GEORGETTE'S LMR (GEORGETTE'S PMHNP CERTIFICATION)
EXAM 300 QUESTIONS AND CORRECT DETAILED ANSWERS
WITH EXPERT FEEDBACK 2ALREADY A GRADED|BRAND
NEW!
What should you not do when advocating for a patient? - ANSWERS💫✔️-Judge or confront
What class of medication is contraindicated with tics? - ANSWERS💫✔️-Stimulants
What should you provide for prior to assessing abuse victims? - ANSWERS💫✔️-A safe environment
What are your actions if a child reports abuse? - ANSWERS💫✔️-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? - ANSWERS💫✔️-
Report to CPS
In what setting as an inpatient provider should you interview a patient? - ANSWERS💫✔️-Use a
private room with the door partially open
How should you begin your interview with adolescents? - ANSWERS💫✔️-By building rapport with
them by ensuring confidentiality absent exceptions
Should you interview adolescents with or without parents? - ANSWERS💫✔️-Without
What if an adolescent tells you they are homosexual and they don't want their parents to know? -
ANSWERS💫✔️-This is confidential
The patient is being discharged and would like their labs faxed to the rehab facility. What is your
initial action? - ANSWERS💫✔️-Get informed consent/ROI
,What do you do if a medical evaluation is needed? - ANSWERS💫✔️-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? -
ANSWERS💫✔️-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? - ANSWERS💫✔️-No; brief supportive therapy - not medication
A mother states her child is experiencing a cultural illness. What is your initial action? -
ANSWERS💫✔️-Respect the mother's cultural understanding of illness prior to assessment
Native Americans view mental illness and SUDs as? - ANSWERS💫✔️-An imbalance between the
individual and the world
What ethnic group has the highest rate of suicidality in the US? - ANSWERS💫✔️-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? - ANSWERS💫✔️-Teach cultural sensitivity and make accommodations for
patient to have healing stick available such as 1:1
Psychoeducation should be based on? - ANSWERS💫✔️-Cultural context
How do you promote health in a location with multiple ethnicities and education levels? -
ANSWERS💫✔️-Multiple cultural education and ethnospecific assessment parameters
What if a patient wants a traditional healer? - ANSWERS💫✔️-Allow this - remember ROI/informed
consent
Normal TSH? - ANSWERS💫✔️-0.5-5.0
TSH < 0.5 = ? - ANSWERS💫✔️-Hyperthyroidism
, TSH > 5.0 = ? - ANSWERS💫✔️-Hypothyroidism
Relationship between TSH & T3/T4? - ANSWERS💫✔️-Inverse
Hyperthyroidism can present as? - ANSWERS💫✔️-Mania
Hypothyroidism can present as? - ANSWERS💫✔️-Depression
Normal depakote level? - ANSWERS💫✔️-50-125
Toxic depakote level? - ANSWERS💫✔️-150+
Birth defect caused by depakote? - ANSWERS💫✔️-Spina Bifida
S/S of depakote toxicity? - ANSWERS💫✔️-Disorientation, lethargy, decreased respiratory rate, and
N/V
What to do if there is depakote toxicity? - ANSWERS💫✔️-D/C depakote and check VPA level, LFTs,
and ammonia
S/S of hepatotoxicity? - ANSWERS💫✔️-RUQ pain, reddish brown urine, jaundice, fatigue, and
elevated LFTs
Normal AST? - ANSWERS💫✔️-5-40
Normal ALT? - ANSWERS💫✔️-5-35
Kava kava can cause? - ANSWERS💫✔️-Liver damage and heavy sedation
EXAM 300 QUESTIONS AND CORRECT DETAILED ANSWERS
WITH EXPERT FEEDBACK 2ALREADY A GRADED|BRAND
NEW!
What should you not do when advocating for a patient? - ANSWERS💫✔️-Judge or confront
What class of medication is contraindicated with tics? - ANSWERS💫✔️-Stimulants
What should you provide for prior to assessing abuse victims? - ANSWERS💫✔️-A safe environment
What are your actions if a child reports abuse? - ANSWERS💫✔️-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? - ANSWERS💫✔️-
Report to CPS
In what setting as an inpatient provider should you interview a patient? - ANSWERS💫✔️-Use a
private room with the door partially open
How should you begin your interview with adolescents? - ANSWERS💫✔️-By building rapport with
them by ensuring confidentiality absent exceptions
Should you interview adolescents with or without parents? - ANSWERS💫✔️-Without
What if an adolescent tells you they are homosexual and they don't want their parents to know? -
ANSWERS💫✔️-This is confidential
The patient is being discharged and would like their labs faxed to the rehab facility. What is your
initial action? - ANSWERS💫✔️-Get informed consent/ROI
,What do you do if a medical evaluation is needed? - ANSWERS💫✔️-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? -
ANSWERS💫✔️-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? - ANSWERS💫✔️-No; brief supportive therapy - not medication
A mother states her child is experiencing a cultural illness. What is your initial action? -
ANSWERS💫✔️-Respect the mother's cultural understanding of illness prior to assessment
Native Americans view mental illness and SUDs as? - ANSWERS💫✔️-An imbalance between the
individual and the world
What ethnic group has the highest rate of suicidality in the US? - ANSWERS💫✔️-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? - ANSWERS💫✔️-Teach cultural sensitivity and make accommodations for
patient to have healing stick available such as 1:1
Psychoeducation should be based on? - ANSWERS💫✔️-Cultural context
How do you promote health in a location with multiple ethnicities and education levels? -
ANSWERS💫✔️-Multiple cultural education and ethnospecific assessment parameters
What if a patient wants a traditional healer? - ANSWERS💫✔️-Allow this - remember ROI/informed
consent
Normal TSH? - ANSWERS💫✔️-0.5-5.0
TSH < 0.5 = ? - ANSWERS💫✔️-Hyperthyroidism
, TSH > 5.0 = ? - ANSWERS💫✔️-Hypothyroidism
Relationship between TSH & T3/T4? - ANSWERS💫✔️-Inverse
Hyperthyroidism can present as? - ANSWERS💫✔️-Mania
Hypothyroidism can present as? - ANSWERS💫✔️-Depression
Normal depakote level? - ANSWERS💫✔️-50-125
Toxic depakote level? - ANSWERS💫✔️-150+
Birth defect caused by depakote? - ANSWERS💫✔️-Spina Bifida
S/S of depakote toxicity? - ANSWERS💫✔️-Disorientation, lethargy, decreased respiratory rate, and
N/V
What to do if there is depakote toxicity? - ANSWERS💫✔️-D/C depakote and check VPA level, LFTs,
and ammonia
S/S of hepatotoxicity? - ANSWERS💫✔️-RUQ pain, reddish brown urine, jaundice, fatigue, and
elevated LFTs
Normal AST? - ANSWERS💫✔️-5-40
Normal ALT? - ANSWERS💫✔️-5-35
Kava kava can cause? - ANSWERS💫✔️-Liver damage and heavy sedation
