PMHNP Georgette Review course exam
2025/2026 latest 400 questions with verified
solutions grade A
Terms in this set (388)
When many answers are wrong
remarkably similar, they
are usually _____________
Interprofessional Collaborate is usually right.
collaboration is Delegate is usually wrong.
encouraged.
Assessment, diagnosis, Plan, intervention, evaluate,
ADPIER
refer out last.
Lithium Normal 0.6-1.2
Lithium toxicity occurs at > 1.5
levels
severe nausea, diarrhea, vomiting, confusion,
Signs of Lithium toxicity drowsiness, muscle weakness, heart palpitation,
coarse hand tremors, unsteady gait
Lithium is gold standard MANIA
for
Lithium has evidence reduce suicidal ideation
shown to
What does lithium cause in Ebstein anomaly (congenital heart defect)
neonate, especially 1st
trimester
, dehydration and rise
hyponatremia cause
lithium levels to
TSH
creatinine (0.6-1.2)
BUN (10-20)
Baseline labs before
HCG (all psychotropics females 12-51)
initiation of lithium
EKG 50+
Urinalysis (check for proteins, 4+ may indicate kidney
disease)
hypothyroidism
coase hand tremors with toxicity
maculopapular rash
diarrhea, vomiting, cramps--signs of toxicity. Monitor
Side Effects of Lithium
closely.
anorexia
t wave inversions
leukocytosis
staying hydrated
Pt education for lithimum avoiding NSAIDS
compliance
Depakote normal level 50-125
Depakote toxicity level greater than 150
Teratogenic effects of spina bifida
Depakote
alopecia
Adverse effects of hepatotoxicity (RUQ pain or brown/red urine--order
depakote LFTs) AST 5-40, ALT 5-35, yellowing of skin or eyes,
fatigue
disorientation, lethargy, respiratory depression,
Signs of Depakote toxicity
nausea/vomiting
2025/2026 latest 400 questions with verified
solutions grade A
Terms in this set (388)
When many answers are wrong
remarkably similar, they
are usually _____________
Interprofessional Collaborate is usually right.
collaboration is Delegate is usually wrong.
encouraged.
Assessment, diagnosis, Plan, intervention, evaluate,
ADPIER
refer out last.
Lithium Normal 0.6-1.2
Lithium toxicity occurs at > 1.5
levels
severe nausea, diarrhea, vomiting, confusion,
Signs of Lithium toxicity drowsiness, muscle weakness, heart palpitation,
coarse hand tremors, unsteady gait
Lithium is gold standard MANIA
for
Lithium has evidence reduce suicidal ideation
shown to
What does lithium cause in Ebstein anomaly (congenital heart defect)
neonate, especially 1st
trimester
, dehydration and rise
hyponatremia cause
lithium levels to
TSH
creatinine (0.6-1.2)
BUN (10-20)
Baseline labs before
HCG (all psychotropics females 12-51)
initiation of lithium
EKG 50+
Urinalysis (check for proteins, 4+ may indicate kidney
disease)
hypothyroidism
coase hand tremors with toxicity
maculopapular rash
diarrhea, vomiting, cramps--signs of toxicity. Monitor
Side Effects of Lithium
closely.
anorexia
t wave inversions
leukocytosis
staying hydrated
Pt education for lithimum avoiding NSAIDS
compliance
Depakote normal level 50-125
Depakote toxicity level greater than 150
Teratogenic effects of spina bifida
Depakote
alopecia
Adverse effects of hepatotoxicity (RUQ pain or brown/red urine--order
depakote LFTs) AST 5-40, ALT 5-35, yellowing of skin or eyes,
fatigue
disorientation, lethargy, respiratory depression,
Signs of Depakote toxicity
nausea/vomiting
