GEORGETTE PMHNP Review Actual Exam (LATEST 2025/2026
UPDATE), ACTUAL EXAM/TEST QUESTIONS AND 100%
VERIFIED ANSWERS| A+ GRADE(100%Guarantee Pass)
Native americans - CORRECT ANSWER-ethnic group w/ the highest rate of SI in the US
If cultural question - CORRECT ANSWER-make an accommodation for them even if
against policy
RESPECT also important
contextualize their situation/clarify the meaning of their illness in their culture
if it's a cultural syndrome, it's not mental illness--provide supportive
psychotherapy
Education w/ cultural consideration - CORRECT ANSWER-teach education based on
cultural.
,if multiple cultures present during education- provide multicultural ethonospecific
assessment parameters
Answering tips - CORRECT ANSWER-if part of quesiton wrong, whole question wrong.
If 3 of the same and one different usually answer is the one that's different
Answering tips - CORRECT ANSWER-Priority is airway, breathing, circulation.
Then maslows heirchy-- safety, needs, culture
then assessment before intervention if needed.
don't choose to delegate, always chose to collaborate/do it yourself
3 antipscyhotics that are least likely to cause wt gain - CORRECT ANSWER-lurasidone,
abilify, and ziprasidone (geodon)
abilify least sedating
Pt develops metabolic syndrome: - CORRECT ANSWER-elevated A1C, lipid, glucose,
hip to waist ratio, BMI
,What do you do first?
reduce calorie, exercise..if not
then switch to lurasidone, abilify, or geodon
First psychotic episodes? - CORRECT ANSWER-atypicals...especially IM injections
because fastest mode of action
Zyprexa, Invega, Abilify or Geodon
Normal TSH - CORRECT ANSWER-0.5 - 5.0
hyperthyroid - CORRECT ANSWER-anxiety, irritable, heat intolerance, tachy, mood
swings, wt loss, increased appetite
Hypothyroid - CORRECT ANSWER-cold intolerance, lethargy, wt gain, decreased lbido
Steven Johnson (lamictal, lamotrigine) - CORRECT ANSWER-Fever
rash
burning eyes/mucosa
HA
, Lamictal - CORRECT ANSWER-mood stabilizer that causes the least amount of wt gain
Carbamazepine (tegretol) - CORRECT ANSWER-also can cause SJS or rash
especially in asians
must screen for HLAB-1502 allele first for all asains (if positive, means at
increased risk for SJS, don't give)
Which meds cause agranulocytosis - CORRECT ANSWER-tegretol AND clozaril
DC if ANC <1000 whether or not signs of infection
monitor for signs of infection which indicate granulocytosis- fever, sore throat,
fatigue, chills.
Valproic Acid (depakote) - CORRECT ANSWER-can cause:
-spina bifida
-hepatotoxicity (RUQ pain, reddish-brown urine- check LFTS)
Signs of hepatotoxicity (depakote) level >150 - CORRECT ANSWER-confusion
disorientation
UPDATE), ACTUAL EXAM/TEST QUESTIONS AND 100%
VERIFIED ANSWERS| A+ GRADE(100%Guarantee Pass)
Native americans - CORRECT ANSWER-ethnic group w/ the highest rate of SI in the US
If cultural question - CORRECT ANSWER-make an accommodation for them even if
against policy
RESPECT also important
contextualize their situation/clarify the meaning of their illness in their culture
if it's a cultural syndrome, it's not mental illness--provide supportive
psychotherapy
Education w/ cultural consideration - CORRECT ANSWER-teach education based on
cultural.
,if multiple cultures present during education- provide multicultural ethonospecific
assessment parameters
Answering tips - CORRECT ANSWER-if part of quesiton wrong, whole question wrong.
If 3 of the same and one different usually answer is the one that's different
Answering tips - CORRECT ANSWER-Priority is airway, breathing, circulation.
Then maslows heirchy-- safety, needs, culture
then assessment before intervention if needed.
don't choose to delegate, always chose to collaborate/do it yourself
3 antipscyhotics that are least likely to cause wt gain - CORRECT ANSWER-lurasidone,
abilify, and ziprasidone (geodon)
abilify least sedating
Pt develops metabolic syndrome: - CORRECT ANSWER-elevated A1C, lipid, glucose,
hip to waist ratio, BMI
,What do you do first?
reduce calorie, exercise..if not
then switch to lurasidone, abilify, or geodon
First psychotic episodes? - CORRECT ANSWER-atypicals...especially IM injections
because fastest mode of action
Zyprexa, Invega, Abilify or Geodon
Normal TSH - CORRECT ANSWER-0.5 - 5.0
hyperthyroid - CORRECT ANSWER-anxiety, irritable, heat intolerance, tachy, mood
swings, wt loss, increased appetite
Hypothyroid - CORRECT ANSWER-cold intolerance, lethargy, wt gain, decreased lbido
Steven Johnson (lamictal, lamotrigine) - CORRECT ANSWER-Fever
rash
burning eyes/mucosa
HA
, Lamictal - CORRECT ANSWER-mood stabilizer that causes the least amount of wt gain
Carbamazepine (tegretol) - CORRECT ANSWER-also can cause SJS or rash
especially in asians
must screen for HLAB-1502 allele first for all asains (if positive, means at
increased risk for SJS, don't give)
Which meds cause agranulocytosis - CORRECT ANSWER-tegretol AND clozaril
DC if ANC <1000 whether or not signs of infection
monitor for signs of infection which indicate granulocytosis- fever, sore throat,
fatigue, chills.
Valproic Acid (depakote) - CORRECT ANSWER-can cause:
-spina bifida
-hepatotoxicity (RUQ pain, reddish-brown urine- check LFTS)
Signs of hepatotoxicity (depakote) level >150 - CORRECT ANSWER-confusion
disorientation
