermia, leukopenia, tachycardia
C. Rigidity, hyperrefelexia, orthostatic hypotension
D. Mutism, leukocytosis, myoglobinuria - ✔✔mutism, leukocytosis, myoglobinuria
✔✔Appraisal of the patient's SI plan, intent and access to implement plan would be
documented in which part of standard psychiatric evaluation
A Review of symptoms.
B. Diagnosis
C. Mental status exam
D. History of presenting illness - ✔✔C mental status exam
✔✔a 48 year off Caucasian male presents for his therapy appointment. He is sad about
losing his wife recently to covid 19. He reports feeling thoughts of hurting himself. He
has a past history of overdosing on propranolol several years ago. Which of the
following places him at higher risk of suicide?
A. Previous attempt
B. Age
C. Gender
D. Marital Status - ✔✔A previous attempt
✔✔Which of the following patients is at higher risk of suicidie?
A. 30 year old married African American female with previous attempt
B. A 35 year old single Asian male with previous suicide attempt
, C. A 38 year old single African American male who is manager of a bank
D. A 68 year off single Caucasian male with depression - ✔✔D. 68 year old single,
caucasian male, depression
✔✔A 64 year old caucasian male referred for treatment of refractory depression by his
PCP reports continued lack of purpose, insomnia, decreased energy, reduced interest
in pleasurable activities since losing his wife hit by a drunk driver 3 months ago. Which
of the following is an assessment priority?
A. Prior and current meds, dose, clinical response, side effects.
B. Thoughts of self-harm, plan, intent, access
C. Extent of alcohol use, and motivation to reduce to safe levels
D. Sleep patterns and hygiene - ✔✔thoughts of self-harm, plan, intent, access
✔✔A married female patient has been in therapy with an adult psychiatric and mental
health nurse practitioner for 3 months. The patient's husband abuses alcohol and
refuses treatment. The night before the next scheduled appointment, the patient
telephones the clinical nurse specialist stating that her husband is drunk, violent, and
threatening to kill her. The PMHNPs priority intervention is
A. To arrange for an emergency psychiatric intervention
B. Arrange for the woman's safety
C. Request a restraining order
D. Request to speak to the husband - ✔✔Arrange for the woman's safety.
✔✔A client says to the PMHNP, Some days life is just not worth it. All my wife and I do
is fight and scream. Things at home were be calmer and simpler if I just wasn't there
anymore." The most therapeutic response is:
A. Do you mean yo are thinking about leaving your wife to moving out?"
B. Tell me what you mean by "it would be simpler if you weren't there anymore."
C. So you are thinking suicide might be an option for you?
D. Remain silent. - ✔✔B. Tell me what you mean by "it would be simpler if you weren't
there anymore"
✔✔While working with an older male client, the nurse begins to think that the client
reminds her of her grandfather and responds as if she is the granddaughter. The nurse
is developing which of the following?
A. Empathy
B. Modeling
C. Transference
D. Countertransference - ✔✔D Countertransferance
✔✔Moderate level on the MMSE - ✔✔10-20
✔✔Moderate level on the HAM-D - ✔✔14-18
✔✔Moderate level on the PHQ-9 - ✔✔10-14
ANSWERS GRADED A+
✔✔CAGE screening tool - ✔✔cut down, annoyed, guilty, eye opener
✔✔Acute onset
altered level of consciousness
inattenion
poor prognosis--1 year mortality rate of is up to 40% - ✔✔delirium
✔✔Treatment of choice for delirium - ✔✔haloperidol
✔✔Avoid which class in delirium as it tends to prolong it - ✔✔benzos
✔✔impaired executive functioning, impaired problem solving, impaired organizational
skills, altered memory.
slow onset - ✔✔dementia
✔✔John is a 58 year old male patient with Bipolar 1 disorder and has been stable for 5
years on valproate and Seroquel. He was recently started on Flonase by his primary
care. As the PMHNP, you are concerned that the addition of the Flonase may cause
A. A hypertensive crisis
B. SJS
C. NMS
D. a manic episode - ✔✔a manic episode
✔✔A 16-year off boy presents with a long head, large ears, and hyper extensible joints,
is very shy, and starts rocking and flapping his hands when he is upset. Which of the
following is your most likely diagnosis?
A. Tourette disorder
B. Autism
C. Fragile X
D. Rett disorder - ✔✔Fragile X
✔✔What muscle relaxant is recommended to be used in treatment of NMS?
A. Bromocriptine
B. Trihexyphenidyl
C. Dantrolene
D. Benztropine - ✔✔Dantrolene
✔✔A week after raising the dose of clomipramine, a patient treated for depression
presents to the clinic with reports of change in mental status, fever, and hyperreflexxia.
As the treating PMHNP, you know these symptoms are consistent with which of the
following?
,A. NMS
B. EPS
C. Hypertensive crisis
D. Serotonin syndrome - ✔✔serotonin syndrome
✔✔A 24 year olf female attempts suicide by overdose on an MAOI phenelzine. She is
stabilized in the hospital. Ten days later she is started on venlafaxine and becomes
tachycardia and diaphoretic, and develops myoclonic jerks. What condition is this?
A. NMS
B. Opisthotonos
C. Akathisia
D. Serotonin syndrome - ✔✔serotonin syndrome
✔✔a 17 year old arrives at the emergency department with nonspecific complaints The
patient's temperature is 100.8, pulse rate and blood pressure are elevated, and pupils
are dilated with decreased reaction to light. Two days ago, the patient began taking
sertraline for the treatment of depression. the patient has a history of substance use and
smoked marijuana one week ago. The diagnosis is - ✔✔serotonin syndrome
✔✔Patient being treated for psychosis for 2 weeks develops symptoms of NMS. The
following factors help the pMHNP to differentiate NMS from serotonin syndrome.
A. autonomic instability, diaphoresis, tremors
B. Hyperthermia, leukopenia, tachycardia
C. Rigidity, hyperrefelexia, orthostatic hypotension
D. Mutism, leukocytosis, myoglobinuria - ✔✔mutism, leukocytosis, myoglobinuria
✔✔Appraisal of the patient's SI plan, intent and access to implement plan would be
documented in which part of standard psychiatric evaluation
A Review of symptoms.
B. Diagnosis
C. Mental status exam
D. History of presenting illness - ✔✔C mental status exam
✔✔a 48 year off Caucasian male presents for his therapy appointment. He is sad about
losing his wife recently to covid 19. He reports feeling thoughts of hurting himself. He
has a past history of overdosing on propranolol several years ago. Which of the
following places him at higher risk of suicide?
A. Previous attempt
B. Age
C. Gender
D. Marital Status - ✔✔A previous attempt
✔✔Which of the following patients is at higher risk of suicidie?
A. 30 year old married African American female with previous attempt
B. A 35 year old single Asian male with previous suicide attempt
, C. A 38 year old single African American male who is manager of a bank
D. A 68 year off single Caucasian male with depression - ✔✔D. 68 year old single,
caucasian male, depression
✔✔A 64 year old caucasian male referred for treatment of refractory depression by his
PCP reports continued lack of purpose, insomnia, decreased energy, reduced interest
in pleasurable activities since losing his wife hit by a drunk driver 3 months ago. Which
of the following is an assessment priority?
A. Prior and current meds, dose, clinical response, side effects.
B. Thoughts of self-harm, plan, intent, access
C. Extent of alcohol use, and motivation to reduce to safe levels
D. Sleep patterns and hygiene - ✔✔thoughts of self-harm, plan, intent, access
✔✔A married female patient has been in therapy with an adult psychiatric and mental
health nurse practitioner for 3 months. The patient's husband abuses alcohol and
refuses treatment. The night before the next scheduled appointment, the patient
telephones the clinical nurse specialist stating that her husband is drunk, violent, and
threatening to kill her. The PMHNPs priority intervention is
A. To arrange for an emergency psychiatric intervention
B. Arrange for the woman's safety
C. Request a restraining order
D. Request to speak to the husband - ✔✔Arrange for the woman's safety.
✔✔A client says to the PMHNP, Some days life is just not worth it. All my wife and I do
is fight and scream. Things at home were be calmer and simpler if I just wasn't there
anymore." The most therapeutic response is:
A. Do you mean yo are thinking about leaving your wife to moving out?"
B. Tell me what you mean by "it would be simpler if you weren't there anymore."
C. So you are thinking suicide might be an option for you?
D. Remain silent. - ✔✔B. Tell me what you mean by "it would be simpler if you weren't
there anymore"
✔✔While working with an older male client, the nurse begins to think that the client
reminds her of her grandfather and responds as if she is the granddaughter. The nurse
is developing which of the following?
A. Empathy
B. Modeling
C. Transference
D. Countertransference - ✔✔D Countertransferance
✔✔Moderate level on the MMSE - ✔✔10-20
✔✔Moderate level on the HAM-D - ✔✔14-18
✔✔Moderate level on the PHQ-9 - ✔✔10-14
