LMR GEORGETTE’S PMHNP FINAL EXAM TEST BANK / 500+ QUESTIONS AND VERIFIED SOLUTIONS 2024/2025 GRADED A+ LATEST GUIDE.

LMR GEORGETTE’S PMHNP FINAL EXAM TEST BANK / 500+ QUESTIONS AND VERIFIED SOLUTIONS 2024/2025 GRADED A+ LATEST GUIDE. 2 / 34 1. Which patient is at highest risk for SI A. 30y/o married AA female with previous SI attempt *1 risk factor B. 35 y/o single Asian male with previous SI attempt *3 risk factors C. 38 y/o single AA male who is a manager of a bank *2 risk factors D. 68 y/o single white male with depression *5 risk factors (age, male, white, depression): 2. When interview teenagers(16 y/o) that arrive with their parents whatshouldyou do?: interview them separately from parents. -This helps Build therapeutic rapport with teens by telling them the info is confiden-tial. Parents may be upset but remember you are advocating for the child. 3. Which Ethnic group has the highest rate of suicide?: Native Americans 4. Example A patientis being treated for schizophrenia with olanzapine.Whichof the following is the most common side effect of olanzapine? A. Increased waist circumference B. EPS (not as common in atypical antipsychotics d/t 5HT2A)-receptor antag-onism C. Increased Lipids D. Metabolic Syndrome: D. Metabolic Syndrome (UMBRELLA ANSWER) 5. Which antipsychotics have the least weight gain?: Latuda, Abilify, (also leastsedating), Geodon-if patient has metabolic syndrome consider switching to one of the medications above. Or if the patient is overly sedated try switching to ABILIFY 6. Which mood stabilizer have the least weight gain?: Lamictal -But remember all mood stabilizers cause some weight gain 7. When presented with a question about typical vs atypical antipsychotic theanswer is usually to start of a: atypical 8. A client presents with complains of changes in appetite, feeling fatigued,problems with sleeprest cycle, and changes in libido. What is the neu- roanatomical area of the brain that is responsible for the normal regulationof these functions? A. Thalamus B. Hypothalamus 3 / 34 C. Limbic System D. Hippocampus: Hypothalamus A, B, & D are all part of the limbic system so you can rule that out 9. When a patient is hesitant to participate in treatment you should encour-age?: Bring a support person like a husband 10. Thyroid-Stimulating hormone normal level: 0.5-5.0 Mu/L 11. When T4 and T3 are high and TSH is low what is the diagnosis: HYPERTHY-ROIDISM, TSH secretion decreases: TSH LOW à key symptoms HEAT INTOLER-ANCE 12. Key symptoms of Heat Intolerance: Hyperthyroidism 13. When T4 and T3 are Low and TSH is high what is the diagnosis: (HYPOTHY-ROIDISM) TSH secretion increased:TSH HIGH à COLD INTERANCE 14. Key symptoms of Cold Intolerance: Hypothyroidism 15. Hyperthyroid can mimic: Mania 16. Hypothyroid can mimic: Depression 17. A patient on depakote complains of RUQ pain and has reddish/brownurine: Hepatoxicity -Check LFTs 18. Signs of Depakote toxicity: Disorientation, confusion, lethargy 19. You suspect depakote toxicity what do you do?: Check -LFT -Ammonia -Depakote Level 20. What herbal supplement can cause hepatoxicity?: Kava Kava 21. When taking Kava Kava in combinations with other medications youshould caution about: Risk of Hepatoxicity and Sedation 22. TCAs carry a risk of: Hepatotoxicity 23. Signs of Stevens-Johnson Syndrome: -fever, mouth pain, swelling, burningeyes, blisters, skin pain 24. two psychotropics known to cause steven johnson syndrome: lamictal andtegretol 4 / 34 25. What nationality is most suseptible of getting steven johnson?: Asians 26. When treating asians with tegretal screen for?: HLAB-1502 Allele 27. What two medications cause agranulocytosis?: Clozaril & Tegretal 28. Agranulocytosis when to discontinue medication: Less than 1000 29. When monitoring for agranulocytosis in patients look for s/s of what?: In-fection -Fever, sore throat, fatigue, chills 30. Before starting any mood stabilizer in a female of childbearing age be sureto check?: HCG 31. Which two medications may decrease the risk of suicide?: clozaril andlithium 32. Medications that increase lithium level: NSAID-ibuprofen, INDOCINTHIAZIDEShydrochlorithiazide ACE INHIBITORS-lisinopril 5 / 34 33. Ace inhibitors are treatment of choice for?: Heart Failure 34. Certain medications are known to increase lithium level, but HOW?: byreducing renal clearance 35. When educating a patient about lithium teach them about: HyponatremiaDehydration-hot days, exercise 36. Normal Lithium Level: 0.6-1.2 37. Lithium Toxicity: 1.5 or above Discontinue and re-order lithium level 38. Lithium level of 1.4: Monitor for toxicity 39. Labs before starting lithium: TSH, BUN, CREATININE, HCG, U/A to check for presence of protein in the urine (4+ protein is concerning for renal impairment)à4+ protein in urine=MONITOR FOR TOXICITY 40. 4+ protein in the urine of a patient on lithium: 4+ protein is concerning forrenal impairment 4+ protein in urine=MONITOR FOR TOXICITY 41. Lithium side effects: hypothyroid, leukocytosis, maculopapular rash, t-waveinversion, Coarse Hand Tremor, GI upset (nausea, vomiting, anorexia) -Some of these are also signs of toxicity 42. Signs of lithium toxicity: confusion, ataxia, GI upset, palpitation, tremor 43. NMS: muscle rigidity, m