GEORGETTE REVIEW PMHNP ACCURATE EXPERT VERIFIED ACTUAL QUESTIONS & ANSWERS FOR GUARANTEED PASS | NEWEST UPDATE

GEORGETTE REVIEW PMHNP ACCURATE EXPERT yl yl yl yl yl




VERIFIED ACTUAL QUESTIONS & ANSWERS FOR yl yl yl yl yl yl




GUARANTEED PASS|| LATEST UPDATE 2025/26 yl yl yl yl




When many CORRECTANSWERs are remarkably similar, they are usually
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-CORRECTANSWER wrong yl




Interprofessional collaboration is encouraged. -CORRECTANSWER Collaborate is
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usually right. yl




Delegate is usually wrong. yl yl yl




ADPIER -CORRECTANSWER Assessment, diagnosis, Plan, intervention, evaluate,
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refer out last.
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Lithium -CORRECTANSWER Normal 0.6-1.2
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Lithium toxicity occurs at levels -CORRECTANSWER > 1.5
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Signs of Lithium toxicity -CORRECTANSWER severe nausea, diarrhea, vomiting,
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confusion, drowsiness, muscle weakness, heart palpitation, coarse hand tremors,
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unsteady gait yl




Lithium is gold standard for -CORRECTANSWER MANIA
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,Lithium has evidence shown to -CORRECTANSWER reduce suicidal ideation
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What does lithium cause in neonate, especially 1st trimester -CORRECTANSWER
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Ebstein anomaly (congenital heart defect)
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dehydration and hyponatremia cause lithium levels to -CORRECTANSWER rise
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Baseline labs before initiation of lithium -CORRECTANSWER TSH
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creatinine (0.6-1.2) yl




BUN (10-20)
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HCG (all psychotropics females 12-51)
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EKG 50+ yl




Urinalysis (check for proteins, 4+ may indicate kidney disease)
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Side Effects of Lithium -CORRECTANSWER hypothyroidism
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coase hand tremors with toxicity
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maculopapular rash yl




diarrhea, vomiting, cramps--signs of toxicity. Monitor closely.
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anorexia

t wave inversions
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leukocytosis



Pt education for lithimum -CORRECTANSWER staying hydrated
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,avoiding NSAIDS yl




compliance



Depakote normal level -CORRECTANSWER 50-125
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Depakote toxicity level -CORRECTANSWER greater than 150
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Teratogenic effects of Depakote -CORRECTANSWER spina bifida
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Adverse effects of depakote -CORRECTANSWER alopecia
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hepatotoxicity (RUQ pain or brown/red urine--order LFTs) AST 5-40, ALT 5-35,
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yellowing of skin or eyes, fatigue
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Signs of Depakote toxicity -CORRECTANSWER disorientation, lethargy, respiratory
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depression, nausea/vomiting yl




Intervention for depakote toxicity -CORRECTANSWER DC med
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check level
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LFT

ammonia



MAOI + tyramine causes -CORRECTANSWER hypertensive crisis
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, Symptoms of hypertensive crisis -CORRECTANSWER elevated BP
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sudden explosive like headache
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facial flushing
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palpitations

pupillary dilationyl




diaphoresis

fever



Hypertensive crisis occurs with MAOI + -CORRECTANSWER MEPERIDINE
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STIMULANTS

decongestants

TCAs

atypicals

St. John's wart
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L-tryptophan

asthma meds yl




Treatment for hypertensive crisis -CORRECTANSWER DC offending agent
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Administer PHENTOLAMINE yl




Teratogenic effects of benzos -CORRECTANSWER floppy baby, cleft palate
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Teratogenic effects of tegratol -CORRECTANSWER neural tube defect
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