GEORGETTE LMR PMHNP
COMPREHENSIVE TEST PAPER 2026
COMPLETE ANSWERS ACCURATE
⫸ 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 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
⫸ 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
⫸ Toxic depakote level? Answer: 150+
⫸ Birth defect caused by depakote? Answer: Spina Bifida
⫸ S/S of depakote toxicity? Answer: Disorientation, lethargy, decreased
respiratory rate, and N/V
⫸ What to do if there is depakote toxicity? Answer: D/C depakote and
check VPA level, LFTs, and ammonia
⫸ S/S of hepatotoxicity? Answer: RUQ pain, reddish brown urine,
jaundice, fatigue, and elevated LFTs
⫸ Normal AST? Answer: 5-40
COMPREHENSIVE TEST PAPER 2026
COMPLETE ANSWERS ACCURATE
⫸ 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 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
⫸ 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
⫸ Toxic depakote level? Answer: 150+
⫸ Birth defect caused by depakote? Answer: Spina Bifida
⫸ S/S of depakote toxicity? Answer: Disorientation, lethargy, decreased
respiratory rate, and N/V
⫸ What to do if there is depakote toxicity? Answer: D/C depakote and
check VPA level, LFTs, and ammonia
⫸ S/S of hepatotoxicity? Answer: RUQ pain, reddish brown urine,
jaundice, fatigue, and elevated LFTs
⫸ Normal AST? Answer: 5-40
