PMHNP Certification Exam- Georgette & ANA
questions and verified answers|100%
correct|2025/2026
Mood d/o - ANSWER-
B B B
Serotonin, NE, Glutamate, and Dopamine are implicated in mood regulation
B B B B B B B B B
Serotonin - ANSWER-low levels cause depression
B B B B B
Norepinephrine (NE) - ANSWER-imbalances contribute to anxiety
B B B B B B
Dopamine - ANSWER-plays a role in motivation and reward
B B B B B B B B
elevated levels cause mania or hypomania
B B B B B
GABA (Gamm-Aminobutyric Acid) - ANSWER-
B B B B
the most abundant inhibitory neurotransmitter in the brain
B B B B B B B
Glutamate - ANSWER-is an excitatory NT that can influence mood and behavior
B B B B B B B B B B B
dysregulation can cause impulsivity and aggression
B B B B B
Acetylcholine - ANSWER-associated w/ cognitive function
B B B B B
Endorphins - ANSWER-are involved in pain modulation
B B B B B B
Histamine - ANSWER-plays a role in alertness and sleep-wake cycle
B B B B B B B B B
Lithium - ANSWER-Normal 0.6-1.2 mEq/L
B B B B
, modulates glutamate receptors, reducing impulsivity
B B B B
ETOH, NSAIDS, Hyponatremia may increase Lithium levels
B B B B B B B
Hypokalemia may decrease Lithium levelsB B B B
Can cause congenital malformation, esp. in 1st trimester
B B B B B B B
Valproic acid (Depakote) - ANSWER-Mood stabilizer
B B B B B
May cause Hepatotoxicity, Pancreatitis, and Hyperammonemia (hand tremor, polydipsia, poly
B B B B B B B B B
uria)
Can cause neural tube defects and other congenital malformations in pregnancy
B B B B B B B B B B
Lamotrigine (Lamictal) - ANSWER-mood stabilizer.
B B B B B
Considered safe in pregnancy
B B B
May cause SJS
B B
Tegretol (Carbamaepine) - ANSWER-Mood stabilizer
B B B B
May cause Agranulocytosis (fever, sore throat, malaise) and Aplastic Anemia (fatigue, pallor, p
B B B B B B B B B B B B
etechiae)
May cause SJS in Asians
B B B B
TSH - ANSWER-Normal 0.5-5.0
B B B
questions and verified answers|100%
correct|2025/2026
Mood d/o - ANSWER-
B B B
Serotonin, NE, Glutamate, and Dopamine are implicated in mood regulation
B B B B B B B B B
Serotonin - ANSWER-low levels cause depression
B B B B B
Norepinephrine (NE) - ANSWER-imbalances contribute to anxiety
B B B B B B
Dopamine - ANSWER-plays a role in motivation and reward
B B B B B B B B
elevated levels cause mania or hypomania
B B B B B
GABA (Gamm-Aminobutyric Acid) - ANSWER-
B B B B
the most abundant inhibitory neurotransmitter in the brain
B B B B B B B
Glutamate - ANSWER-is an excitatory NT that can influence mood and behavior
B B B B B B B B B B B
dysregulation can cause impulsivity and aggression
B B B B B
Acetylcholine - ANSWER-associated w/ cognitive function
B B B B B
Endorphins - ANSWER-are involved in pain modulation
B B B B B B
Histamine - ANSWER-plays a role in alertness and sleep-wake cycle
B B B B B B B B B
Lithium - ANSWER-Normal 0.6-1.2 mEq/L
B B B B
, modulates glutamate receptors, reducing impulsivity
B B B B
ETOH, NSAIDS, Hyponatremia may increase Lithium levels
B B B B B B B
Hypokalemia may decrease Lithium levelsB B B B
Can cause congenital malformation, esp. in 1st trimester
B B B B B B B
Valproic acid (Depakote) - ANSWER-Mood stabilizer
B B B B B
May cause Hepatotoxicity, Pancreatitis, and Hyperammonemia (hand tremor, polydipsia, poly
B B B B B B B B B
uria)
Can cause neural tube defects and other congenital malformations in pregnancy
B B B B B B B B B B
Lamotrigine (Lamictal) - ANSWER-mood stabilizer.
B B B B B
Considered safe in pregnancy
B B B
May cause SJS
B B
Tegretol (Carbamaepine) - ANSWER-Mood stabilizer
B B B B
May cause Agranulocytosis (fever, sore throat, malaise) and Aplastic Anemia (fatigue, pallor, p
B B B B B B B B B B B B
etechiae)
May cause SJS in Asians
B B B B
TSH - ANSWER-Normal 0.5-5.0
B B B