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LMR - Georgette-s Exam 2025 526 questions and answers guaranteed pass

HEAL100 Health Care — exam and revision material · Other

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Health Care exam material, 17 pages. Originally published on StudyMerit.

Pages
17
Academic year
2025/2026
Language
English

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Georgette's LMR; Georgette's PMHNP Certification Exam Review ( 2022 – 2023) V2 What should you not do when advocating for a patient? Ans - Judge or confront What class of medication is contraindicated with tics? Ans - Stimulants What should you provide for prior to assessing abuse victims? Ans - A safe environment What are your actions if a child reports abuse? Ans - 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? Ans - Report to CPS In what setting as an inpatient provider should you interview a patient? Ans - Use a private room with the door partially open How should you begin your interview with adolescents? {{Ans - By building rapport with them by ensuring confidentiality absent exceptions Should you interview adolescents with or without parents? Ans - Without What if an adolescent tells you they are homosexual and they don't want their parents to know? Ans - This is confidential The patient is being discharged and would like their labs faxed to the rehab facility. What is your initialaction? {{Ans- Get informed consent/ROI What do you do if a medical evaluation is needed? Ans - 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? Ans - 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? Ans - No; brief supportive therapy - not medication A mother states her child is experiencing a cultural illness. What is your initial action? Ans - Respect the mother's cultural understanding of illness prior to assessment Native Americans view mental illness and SUDs as? Ans - An imbalance between the individual and the world

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What ethnic group has the highest rate of suicidality in the US? Ans - 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? Ans - Teach cultural sensitivity and make accommodations for patient to have healing stick available such as 1:1 Psychoeducation should be based on? Ans - Cultural context How do you promote health in a location with multiple ethnicities and education levels? Ans - Multiple cultural education and ethnospecific assessment parameters What if a patient wants a traditional healer? Ans - Allow this - remember ROI/informed consent Normal TSH? Ans - 0.5 - 5.0 TSH < 0.5 = ? Ans - Hyperthyroidism TSH > 5.0 = ? Ans - Hypothyroidism Relationship between TSH & T3/T4? Ans - Inverse Hyperthyroidism can present as? Ans - Mania Hypothyroidism can present as? Ans - Depression Normal depakote level? Ans - 50 - 125 Toxic depakote level? Ans - 150+ Birth defect caused by depakote? Ans - Spina Bifida S/S of depakote toxicity? Ans - Disorientation, lethargy, decreased respiratory rate, and N/V What to do if there is depakote toxicity? Ans - D/C depakote and check VPA level, LFTs, and ammonia S/S of hepatotoxicity? Ans - RUQ pain, reddish brown urine, jaundice, fatigue, and elevated LFTs Normal AST? Ans - 5 - 40 Normal ALT? Ans - 5 - 35

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Kava kava can cause? Ans - Liver damage and heavy sedation Kava kava is c/i with? Ans - Benzos or sedatives Mood stabilizer most associated with SJS? Ans - Lamicta l Mood stabilizer with least weight gain? Ans - Lamicta l SGAs with least weight gain? Ans - ziprasidone, abilify, and latuda Least sedating SGA? Ans - Abilify Routine labs with SGAs? Ans - BMI, hip to waist ratio, glucose, A1C, and lipid panel Management of metabolic syndrome with SGAs? Ans - 1. Nonpharm = exercise or nutritional counseling 2. Pharm = switch to other SGA with lower chance of metabolic syndrome Carbamazepine can cause? Ans - Agranulocytosis and aplastic anemia What should you screen for prior to starting Asians on carbamazepine and why? Ans - HLAB1502 Allele; risk of SJS When should you d/c carbamazepine if agranulocytosis is suspected? Ans - If ANC is < 1000 with or without s/s of infection Lithium range? Ans - 0.6 - 1.2 What to do if lithium is 1.3 or 1.4? Ans - Monitor What to do if lithium is 1.5+? {Ans - D/C Benefits of lithium? Ans - Gold standard for mania, neuroprotective, and antisuicidal effects S/S of lithium toxicity Ans - Severe N/V, polydipsia, polyuria, leukocytosis, palpitations, coarse tremor What to do if lithium toxicity is suspected? Ans - D/C and check serum levels prior to checking VS Kidney disease and drugs that reduce renal clearance can raise lithium levels. What are these drugs? Ans - NSAIDs, ace inhibitors for heart failure ( - pril), and thiazides (HCTZ)

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