GEORGETTE REVIEW PMHNP FINAL EXAM
SCRIPT 2026 COMPLETE 388 QUESTIONS
WITH ACCURATE SOLUTIONS 100%
CORRECT
⩥ If cultural question. Answer: make an accommodation for them even
if against policy
RESPECT also important
contextualize their situation/clarify the meaning of their illness in their
culture
if it's a cultural syndrome, it's not mental illness--provide supportive
psychotherapy
⩥ Education w/ cultural consideration. Answer: teach education based
on cultural.
if multiple cultures present during education- provide multicultural
ethonospecific assessment parameters
,⩥ Answering tips. Answer: if part of quesiton wrong, whole question
wrong.
If 3 of the same and one different usually answer is the one that's
different
⩥ Answering tips. Answer: Priority is airway, breathing, circulation.
Then maslows heirchy-- safety, needs, culture
then assessment before intervention if needed.
don't choose to delegate, always chose to collaborate/do it yourself
⩥ 3 antipscyhotics that are least likely to cause wt gain. Answer:
lurasidone, abilify, and ziprasidone (geodon)
abilify least sedating
⩥ Pt develops metabolic syndrome:. Answer: elevated A1C, lipid,
glucose, hip to waist ratio, BMI
What do you do first?
,reduce calorie, exercise..if not
then switch to lurasidone, abilify, or geodon
⩥ First psychotic episodes?. Answer: atypicals...especially IM injections
because fastest mode of action
Zyprexa, Invega, Abilify or Geodon
⩥ Normal TSH. Answer: 0.5 - 5.0
⩥ hyperthyroid. Answer: anxiety, irritable, heat intolerance, tachy, mood
swings, wt loss, increased appetite
⩥ Hypothyroid. Answer: cold intolerance, lethargy, wt gain, decreased
lbido
⩥ Steven Johnson (lamictal, lamotrigine). Answer: Fever
rash
burning eyes/mucosa
HA
, ⩥ Lamictal. Answer: mood stabilizer that causes the least amount of wt
gain
⩥ Carbamazepine (tegretol). Answer: also can cause SJS or rash
especially in asians
must screen for HLAB-1502 allele first for all asains (if positive, means
at increased risk for SJS, don't give)
⩥ Which meds cause agranulocytosis. Answer: tegretol AND clozaril
DC if ANC <1000 whether or not signs of infection
monitor for signs of infection which indicate granulocytosis- fever, sore
throat, fatigue, chills.
⩥ Valproic Acid (depakote). Answer: can cause:
-spina bifida
-hepatotoxicity (RUQ pain, reddish-brown urine- check LFTS)
⩥ Signs of hepatotoxicity (depakote) level >150. Answer: confusion
disorientation
SCRIPT 2026 COMPLETE 388 QUESTIONS
WITH ACCURATE SOLUTIONS 100%
CORRECT
⩥ If cultural question. Answer: make an accommodation for them even
if against policy
RESPECT also important
contextualize their situation/clarify the meaning of their illness in their
culture
if it's a cultural syndrome, it's not mental illness--provide supportive
psychotherapy
⩥ Education w/ cultural consideration. Answer: teach education based
on cultural.
if multiple cultures present during education- provide multicultural
ethonospecific assessment parameters
,⩥ Answering tips. Answer: if part of quesiton wrong, whole question
wrong.
If 3 of the same and one different usually answer is the one that's
different
⩥ Answering tips. Answer: Priority is airway, breathing, circulation.
Then maslows heirchy-- safety, needs, culture
then assessment before intervention if needed.
don't choose to delegate, always chose to collaborate/do it yourself
⩥ 3 antipscyhotics that are least likely to cause wt gain. Answer:
lurasidone, abilify, and ziprasidone (geodon)
abilify least sedating
⩥ Pt develops metabolic syndrome:. Answer: elevated A1C, lipid,
glucose, hip to waist ratio, BMI
What do you do first?
,reduce calorie, exercise..if not
then switch to lurasidone, abilify, or geodon
⩥ First psychotic episodes?. Answer: atypicals...especially IM injections
because fastest mode of action
Zyprexa, Invega, Abilify or Geodon
⩥ Normal TSH. Answer: 0.5 - 5.0
⩥ hyperthyroid. Answer: anxiety, irritable, heat intolerance, tachy, mood
swings, wt loss, increased appetite
⩥ Hypothyroid. Answer: cold intolerance, lethargy, wt gain, decreased
lbido
⩥ Steven Johnson (lamictal, lamotrigine). Answer: Fever
rash
burning eyes/mucosa
HA
, ⩥ Lamictal. Answer: mood stabilizer that causes the least amount of wt
gain
⩥ Carbamazepine (tegretol). Answer: also can cause SJS or rash
especially in asians
must screen for HLAB-1502 allele first for all asains (if positive, means
at increased risk for SJS, don't give)
⩥ Which meds cause agranulocytosis. Answer: tegretol AND clozaril
DC if ANC <1000 whether or not signs of infection
monitor for signs of infection which indicate granulocytosis- fever, sore
throat, fatigue, chills.
⩥ Valproic Acid (depakote). Answer: can cause:
-spina bifida
-hepatotoxicity (RUQ pain, reddish-brown urine- check LFTS)
⩥ Signs of hepatotoxicity (depakote) level >150. Answer: confusion
disorientation
