GEORGETTE REVIEW PMHNP 388 CONCEPT
REVIEW GUIDE 2026 THERAPEUTIC
COMMUNICATION AND PATIENT SAFETY
◉ Signs of fetal alcohol syndrome.
Answer: small head, shoey palpebral fissure, inner epicanthal folds.
Do IEP and early intervention specialist
◉ Rhett Syndrome.
Answer: a rare disorder found virtually exclusively in girls, is a
neurodevelopmental disorder in which the child usually develops
normally unitl about 6 to 18 months of age at which characteristics
of the syndrome emerge; characteristics include: hypotonia (loss of
muscle tone), reduced eye contact, decelerated head growth, and
disinterest in play activities
◉ EPS types.
Answer: Tardive dyskinesia happen after years (eps is a precursor).
Acute dystonia (hours), Parkinsons (weeks), Akathisia (days)
◉ Where do EPS originate.
Answer: nigrostiatal tract.
,◉ How does tegretol interact with cipro.
Answer: cipro and erythromycin are inhibitors. Cause increased
level of Tegretol. Black box warning
◉ Tegretol side effects.
Answer: Aplastic anemia, agranulocytosis, steven johnsons,
hyponatremia. Watch with cipro and erythro
◉ nuchal rigidity.
Answer: stiffness in cervical neck area, meningitis
◉ ACE inhibitors.
Answer: -pril, CHF
◉ signs of serotonin syndrome.
Answer: -shivering
-anxiety
-diaphoresis
-hyperthermia
Shits and Shivers
, diarrhea, shivering, hyperreflexia/myoclonis, increased
temperature, vital sign instability, encephalopathy, restlessness,
sweating
◉ Serotonin Discontinuation Syndrome.
Answer: syndrome caused by abrupt withdrawal of an
antidepressant drug, resulting in sensory disturbances, sleeping
disturbances, disequilibrium, flu-like symptoms, dizzy, vertigo,
paresthesia (brain zaps), nausea/vomiting, and gastrointestinal
effects
◉ NMS.
Answer: neuroleptic malignant syndrome
*S*evere fever
*C*hanging LOC
*A*utonomic instability
*R*igidity
*S*weating and drooling
FEVERS- fever, encephalopathy, vitals instability, elevated white
blood cell count/cpk, rigidity
◉ Levels of Prevention.
REVIEW GUIDE 2026 THERAPEUTIC
COMMUNICATION AND PATIENT SAFETY
◉ Signs of fetal alcohol syndrome.
Answer: small head, shoey palpebral fissure, inner epicanthal folds.
Do IEP and early intervention specialist
◉ Rhett Syndrome.
Answer: a rare disorder found virtually exclusively in girls, is a
neurodevelopmental disorder in which the child usually develops
normally unitl about 6 to 18 months of age at which characteristics
of the syndrome emerge; characteristics include: hypotonia (loss of
muscle tone), reduced eye contact, decelerated head growth, and
disinterest in play activities
◉ EPS types.
Answer: Tardive dyskinesia happen after years (eps is a precursor).
Acute dystonia (hours), Parkinsons (weeks), Akathisia (days)
◉ Where do EPS originate.
Answer: nigrostiatal tract.
,◉ How does tegretol interact with cipro.
Answer: cipro and erythromycin are inhibitors. Cause increased
level of Tegretol. Black box warning
◉ Tegretol side effects.
Answer: Aplastic anemia, agranulocytosis, steven johnsons,
hyponatremia. Watch with cipro and erythro
◉ nuchal rigidity.
Answer: stiffness in cervical neck area, meningitis
◉ ACE inhibitors.
Answer: -pril, CHF
◉ signs of serotonin syndrome.
Answer: -shivering
-anxiety
-diaphoresis
-hyperthermia
Shits and Shivers
, diarrhea, shivering, hyperreflexia/myoclonis, increased
temperature, vital sign instability, encephalopathy, restlessness,
sweating
◉ Serotonin Discontinuation Syndrome.
Answer: syndrome caused by abrupt withdrawal of an
antidepressant drug, resulting in sensory disturbances, sleeping
disturbances, disequilibrium, flu-like symptoms, dizzy, vertigo,
paresthesia (brain zaps), nausea/vomiting, and gastrointestinal
effects
◉ NMS.
Answer: neuroleptic malignant syndrome
*S*evere fever
*C*hanging LOC
*A*utonomic instability
*R*igidity
*S*weating and drooling
FEVERS- fever, encephalopathy, vitals instability, elevated white
blood cell count/cpk, rigidity
◉ Levels of Prevention.
