LMR - Georgette's Exam
What should you not do when advocating for a patient? - (Answer)Judge or confront
What class of medication is contraindicated with tics? - (Answer)Stimulants
What should you provide for prior to assessing abuse victims? - (Answer)A safe environment
What do you do re: patient info if transfering to a rehab facility? - (Answer)obtain informed consent
and FAX the lab (don't print/have patient carry)
What are your actions if a child reports abuse? - (Answer)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? - (Answer)Report to
CPS
In what setting as an inpatient provider should you interview a patient? - (Answer)Use a private room
with the door partially open
How should you begin your interview with adolescents? - (Answer)By building rapport with them by
ensuring confidentiality absent exceptions
Should you interview adolescents with or without parents? - (Answer)Without
What if an adolescent tells you they are homosexual and they don't want their parents to know? -
(Answer)This is confidential
The patient is being discharged and would like their labs faxed to the rehab facility. What is your initial
action? - (Answer)Get informed consent/ROI
,LMR - Georgette's Exam
What do you do if a medical evaluation is needed? - (Answer)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? -
(Answer)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? - (Answer)No; brief supportive therapy - not medication
A mother states her child is experiencing a cultural illness. What is your initial action? -
(Answer)Respect the mother's cultural understanding of illness prior to assessment
Native Americans view mental illness and SUDs as? - (Answer)An imbalance between the individual
and the world
What ethnic group has the highest rate of suicidality in the US? - (Answer)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? - (Answer)Teach cultural sensitivity and make accommodations for patient to
have healing stick available such as 1:1
Psychoeducation should be based on? - (Answer)Cultural context
How do you promote health in a location with multiple ethnicities and education levels? -
(Answer)Multiple cultural education and ethnospecific assessment parameters
What if a patient wants a traditional healer? - (Answer)Allow this - remember ROI/informed consent
, LMR - Georgette's Exam
Susto - (Answer)"fright", from Latin populations, result from shocking experiences that cause soul to
leave body
Ataque de nervios - (Answer)Puerto Rican, uncontrollable shouting and maybe aggression
Mal de ojo - (Answer)evil eye, causes fatigue, headache, weight loss, exhaustion
empacho - (Answer)blocked intesting: indigestion, feeling bloated/nauseous
mollera caida - (Answer)sunken fontanel
Normal TSH? - (Answer)0.5-5.0
TSH < 0.5 = ? - (Answer)Hyperthyroidism
TSH > 5.0 = ? - (Answer)Hypothyroidism
Relationship between TSH & T3/T4? - (Answer)Inverse
Hyperthyroidism can present as? - (Answer)Mania
Hypothyroidism can present as? - (Answer)Depression
Normal depakote level? - (Answer)50-125
Toxic depakote level? - (Answer)150+
What should you not do when advocating for a patient? - (Answer)Judge or confront
What class of medication is contraindicated with tics? - (Answer)Stimulants
What should you provide for prior to assessing abuse victims? - (Answer)A safe environment
What do you do re: patient info if transfering to a rehab facility? - (Answer)obtain informed consent
and FAX the lab (don't print/have patient carry)
What are your actions if a child reports abuse? - (Answer)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? - (Answer)Report to
CPS
In what setting as an inpatient provider should you interview a patient? - (Answer)Use a private room
with the door partially open
How should you begin your interview with adolescents? - (Answer)By building rapport with them by
ensuring confidentiality absent exceptions
Should you interview adolescents with or without parents? - (Answer)Without
What if an adolescent tells you they are homosexual and they don't want their parents to know? -
(Answer)This is confidential
The patient is being discharged and would like their labs faxed to the rehab facility. What is your initial
action? - (Answer)Get informed consent/ROI
,LMR - Georgette's Exam
What do you do if a medical evaluation is needed? - (Answer)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? -
(Answer)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? - (Answer)No; brief supportive therapy - not medication
A mother states her child is experiencing a cultural illness. What is your initial action? -
(Answer)Respect the mother's cultural understanding of illness prior to assessment
Native Americans view mental illness and SUDs as? - (Answer)An imbalance between the individual
and the world
What ethnic group has the highest rate of suicidality in the US? - (Answer)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? - (Answer)Teach cultural sensitivity and make accommodations for patient to
have healing stick available such as 1:1
Psychoeducation should be based on? - (Answer)Cultural context
How do you promote health in a location with multiple ethnicities and education levels? -
(Answer)Multiple cultural education and ethnospecific assessment parameters
What if a patient wants a traditional healer? - (Answer)Allow this - remember ROI/informed consent
, LMR - Georgette's Exam
Susto - (Answer)"fright", from Latin populations, result from shocking experiences that cause soul to
leave body
Ataque de nervios - (Answer)Puerto Rican, uncontrollable shouting and maybe aggression
Mal de ojo - (Answer)evil eye, causes fatigue, headache, weight loss, exhaustion
empacho - (Answer)blocked intesting: indigestion, feeling bloated/nauseous
mollera caida - (Answer)sunken fontanel
Normal TSH? - (Answer)0.5-5.0
TSH < 0.5 = ? - (Answer)Hyperthyroidism
TSH > 5.0 = ? - (Answer)Hypothyroidism
Relationship between TSH & T3/T4? - (Answer)Inverse
Hyperthyroidism can present as? - (Answer)Mania
Hypothyroidism can present as? - (Answer)Depression
Normal depakote level? - (Answer)50-125
Toxic depakote level? - (Answer)150+
