LMR GEORGETTE PMHNP CERTIFICATION
2026 PROFESSIONAL EXAM READINESS
GUIDE WITH COGNITIVE PRACTICE SETS
AND ANALYSIS
⩥ 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
⩥ Normal ALT? Answer: 5-35
⩥ Kava kava can cause? Answer: Liver damage and heavy sedation
⩥ Kava kava is c/i with? Answer: Benzos or sedatives
⩥ Mood stabilizer most associated with SJS? Answer: Lamictal
⩥ Mood stabilizer with least weight gain? Answer: Lamictal
⩥ SGAs with least weight gain? Answer: ziprasidone, abilify, and latuda
⩥ Least sedating SGA? Answer: Abilify
2026 PROFESSIONAL EXAM READINESS
GUIDE WITH COGNITIVE PRACTICE SETS
AND ANALYSIS
⩥ 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
⩥ Normal ALT? Answer: 5-35
⩥ Kava kava can cause? Answer: Liver damage and heavy sedation
⩥ Kava kava is c/i with? Answer: Benzos or sedatives
⩥ Mood stabilizer most associated with SJS? Answer: Lamictal
⩥ Mood stabilizer with least weight gain? Answer: Lamictal
⩥ SGAs with least weight gain? Answer: ziprasidone, abilify, and latuda
⩥ Least sedating SGA? Answer: Abilify
