Georgette Review. PMHNP- 388 QUESTIONS- QUARANTEED SOLUTIONS- 2026 NEWEST UPDATE!!!!!!!!!!!

Georgette Review. PMHNP- 388 QUESTIONS-
QUARANTEED SOLUTIONS- 2026 NEWEST
UPDATE!!!!!!!!!!!
Whengmanyganswersgaregremarkablygsimilar,gtheygaregusuallyg_____________g-
gcorrectganswerg:gggwrong



Interprofessionalgcollaborationgisgencouraged.g-
gcorrectganswerg:gggCollaborategisgusuallygright.g



Delegategisgusuallygwrong.
ADPIERg-
gcorrectganswerg:gggAssessment,gdiagnosis,gPlan,gintervention,gevaluate,grefergoutglast.

Lithiumg-gcorrectganswerg:gggNormalg0.6-1.2

Lithiumgtoxicitygoccursgatglevelsg-gcorrectganswerg:ggg>g1.5

SignsgofgLithiumgtoxicityg-
gcorrectganswerg:gggseveregnausea,gdiarrhea,gvomiting,gconfusion,gdrowsiness,gmusclegwe

akness,gheartgpalpitation,gcoarseghandgtremors,gunsteadyggait

Lithiumgisggoldgstandardgforg-gcorrectganswerg:gggMANIA
Lithiumghasgevidencegshowngtog-gcorrectganswerg:gggreducegsuicidalgideation

Whatgdoesglithiumgcausegingneonate,gespeciallyg1stgtrimesterg-
gcorrectganswerg:gggEbsteinganomalyg(congenitalgheartgdefect)

dehydrationgandghyponatremiagcauseglithiumglevelsgtog-gcorrectganswerg:gggrise
Baselineglabsgbeforeginitiationgofglithiumg-gcorrectganswerg:gggTSH
creatinineg(0.6-1.2)
BUNg(10-20)
HCGg(allgpsychotropicsgfemalesg12-51)
EKGg50+
Urinalysisg(checkgforgproteins,g4+gmaygindicategkidneygdisease)
SidegEffectsgofgLithiumg-gcorrectganswerg:ggghypothyroidism
coaseghandgtremorsgwithgtoxicity
maculopapulargrash
diarrhea,gvomiting,gcramps--signsgofgtoxicity.gMonitorgclosely.g
anorexia
tgwaveginversions
leukocytosis
Ptgeducationgforglithimumg-gcorrectganswerg:gggstayingghydrated
avoidinggNSAIDS
compliance
Depakotegnormalglevelg-gcorrectganswerg:ggg50-125

,Depakotegtoxicityglevelg-gcorrectganswerg:ggggreatergthang150
TeratogenicgeffectsgofgDepakoteg-gcorrectganswerg:gggspinagbifida
Adversegeffectsgofgdepakoteg-gcorrectganswerg:gggalopecia
hepatotoxicityg(RUQgpaingorgbrown/redgurine--ordergLFTs)gASTg5-40,gALTg5-
35,gyellowinggofgskingorgeyes,gfatigue
SignsgofgDepakotegtoxicityg-
gcorrectganswerg:gggdisorientation,glethargy,grespiratorygdepression,gnausea/vomiting

Interventiongforgdepakotegtoxicityg-gcorrectganswerg:gggDCgmed
checkglevel
LFT
ammonia
MAOIg+gtyraminegcausesg-gcorrectganswerg:ggghypertensivegcrisis
Symptomsgofghypertensivegcrisisg-gcorrectganswerg:gggelevatedgBP
suddengexplosiveglikegheadache
facialgflushing
palpitations
pupillarygdilation
diaphoresis
fever
HypertensivegcrisisgoccursgwithgMAOIg+g-gcorrectganswerg:gggMEPERIDINE
STIMULANTS
decongestants
TCAs
atypicals
St.gJohn'sgwart
L-tryptophan
asthmagmeds
Treatmentgforghypertensivegcrisisg-gcorrectganswerg:gggDCgoffendinggagent
AdministergPHENTOLAMINE
Teratogenicgeffectsgofgbenzosg-gcorrectganswerg:gggfloppygbaby,gcleftgpalate
Teratogenicgeffectsgofgtegratolg-gcorrectganswerg:gggneuralgtubegdefect
teratogenicgeffectsgofglithiumg-
gcorrectganswerg:gggebsteinganomalyg(heartgdefect)g(avoid,gespeciallyg1stgtrimester)

teratogenicgeffectsgofgdepakoteg-gcorrectganswerg:gggneuralgtubegdefects/spinagbifida
AdversegreactiongtogLamictalg-gcorrectganswerg:gggStevengJohnson'sgSyndrome
SignsgofgSJSg-gcorrectganswerg:gggFEVERg--highgyield
soregthroat
facialgswelling
tonguegswelling
redgrash
skingsloughing
bodygaches
prodromalgheadache
malaise
arthralgia
painfulgmucusgmembranes

, Lamotriginegisgleastglikelygtogcauseg-gcorrectganswerg:gggsedationgorgweightggain
Carbamazepineg(tegretol)gblackgboxgwarningg-
gcorrectganswerg:gggagranulocytosisg(decreasegWBCs)

aplasticganemiag(pallor,gfatigue,gHA,gfever,gnosebleeds,gbleedingggums,gskingrash,gSOA)
Carbamazepinegandgasiansg-gcorrectganswerg:gggScreengforgHLAB-
1502gallelegbeforeginitiating,gduegtoghighgincidencegofgSJSgifgpositivegforgallele.
Child-bearinggagedgwomeng-
gcorrectganswerg:gggcheckgforgpregnancygbeforegstartinggmoodgstabilizer

startgongfolicgacidgtogsupportgneuralgtubegdevelopmentgduringgthegfirstgmonthgthatgagwoma
ngisgpregnant
Clozaril/clozapinegcangcauseg-gcorrectganswerg:gggagranulocytosisgandgneutropenia
ForgmonitoringgneutropeniagingClozaril,gmonitorg-gcorrectganswerg:gggANC
DCgclozarligifgANCg-gcorrectganswerg:ggglessgthang1000
DCgclozarilgifgWBCg-gcorrectganswerg:ggg2000-3000,griskgofgagranulocytosis
Whengongclozarilgmonitorgforg-
gcorrectganswerg:gggsignsgandgsymptomsgofginfection:gsuddengfever,gchills,gsoregthroat,gwe

akness
Clozarilgonlygknowngantipsychoticgtog-
gcorrectganswerg:gggdecreasegriskgofgsuicidegingpatientsgwithgschizophrenia.

Yourgpatientgwithgbipolargdisordergisgadmittedgtogagmedicalghospital.gTheginternistgcontact
sgyourgofficegandgasksgwhethergtheglithiumgyougprescribedghimgisgeffectingghisgECG.gHowg
dogyougrespond?
A.gLithiumgcangprolonggthegQTginterval
B.gLithiumghasgnogeffectgonghisgECG
C.gLithiumgcanginvertgthegtgwaves
D.gLithiumgcangshortengthegPRgintervalg-
gcorrectganswerg:gggAnswer:gLithiumgcanginvertgthegtgwaves.

Marygisgag45-year-
oldgAfricangAmericangfemalegwhoghasgbeengtreatedgongIsocarboxazidg(Marplan)gforgoverg
6gyears.gMarygisggoinggingforgagsurgicalgprocedure.gWhichgmedicationgisgstrictlygcontraindi
catedgwithgIsocarboxazid?
A.gMorphine
B.gNSAIDS
C.gMethylphenidate
D.gAcetaminopheng-gcorrectganswerg:gggAnswer:gMethylphenidate
Yougaregtreatinggagclientgwithgschizophreniagwhogtakesgclozapine.gWhatglabgvaluesgwillgin
dicategthegclientgneedsgtogdiscontinuegtreatment?
A.gWBCglessgthang1800gandgANCglessgthang1200
B.gANCglessgthang1,000
C.gWBCglessgthang5,000
D.gANCglessgthang2000g-gcorrectganswerg:gggAnswer:gANCglessgthang1000
Ifggivengduringgpregnancy,gsociumgvalproategcangcausegwhichgofgthegfollowinggmedicalgpr
oblemsgingthegbaby?
A.gSJS
B.gEbstein'sganomaly
C.gSpinagbifida