GEORGETTE'S LMR PMHNP CERTIFICATION EXAM 2025/2026 LATEST
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 do you do re: patient info if transfering to a rehab facility? - ANSWER-obtain informed
consent and FAX the lab (don't print/have patient carry)
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
Susto - ANSWER-"fright", from Latin populations, result from shocking experiences that cause
soul to leave body
Ataque de nervios - ANSWER-Puerto Rican, uncontrollable shouting and maybe aggression
Mal de ojo - ANSWER-evil eye, causes fatigue, headache, weight loss, exhaustion
empacho - ANSWER-blocked intesting: indigestion, feeling bloated/nauseous
mollera caida - ANSWER-sunken fontanel
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
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 do you do re: patient info if transfering to a rehab facility? - ANSWER-obtain informed
consent and FAX the lab (don't print/have patient carry)
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
Susto - ANSWER-"fright", from Latin populations, result from shocking experiences that cause
soul to leave body
Ataque de nervios - ANSWER-Puerto Rican, uncontrollable shouting and maybe aggression
Mal de ojo - ANSWER-evil eye, causes fatigue, headache, weight loss, exhaustion
empacho - ANSWER-blocked intesting: indigestion, feeling bloated/nauseous
mollera caida - ANSWER-sunken fontanel
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
