LMR – Georgette’s PMHNP Certification Exam 2025 | Latest Verified Questions and Correct Answers

LMR – Georgette’s PMHNP Certification Exam 2025 | Latest Verified Questions and Correct Answers Description: This up-to-date 2025 exam prep guide offers verified questions and correct answers for the PMHNP certification exam, based on LMR and Georgette’s curated content. It covers key psychiatric and neurobiological concepts, pharmacology, legal cases, developmental theories, diagnostic criteria (DSM 5), neurotransmitters, and clinical scenarios. The document is ideal for final preparation and reinforces test readiness through high-yield Q&A format tailored for nurse practitioners. Acmprosate contraindicated with who? - -Pts with kidney problems Acute disseminated encephalomyelitis (ADEM) action - -check cytokines (will be increased), neuro exam, assess asymmetry of extremities, send to ER acute stress disorder vs PTSD - -PTSD 1 month Acute stress disorder 1 mont ADHD neurotransmitters - -decrease in dopamine and norepinephrine adjustment disorder - -reaction to a specific life event; less than 6 months advanced sleep phase type - -Falling asleep and waking earlier than desired Ages of Schizophrenia - -18-25 males 25-35 females Aims - -abnormal involuntary movement scale Akathisia - -motor restlessness Alcohol abuse neurotransmitters - -increase in GABA and dopamine and decrease in serotonin alcohol dehydrogenase - -an enzyme in the stomach that breaks down alcohol; women have less than men amino acids - -Glutamate and GABA Anorexia vs. Bulimia - -Major difference between two conditions is control. Anorexic is usually already below healthy weight, ,still perceives own weight is unacceptable, attempts to lower weight further by limiting food intake. Bulimic has no sense of control over eating habits. Eat excessively and then attempt to overcompensate for excessive food intake. anterior cingulate cortex - -critical for stress; implicated in childhood trauma Anxiety neurotransmitters - -increased norepinephrine and decreased GABA Appreciate Inquiry - -an approach that seeks to identify the unique qualities and special strengths of an organization, which can then be built on to improve performance arcus senilis - -gray-white arc or circle around the limbus of the iris that is common with aging; hyperlipidemia At what level is lithium toxicity a medical emergency? - -3 Ativan in pregnancy - -floppy baby and cleft palate autism and pruning - -Excess synapses caused by under-pruning (patient oversensitive to light/sounds and seizures) Autism Spectrum Disorder - -a disorder that appears in childhood and is marked by significant deficiencies in communication and social interaction, and by rigidly fixated interests and repetitive behaviors autonomic nervous system - -the part of the peripheral nervous system that controls the glands and the muscles of the internal organs Avoid cymbalta with alcohol patients why? - -Liver damage- check LFTs axons and dendrites - -axon away from cell and dendrites to neuron's cell body basal ganglia - -directs intentional movements and is also called the corpus striatum Beck inventory severe score - -Over 30 is severe Bipolar I vs Bipolar II - -Bipolar I: All that is required for Dx is 1 Manic Episode (No depressive episode needed). Bipolar II: Requires at least one depressive episode and a Hypomanic Episode bipolar neurotransmitters - -increased glutamate Brain Changes in Alzheimer's Disease - -amyloid plaques and neurofibrillary tangles brief psychotic disorder - -Psychotic disturbance involving delusions, hallucinations, or disorganized speech or behavior but lasting less than 1 month; often occurs in reaction to a stressor. CAT for PTSD - -Guided imagery Celexa and Lexapro side effect - -Prolonged QT interval change agent - -the person formally in charge of guiding a change effort Cholinergic - -acetylcholine and neuropeptides Cholinesterase inhibitors - -Donepezil Rivastigmine Galantamine classical conditioning - -a type of learning in which one learns to link two or more stimuli and anticipate events client readiness to learn - -emotional, physical, experiential, and knowledge readiness CNS is made up of - -brain and spinal cord conversion disorder - -neurological symptoms that cannot be explained by medical disease or culturally sanctioned behavior cornerstone of evidence-based practice - -systematic reviews Crisis Intervention Steps - -1. Identify the problem 2. List alternatives 3. Choose from alternatives 4. Implement the plan 5. Evaluate the outcome Criteria for admitting anorexic patient - -weight less than 75% of ideal body weight, low temp, low pulse, low bp criteria for involuntary admission - -- P