LMR GEORGETTE REVIEW PMHNP
CERTIFICATION EVALUATION 2026 SCRIPT
SOLUTIONS GRADED A+
⩥ 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?
CERTIFICATION EVALUATION 2026 SCRIPT
SOLUTIONS GRADED A+
⩥ 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?
