Georgette Review
PMHNP.NEW Exam 2024
Best Grade 100%
A patient has been treated for the past several
years with fluphenazine (Prolixin). You tonic that he
is drooling and has a slight pill rolling movement of
the fingers. These are EPS symptoms known as
A. pseudo parkinsonism
b. anticholinergic effects
C. Tardive dyskinesia
D. Acute dystonia - ANSWER-A.
Pseudoparkinsonism
,A patient is diagnosed with schizophrenia. Which of
the following would be the appropriate question for
the PMHNP to ask when assessing side effects
produced by dopamine antagonism in the
nigrostriatal pathway?
A. Are you experiencing constipation?
B. Are you experiencing pill rolling tremors,
shuffling gait, and mask like facial expression?
C. Are you experiencing increased thirst?
D. Are you experiencing breast discharge? -
ANSWER-Are you experiencing pill rolling tremors,
shuffling gait, and mask like facial expression
Your patient with bipolar disorder is admitted to a
medical hospital. The internist contacts your office
and asks whether the lithium you prescribed him is
effecting his ECG. How do you respond?
,A. Lithium can prolong the QT interval
B. Lithium has no effect on his ECG
C. Lithium can invert the t waves
D. Lithium can shorten the PR interval - ANSWER-
Answer: Lithium can invert the t waves.
Interprofessional collaboration is encouraged. -
ANSWER-Collaborate is usually right.
Delegate is usually wrong.
ADPIER - ANSWER-Assessment, diagnosis, Plan,
intervention, evaluate, refer out last.
Lithium - ANSWER-Normal 0.6-1.2
Lithium toxicity occurs at levels - ANSWER-> 1.5
, Signs of Lithium toxicity - ANSWER-severe nausea,
diarrhea, vomiting, confusion, drowsiness, muscle
weakness, heart palpitation, coarse hand tremors,
unsteady gait
Lithium is gold standard for - ANSWER-MANIA
Lithium has evidence shown to - ANSWER-reduce
suicidal ideation
What does lithium cause in neonate, especially 1st
trimester - ANSWER-Ebstein anomaly (congenital
heart defect)
dehydration and hyponatremia cause lithium levels
to - ANSWER-rise
Baseline labs before initiation of lithium - ANSWER-
TSH
PMHNP.NEW Exam 2024
Best Grade 100%
A patient has been treated for the past several
years with fluphenazine (Prolixin). You tonic that he
is drooling and has a slight pill rolling movement of
the fingers. These are EPS symptoms known as
A. pseudo parkinsonism
b. anticholinergic effects
C. Tardive dyskinesia
D. Acute dystonia - ANSWER-A.
Pseudoparkinsonism
,A patient is diagnosed with schizophrenia. Which of
the following would be the appropriate question for
the PMHNP to ask when assessing side effects
produced by dopamine antagonism in the
nigrostriatal pathway?
A. Are you experiencing constipation?
B. Are you experiencing pill rolling tremors,
shuffling gait, and mask like facial expression?
C. Are you experiencing increased thirst?
D. Are you experiencing breast discharge? -
ANSWER-Are you experiencing pill rolling tremors,
shuffling gait, and mask like facial expression
Your patient with bipolar disorder is admitted to a
medical hospital. The internist contacts your office
and asks whether the lithium you prescribed him is
effecting his ECG. How do you respond?
,A. Lithium can prolong the QT interval
B. Lithium has no effect on his ECG
C. Lithium can invert the t waves
D. Lithium can shorten the PR interval - ANSWER-
Answer: Lithium can invert the t waves.
Interprofessional collaboration is encouraged. -
ANSWER-Collaborate is usually right.
Delegate is usually wrong.
ADPIER - ANSWER-Assessment, diagnosis, Plan,
intervention, evaluate, refer out last.
Lithium - ANSWER-Normal 0.6-1.2
Lithium toxicity occurs at levels - ANSWER-> 1.5
, Signs of Lithium toxicity - ANSWER-severe nausea,
diarrhea, vomiting, confusion, drowsiness, muscle
weakness, heart palpitation, coarse hand tremors,
unsteady gait
Lithium is gold standard for - ANSWER-MANIA
Lithium has evidence shown to - ANSWER-reduce
suicidal ideation
What does lithium cause in neonate, especially 1st
trimester - ANSWER-Ebstein anomaly (congenital
heart defect)
dehydration and hyponatremia cause lithium levels
to - ANSWER-rise
Baseline labs before initiation of lithium - ANSWER-
TSH
