GEORGETTE REVIEW PMHNP ACCURATE EXPERT
VERIFIED ACTUAL QUESTIONS & ANSWERS FOR
GUARANTEED PASS | NEWEST UPDATE, 2025-2026
Terms in this set (388)
When many answers are wrong
remarkably similar, they
are usually
_____________
InterprofessionalCollaborate is usually right. collaboration isDelegate is
usually wrong. encouraged.
ADPIER Assessment, diagnosis, Plan, intervention, evaluate, refer out
last.
Lithium Normal 0.6-1.2
Lithium toxicity occurs at > 1.5
levels
Signs of Lithium toxicity severe nausea, diarrhea, vomiting, confusion, drowsiness,
muscle weakness, heart palpitation, coarse hand tremors,
unsteady gait
Lithium is gold standard for MANIA
Lithium has evidence shown reduce suicidal ideation
to
What does lithium cause in Ebstein anomaly (congenital heart defect)
neonate, especially 1st
trimester
rise
dehydration and
hyponatremia cause
lithium levels to
,Baseline labs before TSH
initiation of lithium creatinine (0.6-1.2)
BUN (10-20)
HCG (all psychotropics females 12-51)
EKG 50+
Urinalysis (check for proteins, 4+ may indicate kidney disease)
Side Effects of Lithium hypothyroidism coase hand tremors with toxicity
maculopapular rash diarrhea, vomiting, cramps--signs of
toxicity. Monitor closely. anorexia t wave inversions
leukocytosis
Pt education for lithimum staying hydrated avoiding
NSAIDS compliance
Depakote normal level 50-125
Depakote toxicity level greater than 150
Teratogenic effects of spina bifida
Depakote
Adverse effects of depakote alopecia
hepatotoxicity (RUQ pain or brown/red urine--order LFTs)
AST 5-40, ALT 5-35, yellowing of skin or eyes, fatigue
Signs of Depakote toxicity disorientation, lethargy, respiratory depression, nausea/vomiting
Intervention for depakote DC med
toxicity check level
LFT ammonia
MAOI + tyramine causes hypertensive crisis
,Symptoms of hypertensive elevated BP sudden explosive like
crisis headache facial flushing
palpitations pupillary dilation
diaphoresis fever
Hypertensive crisis occurs MEPERIDINE
with MAOI + STIMULANTS
decongestants TCAs
atypicals St.
John's wart L-
tryptophan
asthma meds
Treatment for hypertensive DC offending agent
crisis Administer PHENTOLAMINE
Teratogenic effects of benzos floppy baby, cleft palate
Teratogenic effects of tegratol neural tube defect
teratogenic effects of lithium ebstein anomaly (heart defect) (avoid, especially 1st trimester)
teratogenic effects of neural tube defects/spina bifida
depakote
Adverse reaction to Steven Johnson's Syndrome
Lamictal
, Signs of SJS FEVER --high yield sore
throat facial swelling tongue
swelling red rash skin
sloughing body aches
prodromal headache malaise
arthralgia painful mucus
membranes
Lamotrigine is least likely to sedation or weight gain
cause
Carbamazepine (tegretol) agranulocytosis (decrease WBCs) aplastic anemia (pallor,
black box warning fatigue, HA, fever, nosebleeds, bleeding gums, skin rash,
SOA)
Carbamazepine and asians Screen for HLAB-1502 allele before initiating, due to high
incidence of SJS if positive for allele.
Child-bearing aged women check for pregnancy before starting mood stabilizer start
on folic acid to support neural tube development during
the first month that a woman is pregnant
Clozaril/clozapine can cause agranulocytosis and neutropenia
For monitoring ANC
neutropenia in Clozaril,
monitor
DC clozarli if ANC less than 1000
DC clozaril if WBC 2000-3000, risk of agranulocytosis
signs and symptoms of infection: sudden fever, chills, sore
When on clozaril monitor for
throat, weakness
VERIFIED ACTUAL QUESTIONS & ANSWERS FOR
GUARANTEED PASS | NEWEST UPDATE, 2025-2026
Terms in this set (388)
When many answers are wrong
remarkably similar, they
are usually
_____________
InterprofessionalCollaborate is usually right. collaboration isDelegate is
usually wrong. encouraged.
ADPIER Assessment, diagnosis, Plan, intervention, evaluate, refer out
last.
Lithium Normal 0.6-1.2
Lithium toxicity occurs at > 1.5
levels
Signs of Lithium toxicity severe nausea, diarrhea, vomiting, confusion, drowsiness,
muscle weakness, heart palpitation, coarse hand tremors,
unsteady gait
Lithium is gold standard for MANIA
Lithium has evidence shown reduce suicidal ideation
to
What does lithium cause in Ebstein anomaly (congenital heart defect)
neonate, especially 1st
trimester
rise
dehydration and
hyponatremia cause
lithium levels to
,Baseline labs before TSH
initiation of lithium creatinine (0.6-1.2)
BUN (10-20)
HCG (all psychotropics females 12-51)
EKG 50+
Urinalysis (check for proteins, 4+ may indicate kidney disease)
Side Effects of Lithium hypothyroidism coase hand tremors with toxicity
maculopapular rash diarrhea, vomiting, cramps--signs of
toxicity. Monitor closely. anorexia t wave inversions
leukocytosis
Pt education for lithimum staying hydrated avoiding
NSAIDS compliance
Depakote normal level 50-125
Depakote toxicity level greater than 150
Teratogenic effects of spina bifida
Depakote
Adverse effects of depakote alopecia
hepatotoxicity (RUQ pain or brown/red urine--order LFTs)
AST 5-40, ALT 5-35, yellowing of skin or eyes, fatigue
Signs of Depakote toxicity disorientation, lethargy, respiratory depression, nausea/vomiting
Intervention for depakote DC med
toxicity check level
LFT ammonia
MAOI + tyramine causes hypertensive crisis
,Symptoms of hypertensive elevated BP sudden explosive like
crisis headache facial flushing
palpitations pupillary dilation
diaphoresis fever
Hypertensive crisis occurs MEPERIDINE
with MAOI + STIMULANTS
decongestants TCAs
atypicals St.
John's wart L-
tryptophan
asthma meds
Treatment for hypertensive DC offending agent
crisis Administer PHENTOLAMINE
Teratogenic effects of benzos floppy baby, cleft palate
Teratogenic effects of tegratol neural tube defect
teratogenic effects of lithium ebstein anomaly (heart defect) (avoid, especially 1st trimester)
teratogenic effects of neural tube defects/spina bifida
depakote
Adverse reaction to Steven Johnson's Syndrome
Lamictal
, Signs of SJS FEVER --high yield sore
throat facial swelling tongue
swelling red rash skin
sloughing body aches
prodromal headache malaise
arthralgia painful mucus
membranes
Lamotrigine is least likely to sedation or weight gain
cause
Carbamazepine (tegretol) agranulocytosis (decrease WBCs) aplastic anemia (pallor,
black box warning fatigue, HA, fever, nosebleeds, bleeding gums, skin rash,
SOA)
Carbamazepine and asians Screen for HLAB-1502 allele before initiating, due to high
incidence of SJS if positive for allele.
Child-bearing aged women check for pregnancy before starting mood stabilizer start
on folic acid to support neural tube development during
the first month that a woman is pregnant
Clozaril/clozapine can cause agranulocytosis and neutropenia
For monitoring ANC
neutropenia in Clozaril,
monitor
DC clozarli if ANC less than 1000
DC clozaril if WBC 2000-3000, risk of agranulocytosis
signs and symptoms of infection: sudden fever, chills, sore
When on clozaril monitor for
throat, weakness
