GEORGETTE REVIEW PMHNP 388 LEARNING
WORKBOOK 2026 PSYCHIATRIC DISORDERS
AND DIAGNOSTIC REASONING SKILLS
◉ 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
WORKBOOK 2026 PSYCHIATRIC DISORDERS
AND DIAGNOSTIC REASONING SKILLS
◉ 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
