LMR Georgette’s PMHNP Certification Exam [2026] | A+
VERIFIED ANSWERS | UPDATED ACTUAL | COMPLETE
STUDY GUIDE
• What class of medication is contraindicated with tics? -✓✓ Stimulants
• What should you provide for prior to assessing abuse victims? -✓✓ A safe
environment
• What are your actions if a child reports abuse? -✓✓ First interview separately
from parents then report to CPS
• What should you do if a child plays with toys in a way that you suspect abuse? -
✓✓ Report to CPS
• In what setting as an inpatient provider should you interview a patient? -✓✓
Use a private room with the door partially open
• How should you begin your interview with adolescents? -✓✓ By building
rapport with them by ensuring confidentiality absent exceptions
• Should you interview adolescents with or without parents? -✓✓ Without
• What if an adolescent tells you they are homosexual and they don't want their
parents to know? -✓✓ This is confidential
,• The patient is being discharged and would like their labs faxed to the rehab
facility. What is your initial action? -✓✓ Get informed consent/ROI
• What do you do if a medical evaluation is needed? -✓✓ Refer out - this is out of
scope
• What do you do if a patient is takes something and is feeling really funny/unwell
in your office? -✓✓ Collect UDS and then refer out
• Is it considered a mental illness if it is an expected response culturally? What do
you offer as treatment? -✓✓ No; brief supportive therapy - not medication
• A mother states her child is experiencing a cultural illness. What is your initial
action? -✓✓ Respect the mother's cultural understanding of illness prior to
assessment
• Native Americans view mental illness and SUDs as? -✓✓ An imbalance between
the individual and the world
• What ethnic group has the highest rate of suicidality in the US? -✓✓ Native
Americans
• If a patient believes they need a healing stick in their room, but the staff nurses
removed it from them - what should you do? -✓✓ Teach cultural sensitivity and
make accommodations for patient to have healing stick available such as 1:1
• Psychoeducation should be based on? -✓✓ Cultural context
,• How do you promote health in a location with multiple ethnicities and
education levels? -✓✓ Multiple cultural education and ethnospecific assessment
parameters
• What if a patient wants a traditional healer? -✓✓ Allow this - remember
ROI/informed consent
• Normal TSH? -✓✓ 0.5-5.0
• TSH < 0.5 = ? -✓✓ Hyperthyroidism
• TSH > 5.0 = ? -✓✓ Hypothyroidism
• Relationship between TSH & T3/T4? -✓✓ Inverse
• Hyperthyroidism can present as? -✓✓ Mania
• Hypothyroidism can present as? -✓✓ Depression
• Normal depakote level? -✓✓ 50-125
• Toxic depakote level? -✓✓ 150+
, • Birth defect caused by depakote? -✓✓ Spina Bifida
• S/S of depakote toxicity? -✓✓ Disorientation, lethargy, decreased respiratory
rate, and N/V
• What to do if there is depakote toxicity? -✓✓ D/C depakote and check VPA
level, LFTs, and ammonia
• S/S of hepatotoxicity? -✓✓ RUQ pain, reddish brown urine, jaundice, fatigue,
and elevated LFTs
• Normal AST? -✓✓ 5-40
• Normal ALT? -✓✓ 5-35
• Kava kava can cause? -✓✓ Liver damage and heavy sedation
• Kava kava is c/i with? -✓✓ Benzos or sedatives
• Mood stabilizer most associated with SJS? -✓✓ Lamictal
• Mood stabilizer with least weight gain? -✓✓ Lamictal
• SGAs with least weight gain? -✓✓ ziprasidone, abilify, and latuda
VERIFIED ANSWERS | UPDATED ACTUAL | COMPLETE
STUDY GUIDE
• What class of medication is contraindicated with tics? -✓✓ Stimulants
• What should you provide for prior to assessing abuse victims? -✓✓ A safe
environment
• What are your actions if a child reports abuse? -✓✓ First interview separately
from parents then report to CPS
• What should you do if a child plays with toys in a way that you suspect abuse? -
✓✓ Report to CPS
• In what setting as an inpatient provider should you interview a patient? -✓✓
Use a private room with the door partially open
• How should you begin your interview with adolescents? -✓✓ By building
rapport with them by ensuring confidentiality absent exceptions
• Should you interview adolescents with or without parents? -✓✓ Without
• What if an adolescent tells you they are homosexual and they don't want their
parents to know? -✓✓ This is confidential
,• The patient is being discharged and would like their labs faxed to the rehab
facility. What is your initial action? -✓✓ Get informed consent/ROI
• What do you do if a medical evaluation is needed? -✓✓ Refer out - this is out of
scope
• What do you do if a patient is takes something and is feeling really funny/unwell
in your office? -✓✓ Collect UDS and then refer out
• Is it considered a mental illness if it is an expected response culturally? What do
you offer as treatment? -✓✓ No; brief supportive therapy - not medication
• A mother states her child is experiencing a cultural illness. What is your initial
action? -✓✓ Respect the mother's cultural understanding of illness prior to
assessment
• Native Americans view mental illness and SUDs as? -✓✓ An imbalance between
the individual and the world
• What ethnic group has the highest rate of suicidality in the US? -✓✓ Native
Americans
• If a patient believes they need a healing stick in their room, but the staff nurses
removed it from them - what should you do? -✓✓ Teach cultural sensitivity and
make accommodations for patient to have healing stick available such as 1:1
• Psychoeducation should be based on? -✓✓ Cultural context
,• How do you promote health in a location with multiple ethnicities and
education levels? -✓✓ Multiple cultural education and ethnospecific assessment
parameters
• What if a patient wants a traditional healer? -✓✓ Allow this - remember
ROI/informed consent
• Normal TSH? -✓✓ 0.5-5.0
• TSH < 0.5 = ? -✓✓ Hyperthyroidism
• TSH > 5.0 = ? -✓✓ Hypothyroidism
• Relationship between TSH & T3/T4? -✓✓ Inverse
• Hyperthyroidism can present as? -✓✓ Mania
• Hypothyroidism can present as? -✓✓ Depression
• Normal depakote level? -✓✓ 50-125
• Toxic depakote level? -✓✓ 150+
, • Birth defect caused by depakote? -✓✓ Spina Bifida
• S/S of depakote toxicity? -✓✓ Disorientation, lethargy, decreased respiratory
rate, and N/V
• What to do if there is depakote toxicity? -✓✓ D/C depakote and check VPA
level, LFTs, and ammonia
• S/S of hepatotoxicity? -✓✓ RUQ pain, reddish brown urine, jaundice, fatigue,
and elevated LFTs
• Normal AST? -✓✓ 5-40
• Normal ALT? -✓✓ 5-35
• Kava kava can cause? -✓✓ Liver damage and heavy sedation
• Kava kava is c/i with? -✓✓ Benzos or sedatives
• Mood stabilizer most associated with SJS? -✓✓ Lamictal
• Mood stabilizer with least weight gain? -✓✓ Lamictal
• SGAs with least weight gain? -✓✓ ziprasidone, abilify, and latuda
