Georgette Review. PMHNP Questions and Answer Latest 2026/2027 Update!!!

Georgette Review. PMHNP-
Questions and Answer Latest
2026/2027 Update!!!




When many answers are remarkably similar, they are
usually _____________
Correct Answer: wrong

Interprofessional collaboration is encouraged.
Correct Answer: Collaborate is usually right.
Delegate is usually wrong.

ADPIER
Correct Answer: Assessment, diagnosis, Plan, intervention,
evaluate, refer out last.

Lithium
Correct Answer: Normal 0.6-1.2

Lithium toxicity occurs at levels
Correct Answer: > 1.5

Signs of Lithium toxicity
Correct Answer: severe nausea, diarrhea, vomiting,
confusion, drowsiness, muscle weakness, heart
palpitation, coarse hand tremors, unsteady gait

Lithium is gold standard for
Correct Answer: MANIA

Lithium has evidence shown to

1

, Correct Answer: reduce suicidal ideation

What does lithium cause in neonate, especially 1st
trimester
Correct Answer: Ebstein anomaly (congenital heart defect)

dehydration and hyponatremia cause lithium levels to
Correct Answer: rise

Baseline labs before initiation of lithium
Correct Answer: TSH
creatinine (0.6-1.2)
BUN (10-20)
HCG (all psychotropics females 12-51)
EKG 50+
Urinalysis (check for proteins, 4+ may indicate kidney
disease)

Side Effects of Lithium
Correct Answer: hypothyroidism
coase hand tremors with toxicity
maculopapular rash
diarrhea, vomiting, cramps--signs of toxicity. Monitor
closely.
anorexia
t wave inversions
leukocytosis

Pt education for lithimum
Correct Answer: staying hydrated
avoiding NSAIDS
compliance

Depakote normal level
Correct Answer: 50-125

Depakote toxicity level


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