Georgette's LMR Flashcards made based off of
Georgette's Last Minute Review latest 2025
What should you not do when advocating for a patient? - ANS-Judge or confront
What class of medication is contraindicated with tics? - ANS-Stimulants
What should you provide for prior to assessing abuse victims? - ANS-A safe
environment
What are your actions if a child reports abuse? - ANS-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? - ANS-
Report to CPS
In what setting as an inpatient provider should you interview a patient? - ANS-Use a
private room with the door partially open
How should you begin your interview with adolescents? - ANS-By building rapport with
them by ensuring confidentiality absent exceptions
Should you interview adolescents with or without parents? - ANS-Without
What if an adolescent tells you they are homosexual and they don't want their parents to
know? - ANS-This is confidential
The patient is being discharged and would like their labs faxed to the rehab facility.
What is your initial action? - ANS-Get informed consent/ROI
What do you do if a medical evaluation is needed? - ANS-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? - ANS-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? - ANS-No; brief supportive therapy - not medication
A mother states her child is experiencing a cultural illness. What is your initial action? -
ANS-Respect the mother's cultural understanding of illness prior to assessment
Native Americans view mental illness and SUDs as? - ANS-An imbalance between the
individual and the world
,What ethnic group has the highest rate of suicidality in the US? - ANS-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? - ANS-Teach cultural sensitivity and make
accommodations for patient to have healing stick available such as 1:1
Psychoeducation should be based on? - ANS-Cultural context
How do you promote health in a location with multiple ethnicities and education levels? -
ANS-Multiple cultural education and ethnospecific assessment parameters
What if a patient wants a traditional healer? - ANS-Allow this - remember ROI/informed
consent
Normal TSH? - ANS-0.5-5.0
TSH < 0.5 = ? - ANS-Hyperthyroidism
TSH > 5.0 = ? - ANS-Hypothyroidism
Relationship between TSH & T3/T4? - ANS-Inverse
Hyperthyroidism can present as? - ANS-Mania
Hypothyroidism can present as? - ANS-Depression
Normal depakote level? - ANS-50-125
Toxic depakote level? - ANS-150+
Birth defect caused by depakote? - ANS-Spina Bifida
S/S of depakote toxicity? - ANS-Disorientation, lethargy, decreased respiratory rate, and
N/V
What to do if there is depakote toxicity? - ANS-D/C depakote and check VPA level,
LFTs, and ammonia
S/S of hepatotoxicity? - ANS-RUQ pain, reddish brown urine, jaundice, fatigue, and
elevated LFTs
Normal AST? - ANS-5-40
Normal ALT? - ANS-5-35
Kava kava can cause? - ANS-Liver damage and heavy sedation
, Kava kava is c/i with? - ANS-Benzos or sedatives
Mood stabilizer most associated with SJS? - ANS-Lamictal
Mood stabilizer with least weight gain? - ANS-Lamictal
SGAs with least weight gain? - ANS-ziprasidone, abilify, and latuda
Least sedating SGA? - ANS-Abilify
Routine labs with SGAs? - ANS-BMI, hip to waist ratio, glucose, A1C, and lipid panel
Management of metabolic syndrome with SGAs? - ANS-1. Nonpharm = exercise or
nutritional counseling
2. Pharm = switch to other SGA with lower chance of metabolic syndrome
Carbamazepine can cause? - ANS-Agranulocytosis and aplastic anemia
What should you screen for prior to starting Asians on carbamazepine and why? - ANS-
HLAB1502 Allele; risk of SJS
When should you d/c carbamazepine if agranulocytosis is suspected? - ANS-If ANC is <
1000 with or without s/s of infection
Lithium range? - ANS-0.6 - 1.2
What to do if lithium is 1.3 or 1.4? - ANS-Monitor
What to do if lithium is 1.5+? - ANS-D/C
Benefits of lithium? - ANS-Gold standard for mania, neuroprotective, and antisuicidal
effects
S/S of lithium toxicity? - ANS-Severe N/V, polydipsia, polyuria, leukocytosis,
palpitations, coarse tremor
What to do if lithium toxicity is suspected? - ANS-D/C and check serum levels prior to
checking VS
Kidney disease and drugs that reduce renal clearance can raise lithium levels. What are
these drugs? - ANS-NSAIDs, ace inhibitors for heart failure (-pril), and thiazides (HCTZ)
What demonstrates understanding of education on lithium? - ANS-Taking extra water
with patient when they go hiking
Georgette's Last Minute Review latest 2025
What should you not do when advocating for a patient? - ANS-Judge or confront
What class of medication is contraindicated with tics? - ANS-Stimulants
What should you provide for prior to assessing abuse victims? - ANS-A safe
environment
What are your actions if a child reports abuse? - ANS-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? - ANS-
Report to CPS
In what setting as an inpatient provider should you interview a patient? - ANS-Use a
private room with the door partially open
How should you begin your interview with adolescents? - ANS-By building rapport with
them by ensuring confidentiality absent exceptions
Should you interview adolescents with or without parents? - ANS-Without
What if an adolescent tells you they are homosexual and they don't want their parents to
know? - ANS-This is confidential
The patient is being discharged and would like their labs faxed to the rehab facility.
What is your initial action? - ANS-Get informed consent/ROI
What do you do if a medical evaluation is needed? - ANS-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? - ANS-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? - ANS-No; brief supportive therapy - not medication
A mother states her child is experiencing a cultural illness. What is your initial action? -
ANS-Respect the mother's cultural understanding of illness prior to assessment
Native Americans view mental illness and SUDs as? - ANS-An imbalance between the
individual and the world
,What ethnic group has the highest rate of suicidality in the US? - ANS-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? - ANS-Teach cultural sensitivity and make
accommodations for patient to have healing stick available such as 1:1
Psychoeducation should be based on? - ANS-Cultural context
How do you promote health in a location with multiple ethnicities and education levels? -
ANS-Multiple cultural education and ethnospecific assessment parameters
What if a patient wants a traditional healer? - ANS-Allow this - remember ROI/informed
consent
Normal TSH? - ANS-0.5-5.0
TSH < 0.5 = ? - ANS-Hyperthyroidism
TSH > 5.0 = ? - ANS-Hypothyroidism
Relationship between TSH & T3/T4? - ANS-Inverse
Hyperthyroidism can present as? - ANS-Mania
Hypothyroidism can present as? - ANS-Depression
Normal depakote level? - ANS-50-125
Toxic depakote level? - ANS-150+
Birth defect caused by depakote? - ANS-Spina Bifida
S/S of depakote toxicity? - ANS-Disorientation, lethargy, decreased respiratory rate, and
N/V
What to do if there is depakote toxicity? - ANS-D/C depakote and check VPA level,
LFTs, and ammonia
S/S of hepatotoxicity? - ANS-RUQ pain, reddish brown urine, jaundice, fatigue, and
elevated LFTs
Normal AST? - ANS-5-40
Normal ALT? - ANS-5-35
Kava kava can cause? - ANS-Liver damage and heavy sedation
, Kava kava is c/i with? - ANS-Benzos or sedatives
Mood stabilizer most associated with SJS? - ANS-Lamictal
Mood stabilizer with least weight gain? - ANS-Lamictal
SGAs with least weight gain? - ANS-ziprasidone, abilify, and latuda
Least sedating SGA? - ANS-Abilify
Routine labs with SGAs? - ANS-BMI, hip to waist ratio, glucose, A1C, and lipid panel
Management of metabolic syndrome with SGAs? - ANS-1. Nonpharm = exercise or
nutritional counseling
2. Pharm = switch to other SGA with lower chance of metabolic syndrome
Carbamazepine can cause? - ANS-Agranulocytosis and aplastic anemia
What should you screen for prior to starting Asians on carbamazepine and why? - ANS-
HLAB1502 Allele; risk of SJS
When should you d/c carbamazepine if agranulocytosis is suspected? - ANS-If ANC is <
1000 with or without s/s of infection
Lithium range? - ANS-0.6 - 1.2
What to do if lithium is 1.3 or 1.4? - ANS-Monitor
What to do if lithium is 1.5+? - ANS-D/C
Benefits of lithium? - ANS-Gold standard for mania, neuroprotective, and antisuicidal
effects
S/S of lithium toxicity? - ANS-Severe N/V, polydipsia, polyuria, leukocytosis,
palpitations, coarse tremor
What to do if lithium toxicity is suspected? - ANS-D/C and check serum levels prior to
checking VS
Kidney disease and drugs that reduce renal clearance can raise lithium levels. What are
these drugs? - ANS-NSAIDs, ace inhibitors for heart failure (-pril), and thiazides (HCTZ)
What demonstrates understanding of education on lithium? - ANS-Taking extra water
with patient when they go hiking
