Georgette's LMR 2024 Comprehensive Questions And
Verified Answers/ Complete Solutions With Rationales
|Get It 100% Accurate!! Already Passed!!
What should you not do when advocating for a patient? - (ANSWERS)Judge or confront
!@#$$$$$$$$$$%
What class of medication is contraindicated with tics? - (ANSWERS)Stimulants
What should you provide for prior to assessing abuse victims? - (ANSWERS)A safe environment
What are your actions if a child reports abuse? - (ANSWERS)First interview separately from
parents then report to CPS
What should you do if a child plays with toys in a way that you suspect abuse? -
(ANSWERS)Report to CPS
In what setting as an inpatient provider should you interview a patient? - (ANSWERS)Use a
private room with the door partially open
How should you begin your interview with adolescents? - (ANSWERS)By building rapport with
them by ensuring confidentiality absent exceptions
Should you interview adolescents with or without parents? - (ANSWERS)Without
What if an adolescent tells you they are homosexual and they don't want their parents to know?
- (ANSWERS)This is confidential
The patient is being discharged and would like their labs faxed to the rehab facility. What is your
initial action? - (ANSWERS)Get informed consent/ROI
What do you do if a medical evaluation is needed? - (ANSWERS)Refer out - this is out of scope
What do you do if a patient is takes something and is feeling really funny/unwell in your office?
- (ANSWERS)Collect UDS and then refer out
Is it considered a mental illness if it is an expected response culturally? What do you offer as
treatment? - (ANSWERS)No; brief supportive therapy - not medication
A mother states her child is experiencing a cultural illness. What is your initial action? -
(ANSWERS)Respect the mother's cultural understanding of illness prior to assessment
Native Americans view mental illness and suds as? - (ANSWERS)An imbalance between the
individual and the world
What ethnic group has the highest rate of suicidality in the US? - (ANSWERS)Native Americans
,Georgette's LMR 2024 Comprehensive Questions And
Verified Answers/ Complete Solutions With Rationales
|Get It 100% Accurate!! Already Passed!!
!@#$$$$$$$$$$%
If a patient believes they need a healing stick in their room, but the staff nurses removed it from
them - what should you do? - (ANSWERS)Teach cultural sensitivity and make accommodations
for patient to have healing stick available such as 1:1
Psychoeducation should be based on? - (ANSWERS)Cultural context
How do you promote health in a location with multiple ethnicities and education levels? -
(ANSWERS)Multiple cultural education and ethnospecific assessment parameters
What if a patient wants a traditional healer? - (ANSWERS)Allow this - remember ROI/informed
consent
Normal TSH? - (ANSWERS)0.5-5.0
TSH < 0.5 = ? - (ANSWERS)Hyperthyroidism
TSH > 5.0 = ? - (ANSWERS)Hypothyroidism
Relationship between TSH & T3/T4? - (ANSWERS)Inverse
Hyperthyroidism can present as? - (ANSWERS)Mania
Hypothyroidism can present as? - (ANSWERS)Depression
Normal depakote level? - (ANSWERS)50-125
Toxic depakote level? - (ANSWERS)150+
Birth defect caused by depakote? - (ANSWERS)Spina Bifida
S/S of depakote toxicity? - (ANSWERS)Disorientation, lethargy, decreased respiratory rate, and
N/V
What to do if there is depakote toxicity? - (ANSWERS)D/C depakote and check VPA level, lfts,
and ammonia
S/S of hepatotoxicity? - (ANSWERS)RUQ pain, reddish brown urine, jaundice, fatigue, and
elevated lfts
Normal AST? - (ANSWERS)5-40
, Georgette's LMR 2024 Comprehensive Questions And
Verified Answers/ Complete Solutions With Rationales
|Get It 100% Accurate!! Already Passed!!
!@#$$$$$$$$$$%
Normal ALT? - (ANSWERS)5-35
Kava kava can cause? - (ANSWERS)Liver damage and heavy sedation
Kava kava is c/i with? - (ANSWERS)Benzos or sedatives
Mood stabilizer most associated with SJS? - (ANSWERS)Lamictal
Mood stabilizer with least weight gain? - (ANSWERS)Lamictal
Sgas with least weight gain? - (ANSWERS)ziprasidone, abilify, and latuda
Least sedating SGA? - (ANSWERS)Abilify
Routine labs with sgas? - (ANSWERS)BMI, hip to waist ratio, glucose, A1C, and lipid panel
Management of metabolic syndrome with sgas? - (ANSWERS)1. Nonpharm = exercise or
nutritional counseling
2. Pharm = switch to other SGA with lower chance of metabolic syndrome
Carbamazepine can cause? - (ANSWERS)Agranulocytosis and aplastic anemia
What should you screen for prior to starting Asians on carbamazepine and why? -
(ANSWERS)HLAB1502 Allele; risk of SJS
When should you d/c carbamazepine if agranulocytosis is suspected? - (ANSWERS)If ANC is <
1000 with or without s/s of infection
Lithium range? - (ANSWERS)0.6 - 1.2
What to do if lithium is 1.3 or 1.4? - (ANSWERS)Monitor
What to do if lithium is 1.5+? - (ANSWERS)D/C
Benefits of lithium? - (ANSWERS)Gold standard for mania, neuroprotective, and antisuicidal
effects
S/S of lithium toxicity? - (ANSWERS)Severe N/V, polydipsia, polyuria, leukocytosis, palpitations,
coarse tremor
Verified Answers/ Complete Solutions With Rationales
|Get It 100% Accurate!! Already Passed!!
What should you not do when advocating for a patient? - (ANSWERS)Judge or confront
!@#$$$$$$$$$$%
What class of medication is contraindicated with tics? - (ANSWERS)Stimulants
What should you provide for prior to assessing abuse victims? - (ANSWERS)A safe environment
What are your actions if a child reports abuse? - (ANSWERS)First interview separately from
parents then report to CPS
What should you do if a child plays with toys in a way that you suspect abuse? -
(ANSWERS)Report to CPS
In what setting as an inpatient provider should you interview a patient? - (ANSWERS)Use a
private room with the door partially open
How should you begin your interview with adolescents? - (ANSWERS)By building rapport with
them by ensuring confidentiality absent exceptions
Should you interview adolescents with or without parents? - (ANSWERS)Without
What if an adolescent tells you they are homosexual and they don't want their parents to know?
- (ANSWERS)This is confidential
The patient is being discharged and would like their labs faxed to the rehab facility. What is your
initial action? - (ANSWERS)Get informed consent/ROI
What do you do if a medical evaluation is needed? - (ANSWERS)Refer out - this is out of scope
What do you do if a patient is takes something and is feeling really funny/unwell in your office?
- (ANSWERS)Collect UDS and then refer out
Is it considered a mental illness if it is an expected response culturally? What do you offer as
treatment? - (ANSWERS)No; brief supportive therapy - not medication
A mother states her child is experiencing a cultural illness. What is your initial action? -
(ANSWERS)Respect the mother's cultural understanding of illness prior to assessment
Native Americans view mental illness and suds as? - (ANSWERS)An imbalance between the
individual and the world
What ethnic group has the highest rate of suicidality in the US? - (ANSWERS)Native Americans
,Georgette's LMR 2024 Comprehensive Questions And
Verified Answers/ Complete Solutions With Rationales
|Get It 100% Accurate!! Already Passed!!
!@#$$$$$$$$$$%
If a patient believes they need a healing stick in their room, but the staff nurses removed it from
them - what should you do? - (ANSWERS)Teach cultural sensitivity and make accommodations
for patient to have healing stick available such as 1:1
Psychoeducation should be based on? - (ANSWERS)Cultural context
How do you promote health in a location with multiple ethnicities and education levels? -
(ANSWERS)Multiple cultural education and ethnospecific assessment parameters
What if a patient wants a traditional healer? - (ANSWERS)Allow this - remember ROI/informed
consent
Normal TSH? - (ANSWERS)0.5-5.0
TSH < 0.5 = ? - (ANSWERS)Hyperthyroidism
TSH > 5.0 = ? - (ANSWERS)Hypothyroidism
Relationship between TSH & T3/T4? - (ANSWERS)Inverse
Hyperthyroidism can present as? - (ANSWERS)Mania
Hypothyroidism can present as? - (ANSWERS)Depression
Normal depakote level? - (ANSWERS)50-125
Toxic depakote level? - (ANSWERS)150+
Birth defect caused by depakote? - (ANSWERS)Spina Bifida
S/S of depakote toxicity? - (ANSWERS)Disorientation, lethargy, decreased respiratory rate, and
N/V
What to do if there is depakote toxicity? - (ANSWERS)D/C depakote and check VPA level, lfts,
and ammonia
S/S of hepatotoxicity? - (ANSWERS)RUQ pain, reddish brown urine, jaundice, fatigue, and
elevated lfts
Normal AST? - (ANSWERS)5-40
, Georgette's LMR 2024 Comprehensive Questions And
Verified Answers/ Complete Solutions With Rationales
|Get It 100% Accurate!! Already Passed!!
!@#$$$$$$$$$$%
Normal ALT? - (ANSWERS)5-35
Kava kava can cause? - (ANSWERS)Liver damage and heavy sedation
Kava kava is c/i with? - (ANSWERS)Benzos or sedatives
Mood stabilizer most associated with SJS? - (ANSWERS)Lamictal
Mood stabilizer with least weight gain? - (ANSWERS)Lamictal
Sgas with least weight gain? - (ANSWERS)ziprasidone, abilify, and latuda
Least sedating SGA? - (ANSWERS)Abilify
Routine labs with sgas? - (ANSWERS)BMI, hip to waist ratio, glucose, A1C, and lipid panel
Management of metabolic syndrome with sgas? - (ANSWERS)1. Nonpharm = exercise or
nutritional counseling
2. Pharm = switch to other SGA with lower chance of metabolic syndrome
Carbamazepine can cause? - (ANSWERS)Agranulocytosis and aplastic anemia
What should you screen for prior to starting Asians on carbamazepine and why? -
(ANSWERS)HLAB1502 Allele; risk of SJS
When should you d/c carbamazepine if agranulocytosis is suspected? - (ANSWERS)If ANC is <
1000 with or without s/s of infection
Lithium range? - (ANSWERS)0.6 - 1.2
What to do if lithium is 1.3 or 1.4? - (ANSWERS)Monitor
What to do if lithium is 1.5+? - (ANSWERS)D/C
Benefits of lithium? - (ANSWERS)Gold standard for mania, neuroprotective, and antisuicidal
effects
S/S of lithium toxicity? - (ANSWERS)Severe N/V, polydipsia, polyuria, leukocytosis, palpitations,
coarse tremor
