Georgette's LMR

Georgette's LMR with correct well illustrated with guaranteed A+ score. What should you not do when advocating for a patient? - correct answers.Judge or confront What class of medication is contraindicated with tics? - correct answers.Stimulants What should you provide for prior to assessing abuse victims? - correct answers.A safe environment What are your actions if a child reports abuse? - correct 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? - correct answers.Report to CPS In what setting as an inpatient provider should you interview a patient? - correct answers.Use a private room with the door partially open How should you begin your interview with adolescents? - correct answers.By building rapport with them by ensuring confidentiality absent exceptions Should you interview adolescents with or without parents? - correct answers.Without What if an adolescent tells you they are homosexual and they don't want their parents to know? - correct answers.This is confidential The patient is being discharged and would like their labs faxed to the rehab facility. What is your initial action? - correct answers.Get informed consent/ROI What do you do if a medical evaluation is needed? - correct 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? - correct 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? - correct answers.No; brief supportive therapy - not medication A mother states her child is experiencing a cultural illness. What is your initial action? - correct answers.Respect the mother's cultural understanding of illness prior to assessment Native Americans view mental illness and SUDs as? - correct answers.An imbalance between the individual and the world What ethnic group has the highest rate of suicidality in the US? - correct 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? - correct answers.Teach cultural sensitivity and make accommodations for patient to have healing stick available such as 1:1 Psychoeducation should be based on? - correct answers.Cultural context How do you promote health in a location with multiple ethnicities and education levels? - correct answers.Multiple cultural education and ethnospecific assessment parameters What if a patient wants a traditional healer? - correct answers.Allow this - remember ROI/informed consent Normal TSH? - correct answers.0.5-5.0 TSH 0.5 = ? - correct answers.Hyperthyroidism TSH 5.0 = ? - correct answers.Hypothyroidism Relationship between TSH & T3/T4? - correct answers.Inverse Hyperthyroidism can present as? - correct answers.Mania Hypothyroidism can present as? - correct answers.Depression Normal depakote level? - correct answers.50-125 Toxic depakote level? - correct answers.150+ Birth defect caused by depakote? - correct answers.Spina Bifida S/S of depakote toxicity? - correct answers.Disorientation, lethargy, decreased respiratory rate, and N/V What to do if there is depakote toxicity? - correct answers.D/C depakote and check VPA level, LFTs, and ammonia