Georgette Review PMHNP Revised Exam Questions and Detailed Answers Study Guide

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GEORGETTE REVIEW PMHNP LATEST 2025
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wrong
When many answers are remarkably similar, they are usually _____________




Collaborate is usually right.
Delegate is usually wrong.
Interprofessional collaboration is encouraged.




Assessment, diagnosis, Plan, intervention, evaluate, refer out last.
ADPIER




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Normal 0.6-1.2
Lithium




> 1.5
Lithium toxicity occurs at levels




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




MANIA
Lithium is gold standard for




reduce suicidal ideation
Lithium has evidence shown to


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




rise
dehydration and hyponatremia cause lithium levels to




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)
Baseline labs before initiation of lithium




hypothyroidism



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




staying hydrated
avoiding NSAIDS
compliance
Pt education for lithimum




50-125
Depakote normal level




greater than 150



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