What should you not do when advocating for a patient? - Answer Judge or confront
What class of medication is contraindicated with tics? - Answer Stimulants
What should you provide for prior to assessing abuse victims? - Answer A safe
environment
What are your actions if a child reports abuse? - Answer First interview separately from
parents then report to CPS
What should you do if a child plays with toys in a way that you suspect abuse? - Answer
Report to CPS
In what setting as an inpatient provider should you interview a patient? - Answer Use a
private room with the door partially open
How should you begin your interview with adolescents? - Answer By building rapport
with them by ensuring confidentiality absent exceptions
Should you interview adolescents with or without parents? - Answer Without
What if an adolescent tells you they are homosexual and they don't want their parents to
know? - Answer This is confidential
The patient is being discharged and would like their labs faxed to the rehab facility.
What is your initial action? - Answer Get informed consent/ROI
What do you do if a medical evaluation is needed? - Answer Refer out - this is out of
scope
What do you do if a patient is takes something and is feeling really funny/unwell in your
office? - Answer Collect UDS and then refer out
Is it considered a mental illness if it is an expected response culturally? What do you
offer as treatment? - Answer No; brief supportive therapy - not medication
A mother states her child is experiencing a cultural illness. What is your initial action? -
Answer Respect the mother's cultural understanding of illness prior to assessment
,Native Americans view mental illness and SUDs as? - Answer An imbalance between
the individual and the world
What ethnic group has the highest rate of suicidality in the US? - Answer Native
Americans
If a patient believes they need a healing stick in their room, but the staff nurses removed
it from them - what should you do? - Answer Teach cultural sensitivity and make
accommodations for patient to have healing stick available such as 1:1
Psychoeducation should be based on? - Answer Cultural context
How do you promote health in a location with multiple ethnicities and education levels? -
Answer Multiple cultural education and ethnospecific assessment parameters
What if a patient wants a traditional healer? - Answer Allow this - remember
ROI/informed consent
Normal TSH? - Answer 0.5-5.0
TSH < 0.5 = ? - Answer Hyperthyroidism
TSH > 5.0 = ? - Answer Hypothyroidism
Relationship between TSH & T3/T4? - Answer Inverse
Hyperthyroidism can present as? - Answer Mania
Hypothyroidism can present as? - Answer Depression
Normal depakote level? - Answer 50-125
Toxic depakote level? - Answer 150+
Birth defect caused by depakote? - Answer Spina Bifida
S/S of depakote toxicity? - Answer Disorientation, lethargy, decreased respiratory rate,
and N/V
What to do if there is depakote toxicity? - Answer D/C depakote and check VPA level,
LFTs, and ammonia
S/S of hepatotoxicity? - Answer RUQ pain, reddish brown urine, jaundice, fatigue, and
elevated LFTs
, Normal VAST? V- VAnswer V5-40
Normal VALT? V- VAnswer V5-35
V
Kava Vkava Vcan Vcause? V- VAnswer VLiver Vdamage Vand Vheavy Vsedation
Kava Vkava Vis Vc/i Vwith? V- VAnswer VBenzos Vor Vsedatives
V
Mood Vstabilizer Vmost Vassociated Vwith VSJS? V- VAnswer VLamictal
Mood Vstabilizer Vwith Vleast Vweight Vgain? V- VAnswer VLamictal
V
SGAs Vwith Vleast Vweight Vgain? V- VAnswer Vziprasidone, Vabilify, Vand
latuda VLeast Vsedating VSGA? V- VAnswer VAbilify
V
Routine Vlabs Vwith VSGAs? V- VAnswer VBMI, Vhip Vto Vwaist Vratio, Vglucose, VA1C, Vand Vlipid
Vpanel
Management Vof Vmetabolic Vsyndrome Vwith VSGAs? V- VAnswer V1. VNonpharm V= Vexercise
Vor Vnutritional Vcounseling
2. VPharm V= Vswitch Vto Vother VSGA Vwith Vlower Vchance Vof Vmetabolic Vsyndrome
Carbamazepine Vcan Vcause? V- VAnswer VAgranulocytosis Vand Vaplastic Vanemia
V
What Vshould Vyou Vscreen Vfor Vprior Vto Vstarting VAsians Von Vcarbamazepine Vand Vwhy? V-
VAnswer VHLAB1502 VAllele; Vrisk Vof VSJS
When Vshould Vyou Vd/c Vcarbamazepine Vif Vagranulocytosis Vis Vsuspected? V- VAnswer VIf
VANC Vis V< V1000 Vwith Vor Vwithout Vs/s Vof Vinfection
Lithium Vrange? V- VAnswer V0.6 V- V1.2
What Vto Vdo Vif Vlithium Vis V1.3 Vor V1.4? V- VAnswer VMonitor
What Vto Vdo Vif Vlithium Vis V1.5+? V- VAnswer VD/C
V
Benefits Vof Vlithium? V- VAnswer VGold Vstandard Vfor Vmania, Vneuroprotective, Vand
Vantisuicidal Veffects
S/S Vof Vlithium Vtoxicity? V- VAnswer VSevere VN/V, Vpolydipsia, Vpolyuria, Vleukocytosis,
Vpalpitations, Vcoarse Vtremor
What Vto Vdo Vif Vlithium Vtoxicity Vis Vsuspected? V- VAnswer VD/C Vand Vcheck Vserum Vlevels
Vprior Vto Vchecking VVS
What class of medication is contraindicated with tics? - Answer Stimulants
What should you provide for prior to assessing abuse victims? - Answer A safe
environment
What are your actions if a child reports abuse? - Answer First interview separately from
parents then report to CPS
What should you do if a child plays with toys in a way that you suspect abuse? - Answer
Report to CPS
In what setting as an inpatient provider should you interview a patient? - Answer Use a
private room with the door partially open
How should you begin your interview with adolescents? - Answer By building rapport
with them by ensuring confidentiality absent exceptions
Should you interview adolescents with or without parents? - Answer Without
What if an adolescent tells you they are homosexual and they don't want their parents to
know? - Answer This is confidential
The patient is being discharged and would like their labs faxed to the rehab facility.
What is your initial action? - Answer Get informed consent/ROI
What do you do if a medical evaluation is needed? - Answer Refer out - this is out of
scope
What do you do if a patient is takes something and is feeling really funny/unwell in your
office? - Answer Collect UDS and then refer out
Is it considered a mental illness if it is an expected response culturally? What do you
offer as treatment? - Answer No; brief supportive therapy - not medication
A mother states her child is experiencing a cultural illness. What is your initial action? -
Answer Respect the mother's cultural understanding of illness prior to assessment
,Native Americans view mental illness and SUDs as? - Answer An imbalance between
the individual and the world
What ethnic group has the highest rate of suicidality in the US? - Answer Native
Americans
If a patient believes they need a healing stick in their room, but the staff nurses removed
it from them - what should you do? - Answer Teach cultural sensitivity and make
accommodations for patient to have healing stick available such as 1:1
Psychoeducation should be based on? - Answer Cultural context
How do you promote health in a location with multiple ethnicities and education levels? -
Answer Multiple cultural education and ethnospecific assessment parameters
What if a patient wants a traditional healer? - Answer Allow this - remember
ROI/informed consent
Normal TSH? - Answer 0.5-5.0
TSH < 0.5 = ? - Answer Hyperthyroidism
TSH > 5.0 = ? - Answer Hypothyroidism
Relationship between TSH & T3/T4? - Answer Inverse
Hyperthyroidism can present as? - Answer Mania
Hypothyroidism can present as? - Answer Depression
Normal depakote level? - Answer 50-125
Toxic depakote level? - Answer 150+
Birth defect caused by depakote? - Answer Spina Bifida
S/S of depakote toxicity? - Answer Disorientation, lethargy, decreased respiratory rate,
and N/V
What to do if there is depakote toxicity? - Answer D/C depakote and check VPA level,
LFTs, and ammonia
S/S of hepatotoxicity? - Answer RUQ pain, reddish brown urine, jaundice, fatigue, and
elevated LFTs
, Normal VAST? V- VAnswer V5-40
Normal VALT? V- VAnswer V5-35
V
Kava Vkava Vcan Vcause? V- VAnswer VLiver Vdamage Vand Vheavy Vsedation
Kava Vkava Vis Vc/i Vwith? V- VAnswer VBenzos Vor Vsedatives
V
Mood Vstabilizer Vmost Vassociated Vwith VSJS? V- VAnswer VLamictal
Mood Vstabilizer Vwith Vleast Vweight Vgain? V- VAnswer VLamictal
V
SGAs Vwith Vleast Vweight Vgain? V- VAnswer Vziprasidone, Vabilify, Vand
latuda VLeast Vsedating VSGA? V- VAnswer VAbilify
V
Routine Vlabs Vwith VSGAs? V- VAnswer VBMI, Vhip Vto Vwaist Vratio, Vglucose, VA1C, Vand Vlipid
Vpanel
Management Vof Vmetabolic Vsyndrome Vwith VSGAs? V- VAnswer V1. VNonpharm V= Vexercise
Vor Vnutritional Vcounseling
2. VPharm V= Vswitch Vto Vother VSGA Vwith Vlower Vchance Vof Vmetabolic Vsyndrome
Carbamazepine Vcan Vcause? V- VAnswer VAgranulocytosis Vand Vaplastic Vanemia
V
What Vshould Vyou Vscreen Vfor Vprior Vto Vstarting VAsians Von Vcarbamazepine Vand Vwhy? V-
VAnswer VHLAB1502 VAllele; Vrisk Vof VSJS
When Vshould Vyou Vd/c Vcarbamazepine Vif Vagranulocytosis Vis Vsuspected? V- VAnswer VIf
VANC Vis V< V1000 Vwith Vor Vwithout Vs/s Vof Vinfection
Lithium Vrange? V- VAnswer V0.6 V- V1.2
What Vto Vdo Vif Vlithium Vis V1.3 Vor V1.4? V- VAnswer VMonitor
What Vto Vdo Vif Vlithium Vis V1.5+? V- VAnswer VD/C
V
Benefits Vof Vlithium? V- VAnswer VGold Vstandard Vfor Vmania, Vneuroprotective, Vand
Vantisuicidal Veffects
S/S Vof Vlithium Vtoxicity? V- VAnswer VSevere VN/V, Vpolydipsia, Vpolyuria, Vleukocytosis,
Vpalpitations, Vcoarse Vtremor
What Vto Vdo Vif Vlithium Vtoxicity Vis Vsuspected? V- VAnswer VD/C Vand Vcheck Vserum Vlevels
Vprior Vto Vchecking VVS
