PMHNP Exam Prep 2025 – Georgette Review
Comprehensive Guide REAL EXAM!!!! 2025
When many ANSWERwers are remarkably similar, they are usually _____________ - ANSWER ✔---
wrong
Interprofessional collaboration is encouraged. - ANSWER ✔---Collaborate is usually right.
Delegate is usually wrong.
ADPIER - ANSWER ✔---Assessment, diagnosis, Plan, intervention, evaluate, refer out last.
Lithium - ANSWER ✔---Normal 0.6-1.2
Lithium toxicity occurs at levels - ANSWER ✔---> 1.5
Signs of Lithium toxicity - ANSWER ✔---severe nausea, diarrhea, vomiting, confusion, drowsiness,
muscle weakness, heart palpitation, coarse hand tremors, unsteady gait
Lithium is gold standard for - ANSWER ✔---MANIA
Lithium has evidence shown to - ANSWER ✔---reduce suicidal ideation
,What does lithium cause in neonate, especially 1st trimester - ANSWER ✔---Ebstein anomaly
(congenital heart defect)
dehydration and hyponatremia cause lithium levels to - ANSWER ✔---rise
Baseline labs before initiation of lithium - ANSWER ✔---TSH
creatinine (0.6-1.2)
BUN (10-20)
HCG (all psychotropics females 12-51)
EKG 50+
Urinalysis (check for proteins, 4+ may indicate kidney disease)
Side Effects of Lithium - ANSWER ✔---hypothyroidism
coase hand tremors with toxicity
maculopapular rash
diarrhea, vomiting, cramps--signs of toxicity. Monitor closely.
anorexia
t wave inversions
leukocytosis
Pt education for lithimum - ANSWER ✔---staying hydrated
avoiding NSAIDS
compliance
Depakote normal level - ANSWER ✔---50-125
Depakote toxicity level - ANSWER ✔---greater than 150
Teratogenic effects of Depakote - ANSWER ✔---spina bifida
,Adverse effects of depakote - ANSWER ✔---alopecia
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 - ANSWER ✔---disorientation, lethargy, respiratory depression,
nausea/vomiting
Intervention for depakote toxicity - ANSWER ✔---DC med
check level
LFT
ammonia
MAOI + tyramine causes - ANSWER ✔---hypertensive crisis
Symptoms of hypertensive crisis - ANSWER ✔---elevated BP
sudden explosive like headache
facial flushing
palpitations
pupillary dilation
diaphoresis
fever
Hypertensive crisis occurs with MAOI + - ANSWER ✔---MEPERIDINE
STIMULANTS
decongestants
TCAs
atypicals
St. John's wart
, L-tryptophan
asthma meds
Treatment for hypertensive crisis - ANSWER ✔---DC offending agent
Administer PHENTOLAMINE
Teratogenic effects of benzos - ANSWER ✔---floppy baby, cleft palate
Teratogenic effects of tegratol - ANSWER ✔---neural tube defect
teratogenic effects of lithium - ANSWER ✔---ebstein anomaly (heart defect) (avoid, especially 1st
trimester)
teratogenic effects of depakote - ANSWER ✔---neural tube defects/spina bifida
Adverse reaction to Lamictal - ANSWER ✔---Steven Johnson's Syndrome
Signs of SJS - ANSWER ✔---FEVER --high yield
sore throat
facial swelling
tongue swelling
red rash
skin sloughing
body aches
prodromal headache
malaise
arthralgia
painful mucus membranes
Comprehensive Guide REAL EXAM!!!! 2025
When many ANSWERwers are remarkably similar, they are usually _____________ - ANSWER ✔---
wrong
Interprofessional collaboration is encouraged. - ANSWER ✔---Collaborate is usually right.
Delegate is usually wrong.
ADPIER - ANSWER ✔---Assessment, diagnosis, Plan, intervention, evaluate, refer out last.
Lithium - ANSWER ✔---Normal 0.6-1.2
Lithium toxicity occurs at levels - ANSWER ✔---> 1.5
Signs of Lithium toxicity - ANSWER ✔---severe nausea, diarrhea, vomiting, confusion, drowsiness,
muscle weakness, heart palpitation, coarse hand tremors, unsteady gait
Lithium is gold standard for - ANSWER ✔---MANIA
Lithium has evidence shown to - ANSWER ✔---reduce suicidal ideation
,What does lithium cause in neonate, especially 1st trimester - ANSWER ✔---Ebstein anomaly
(congenital heart defect)
dehydration and hyponatremia cause lithium levels to - ANSWER ✔---rise
Baseline labs before initiation of lithium - ANSWER ✔---TSH
creatinine (0.6-1.2)
BUN (10-20)
HCG (all psychotropics females 12-51)
EKG 50+
Urinalysis (check for proteins, 4+ may indicate kidney disease)
Side Effects of Lithium - ANSWER ✔---hypothyroidism
coase hand tremors with toxicity
maculopapular rash
diarrhea, vomiting, cramps--signs of toxicity. Monitor closely.
anorexia
t wave inversions
leukocytosis
Pt education for lithimum - ANSWER ✔---staying hydrated
avoiding NSAIDS
compliance
Depakote normal level - ANSWER ✔---50-125
Depakote toxicity level - ANSWER ✔---greater than 150
Teratogenic effects of Depakote - ANSWER ✔---spina bifida
,Adverse effects of depakote - ANSWER ✔---alopecia
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 - ANSWER ✔---disorientation, lethargy, respiratory depression,
nausea/vomiting
Intervention for depakote toxicity - ANSWER ✔---DC med
check level
LFT
ammonia
MAOI + tyramine causes - ANSWER ✔---hypertensive crisis
Symptoms of hypertensive crisis - ANSWER ✔---elevated BP
sudden explosive like headache
facial flushing
palpitations
pupillary dilation
diaphoresis
fever
Hypertensive crisis occurs with MAOI + - ANSWER ✔---MEPERIDINE
STIMULANTS
decongestants
TCAs
atypicals
St. John's wart
, L-tryptophan
asthma meds
Treatment for hypertensive crisis - ANSWER ✔---DC offending agent
Administer PHENTOLAMINE
Teratogenic effects of benzos - ANSWER ✔---floppy baby, cleft palate
Teratogenic effects of tegratol - ANSWER ✔---neural tube defect
teratogenic effects of lithium - ANSWER ✔---ebstein anomaly (heart defect) (avoid, especially 1st
trimester)
teratogenic effects of depakote - ANSWER ✔---neural tube defects/spina bifida
Adverse reaction to Lamictal - ANSWER ✔---Steven Johnson's Syndrome
Signs of SJS - ANSWER ✔---FEVER --high yield
sore throat
facial swelling
tongue swelling
red rash
skin sloughing
body aches
prodromal headache
malaise
arthralgia
painful mucus membranes
