PMHNP review - georgette's 2025 All
Questions And Answers Already Rated
100%
Science,medicine,pediatrics
Reflexes expected at 1 month - ✔ANASWER✔-Moro until 4 months,
Palmer until 4 months, Plantar util 8 months, Babinski (2 years is disease)
Signs of fetal alcohol syndrome - ✔ANASWER✔-small head, shoey
palpebral fissure, inner epicanthal folds. Do IEP and early intervention
specialist
Rhett Syndrome - ✔ANASWER✔-a rare disorder found virtually exclusively
in girls, is a neurodevelopmental disorder in which the child usually
develops normally unitl about 6 to 18 months of age at which
characteristics of the syndrome emerge; characteristics include: hypotonia
(loss of muscle tone), reduced eye contact, decelerated head growth, and
disinterest in play activities
,EPS types - ✔ANASWER✔-Tardive dyskinesia happen after years (eps is
a precursor). Acute dystonia (hours), Parkinsons (weeks), Akathisia (days)
Where do EPS originate - ✔ANASWER✔-nigrostiatal tract.
How does tegretol interact with cipro - ✔ANASWER✔-cipro and
erythromycin are inhibitors. Cause increased level of Tegretol. Black box
warning
Tegretol side effects - ✔ANASWER✔-Aplastic anemia, agranulocytosis,
steven johnsons, hyponatremia. Watch with cipro and erythro
nuchal rigidity - ✔ANASWER✔-stiffness in cervical neck area, meningitis
ACE inhibitors - ✔ANASWER✔--pril, CHF
signs of serotonin syndrome - ✔ANASWER✔--shivering
-anxiety
-diaphoresis
-hyperthermia
Shits and Shivers
diarrhea, shivering, hyperreflexia/myoclonis, increased temperature, vital
sign instability, encephalopathy, restlessness, sweating
,Serotonin Discontinuation Syndrome - ✔ANASWER✔-syndrome caused by
abrupt withdrawal of an antidepressant drug, resulting in sensory
disturbances, sleeping disturbances, disequilibrium, flu-like symptoms,
dizzy, vertigo, paresthesia (brain zaps), nausea/vomiting, and
gastrointestinal effects
NMS - ✔ANASWER✔-neuroleptic malignant syndrome
*S*evere fever
*C*hanging LOC
*A*utonomic instability
*R*igidity
*S*weating and drooling
FEVERS- fever, encephalopathy, vitals instability, elevated white blood cell
count/cpk, rigidity
Levels of Prevention - ✔ANASWER✔-Primary: prevent/promotion, classes,
safety initiatives, education, classes, modifying environment
Secondary: screen-early detection, crisis hotlines, disaster
Tertiary: treat- to prevent further deterioration, rehab, restoration, day
treatment, social skills
Risk factors for serotonin syndrome - ✔ANASWER✔-more than 1 SSRI, st
johns wart, tramadol, demerol, ultram, maperidone, 5HT
Grade 2/5 hoarse systolic heart murmur - ✔ANASWER✔-aortic stenosis
, Woman with GAD advise on medication - ✔ANASWER✔-stop benzos
because can cause floppy baby syndrome and cleft palate, cotinue buspar
What to give to agitated pt in seclusion - ✔ANASWER✔-IM Geodon
Labs for macrocytic anemia - ✔ANASWER✔-Folic acid, vitamin B12,
ESR/CRP, HGB, MCV (liver)
When to assess a patient in restraints for face/face - ✔ANASWER✔-1 hour
then 8 hours
therapeutic communication - ✔ANASWER✔-open ended, 'tell me'
Reluctant/silent patient - ✔ANASWER✔-open ended questions
Patients husband shows up but not the patient - ✔ANASWER✔-both
people need to be present, reschedule
Abnormal Trendelenburg Test - ✔ANASWER✔-Hip disease, refer child out,
assessed during head to toe
Hamilton Depression Scale - ✔ANASWER✔-i. Severe 19- 23 (monitor for
SI)
ii. Moderate 14 - 18
iii. Mild 8 -13
0-7 normal
Questions And Answers Already Rated
100%
Science,medicine,pediatrics
Reflexes expected at 1 month - ✔ANASWER✔-Moro until 4 months,
Palmer until 4 months, Plantar util 8 months, Babinski (2 years is disease)
Signs of fetal alcohol syndrome - ✔ANASWER✔-small head, shoey
palpebral fissure, inner epicanthal folds. Do IEP and early intervention
specialist
Rhett Syndrome - ✔ANASWER✔-a rare disorder found virtually exclusively
in girls, is a neurodevelopmental disorder in which the child usually
develops normally unitl about 6 to 18 months of age at which
characteristics of the syndrome emerge; characteristics include: hypotonia
(loss of muscle tone), reduced eye contact, decelerated head growth, and
disinterest in play activities
,EPS types - ✔ANASWER✔-Tardive dyskinesia happen after years (eps is
a precursor). Acute dystonia (hours), Parkinsons (weeks), Akathisia (days)
Where do EPS originate - ✔ANASWER✔-nigrostiatal tract.
How does tegretol interact with cipro - ✔ANASWER✔-cipro and
erythromycin are inhibitors. Cause increased level of Tegretol. Black box
warning
Tegretol side effects - ✔ANASWER✔-Aplastic anemia, agranulocytosis,
steven johnsons, hyponatremia. Watch with cipro and erythro
nuchal rigidity - ✔ANASWER✔-stiffness in cervical neck area, meningitis
ACE inhibitors - ✔ANASWER✔--pril, CHF
signs of serotonin syndrome - ✔ANASWER✔--shivering
-anxiety
-diaphoresis
-hyperthermia
Shits and Shivers
diarrhea, shivering, hyperreflexia/myoclonis, increased temperature, vital
sign instability, encephalopathy, restlessness, sweating
,Serotonin Discontinuation Syndrome - ✔ANASWER✔-syndrome caused by
abrupt withdrawal of an antidepressant drug, resulting in sensory
disturbances, sleeping disturbances, disequilibrium, flu-like symptoms,
dizzy, vertigo, paresthesia (brain zaps), nausea/vomiting, and
gastrointestinal effects
NMS - ✔ANASWER✔-neuroleptic malignant syndrome
*S*evere fever
*C*hanging LOC
*A*utonomic instability
*R*igidity
*S*weating and drooling
FEVERS- fever, encephalopathy, vitals instability, elevated white blood cell
count/cpk, rigidity
Levels of Prevention - ✔ANASWER✔-Primary: prevent/promotion, classes,
safety initiatives, education, classes, modifying environment
Secondary: screen-early detection, crisis hotlines, disaster
Tertiary: treat- to prevent further deterioration, rehab, restoration, day
treatment, social skills
Risk factors for serotonin syndrome - ✔ANASWER✔-more than 1 SSRI, st
johns wart, tramadol, demerol, ultram, maperidone, 5HT
Grade 2/5 hoarse systolic heart murmur - ✔ANASWER✔-aortic stenosis
, Woman with GAD advise on medication - ✔ANASWER✔-stop benzos
because can cause floppy baby syndrome and cleft palate, cotinue buspar
What to give to agitated pt in seclusion - ✔ANASWER✔-IM Geodon
Labs for macrocytic anemia - ✔ANASWER✔-Folic acid, vitamin B12,
ESR/CRP, HGB, MCV (liver)
When to assess a patient in restraints for face/face - ✔ANASWER✔-1 hour
then 8 hours
therapeutic communication - ✔ANASWER✔-open ended, 'tell me'
Reluctant/silent patient - ✔ANASWER✔-open ended questions
Patients husband shows up but not the patient - ✔ANASWER✔-both
people need to be present, reschedule
Abnormal Trendelenburg Test - ✔ANASWER✔-Hip disease, refer child out,
assessed during head to toe
Hamilton Depression Scale - ✔ANASWER✔-i. Severe 19- 23 (monitor for
SI)
ii. Moderate 14 - 18
iii. Mild 8 -13
0-7 normal
