14/06/2025, 09:40 GEORGETTE REVIEW PMHNP COMPLETE (2025) EXAM TEST WITH LATEST UPDATED (QUESTIONS AND ANSWERS) Flas…
GEORGETTE REVIEW PMHNP COMPLETE (2025)
EXAM TEST WITH LATEST UPDATED (QUESTIONS
AND ANSWERS)
Save
Terms in this set (388)
When many answers are wrong
remarkably similar, they
are usually _____________
Interprofessional Collaborate is usually right.
collaboration is Delegate is usually wrong.
encouraged.
Assessment, diagnosis, Plan, intervention, evaluate,
ADPIER
refer out last.
Lithium Normal 0.6-1.2
Lithium toxicity occurs at > 1.5
levels
severe nausea, diarrhea, vomiting, confusion,
Signs of Lithium toxicity drowsiness, muscle weakness, heart palpitation,
coarse hand tremors, unsteady gait
Lithium is gold standard MANIA
for
Lithium has evidence reduce suicidal ideation
shown to
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,14/06/2025, 09:40 GEORGETTE REVIEW PMHNP COMPLETE (2025) EXAM TEST WITH LATEST UPDATED (QUESTIONS AND ANSWERS) Flas…
What does lithium cause in Ebstein anomaly (congenital heart defect)
neonate, especially 1st
trimester
dehydration and rise
hyponatremia cause
lithium levels to
TSH
creatinine (0.6-1.2)
BUN (10-20)
Baseline labs before
HCG (all psychotropics females 12-51)
initiation of lithium
EKG 50+
Urinalysis (check for proteins, 4+ may indicate kidney
disease)
hypothyroidism
coase hand tremors with toxicity
maculopapular rash
diarrhea, vomiting, cramps--signs of toxicity. Monitor
Side Effects of Lithium
closely.
anorexia
t wave inversions
leukocytosis
staying hydrated
Pt education for lithimum avoiding NSAIDS
compliance
Depakote normal level 50-125
Depakote toxicity level greater than 150
Teratogenic effects of spina bifida
Depakote
alopecia
Adverse effects of hepatotoxicity (RUQ pain or brown/red urine--order
depakote LFTs) AST 5-40, ALT 5-35, yellowing of skin or eyes,
fatigue
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,14/06/2025, 09:40 GEORGETTE REVIEW PMHNP COMPLETE (2025) EXAM TEST WITH LATEST UPDATED (QUESTIONS AND ANSWERS) Flas…
disorientation, lethargy, respiratory depression,
Signs of Depakote toxicity
nausea/vomiting
DC med
Intervention for depakote check level
toxicity LFT
ammonia
MAOI + tyramine causes hypertensive crisis
elevated BP
sudden explosive like headache
facial flushing
Symptoms of hypertensive
palpitations
crisis
pupillary dilation
diaphoresis
fever
MEPERIDINE
STIMULANTS
decongestants
Hypertensive crisis occurs TCAs
with MAOI + atypicals
St. John's wart
L-tryptophan
asthma meds
Treatment for DC offending agent
hypertensive crisis Administer PHENTOLAMINE
Teratogenic effects of floppy baby, cleft palate
benzos
Teratogenic effects of neural tube defect
tegratol
teratogenic effects of ebstein anomaly (heart defect) (avoid, especially 1st
lithium trimester)
teratogenic effects of neural tube defects/spina bifida
depakote
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, 14/06/2025, 09:40 GEORGETTE REVIEW PMHNP COMPLETE (2025) EXAM TEST WITH LATEST UPDATED (QUESTIONS AND ANSWERS) Flas…
Adverse reaction to Steven Johnson's Syndrome
Lamictal
FEVER --high yield
sore throat
facial swelling
tongue swelling
red rash
Signs of SJS skin sloughing
body aches
prodromal headache
malaise
arthralgia
painful mucus membranes
Lamotrigine is least likely sedation or weight gain
to cause
agranulocytosis (decrease WBCs)
Carbamazepine (tegretol)
aplastic anemia (pallor, fatigue, HA, fever, nosebleeds,
black box warning
bleeding gums, skin rash, SOA)
Carbamazepine and Screen for HLAB-1502 allele before initiating, due to
asians high incidence of SJS if positive for allele.
check for pregnancy before starting mood stabilizer
Child-bearing aged start on folic acid to support neural tube
women development during the first month that a woman is
pregnant
Clozaril/clozapine can agranulocytosis and neutropenia
cause
For monitoring ANC
neutropenia in Clozaril,
monitor
DC clozarli if ANC less than 1000
DC clozaril if WBC 2000-3000, risk of agranulocytosis
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GEORGETTE REVIEW PMHNP COMPLETE (2025)
EXAM TEST WITH LATEST UPDATED (QUESTIONS
AND ANSWERS)
Save
Terms in this set (388)
When many answers are wrong
remarkably similar, they
are usually _____________
Interprofessional Collaborate is usually right.
collaboration is Delegate is usually wrong.
encouraged.
Assessment, diagnosis, Plan, intervention, evaluate,
ADPIER
refer out last.
Lithium Normal 0.6-1.2
Lithium toxicity occurs at > 1.5
levels
severe nausea, diarrhea, vomiting, confusion,
Signs of Lithium toxicity drowsiness, muscle weakness, heart palpitation,
coarse hand tremors, unsteady gait
Lithium is gold standard MANIA
for
Lithium has evidence reduce suicidal ideation
shown to
https://quizlet.com/1054179830/georgette-review-pmhnp-complete-2025-exam-test-with-latest-updated-questions-and-answers-flash-cards/?new 1/56
,14/06/2025, 09:40 GEORGETTE REVIEW PMHNP COMPLETE (2025) EXAM TEST WITH LATEST UPDATED (QUESTIONS AND ANSWERS) Flas…
What does lithium cause in Ebstein anomaly (congenital heart defect)
neonate, especially 1st
trimester
dehydration and rise
hyponatremia cause
lithium levels to
TSH
creatinine (0.6-1.2)
BUN (10-20)
Baseline labs before
HCG (all psychotropics females 12-51)
initiation of lithium
EKG 50+
Urinalysis (check for proteins, 4+ may indicate kidney
disease)
hypothyroidism
coase hand tremors with toxicity
maculopapular rash
diarrhea, vomiting, cramps--signs of toxicity. Monitor
Side Effects of Lithium
closely.
anorexia
t wave inversions
leukocytosis
staying hydrated
Pt education for lithimum avoiding NSAIDS
compliance
Depakote normal level 50-125
Depakote toxicity level greater than 150
Teratogenic effects of spina bifida
Depakote
alopecia
Adverse effects of hepatotoxicity (RUQ pain or brown/red urine--order
depakote LFTs) AST 5-40, ALT 5-35, yellowing of skin or eyes,
fatigue
https://quizlet.com/1054179830/georgette-review-pmhnp-complete-2025-exam-test-with-latest-updated-questions-and-answers-flash-cards/?new 2/56
,14/06/2025, 09:40 GEORGETTE REVIEW PMHNP COMPLETE (2025) EXAM TEST WITH LATEST UPDATED (QUESTIONS AND ANSWERS) Flas…
disorientation, lethargy, respiratory depression,
Signs of Depakote toxicity
nausea/vomiting
DC med
Intervention for depakote check level
toxicity LFT
ammonia
MAOI + tyramine causes hypertensive crisis
elevated BP
sudden explosive like headache
facial flushing
Symptoms of hypertensive
palpitations
crisis
pupillary dilation
diaphoresis
fever
MEPERIDINE
STIMULANTS
decongestants
Hypertensive crisis occurs TCAs
with MAOI + atypicals
St. John's wart
L-tryptophan
asthma meds
Treatment for DC offending agent
hypertensive crisis Administer PHENTOLAMINE
Teratogenic effects of floppy baby, cleft palate
benzos
Teratogenic effects of neural tube defect
tegratol
teratogenic effects of ebstein anomaly (heart defect) (avoid, especially 1st
lithium trimester)
teratogenic effects of neural tube defects/spina bifida
depakote
https://quizlet.com/1054179830/georgette-review-pmhnp-complete-2025-exam-test-with-latest-updated-questions-and-answers-flash-cards/?new 3/56
, 14/06/2025, 09:40 GEORGETTE REVIEW PMHNP COMPLETE (2025) EXAM TEST WITH LATEST UPDATED (QUESTIONS AND ANSWERS) Flas…
Adverse reaction to Steven Johnson's Syndrome
Lamictal
FEVER --high yield
sore throat
facial swelling
tongue swelling
red rash
Signs of SJS skin sloughing
body aches
prodromal headache
malaise
arthralgia
painful mucus membranes
Lamotrigine is least likely sedation or weight gain
to cause
agranulocytosis (decrease WBCs)
Carbamazepine (tegretol)
aplastic anemia (pallor, fatigue, HA, fever, nosebleeds,
black box warning
bleeding gums, skin rash, SOA)
Carbamazepine and Screen for HLAB-1502 allele before initiating, due to
asians high incidence of SJS if positive for allele.
check for pregnancy before starting mood stabilizer
Child-bearing aged start on folic acid to support neural tube
women development during the first month that a woman is
pregnant
Clozaril/clozapine can agranulocytosis and neutropenia
cause
For monitoring ANC
neutropenia in Clozaril,
monitor
DC clozarli if ANC less than 1000
DC clozaril if WBC 2000-3000, risk of agranulocytosis
https://quizlet.com/1054179830/georgette-review-pmhnp-complete-2025-exam-test-with-latest-updated-questions-and-answers-flash-cards/?new 4/56
