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Exam (elaborations)

Georgette Review Exam Questions with Correct Answers, ANCC Review Manual PMHNP Flashcard

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Georgette Review Exam Questions with Correct Answers, ANCC Review Manual PMHNP Flashcard Georgette Review Exam Questions with Correct Answers, ANCC Review Manual PMHNP Flashcard Georgette Review Exam Questions with Correct Answers, ANCC Review Manual PMHNP Flashcard

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August 15, 2025
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8/10/25, 8:43 AM Georgette Review Exam Questions with Correct Answers, ANCC Review Manual PMHNP Flashcards | Quizlet



Science Medicine Psychiatry Save




Georgette Review Exam Questions with Correct Answers,
ANCC Review Manual PMHNP
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Terms in this set (717)


When many answers are remarkably similar, wrong
they are usually _____________

Interprofessional collaboration is Collaborate is usually right.
encouraged. Delegate is usually wrong.

ADPIER Assessment, diagnosis, Plan, intervention, evaluate, refer out last.

Lithium Normal 0.6-1.2

Lithium toxicity occurs at levels > 1.5

severe nausea, diarrhea, vomiting, confusion, drowsiness, muscle weakness, heart
Signs of Lithium toxicity
palpitation, coarse hand tremors, unsteady gait

Lithium is gold standard for MANIA

Lithium has evidence shown to reduce suicidal ideation

What does lithium cause in neonate, Ebstein anomaly (congenital heart defect)
especially 1st trimester

dehydration and hyponatremia cause rise
lithium levels to

TSH
creatinine (0.6-1.2)
BUN (10-20)
Baseline labs before initiation of lithium
HCG (all psychotropics females 12-51)
EKG 50+
Urinalysis (check for proteins, 4+ may indicate kidney disease)




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, 8/10/25, 8:43 AM Georgette Review Exam Questions with Correct Answers, ANCC Review Manual PMHNP Flashcards | Quizlet

hypothyroidism
coase hand tremors with toxicity
maculopapular rash
Side Effects of Lithium diarrhea, vomiting, cramps--signs of toxicity. Monitor closely.
anorexia
t wave inversions
leukocytosis

staying hydrated
Pt education for lithimum avoiding NSAIDS
compliance

Depakote normal level 50-125

Depakote toxicity level greater than 150

Teratogenic effects of Depakote spina bifida

alopecia
Adverse effects of depakote hepatotoxicity (RUQ pain or brown/red urine--order LFTs) AST 5-40, ALT 5-35,
yellowing of skin or eyes, fatigue

Signs of Depakote toxicity disorientation, lethargy, respiratory depression, nausea/vomiting

DC med
check level
Intervention for depakote toxicity
LFT
ammonia

MAOI + tyramine causes hypertensive crisis

elevated BP
sudden explosive like headache
facial flushing
Symptoms of hypertensive crisis palpitations
pupillary dilation
diaphoresis
fever

MEPERIDINE
STIMULANTS
decongestants
TCAs
Hypertensive crisis occurs with MAOI +
atypicals
St. John's wart
L-tryptophan
asthma meds

DC offending agent
Treatment for hypertensive crisis
Administer PHENTOLAMINE

Teratogenic effects of benzos floppy baby, cleft palate

Teratogenic effects of tegratol neural tube defect

teratogenic effects of lithium ebstein anomaly (heart defect) (avoid, especially 1st trimester)

teratogenic effects of depakote neural tube defects/spina bifida

Adverse reaction to Lamictal Steven Johnson's Syndrome




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