GEORGETTE REVIEW PMHNP EXAM WITH
CORRECT 180+ QUESTIONS WITH
CORRECTRY ANALYZED ANSWERS (ACTUAL
EXAM) ALREADY GRADED A+ LATEST 2024
Cause of schizophrenia - ANSWERS-intrauterine insults
prenatal exposure to toxins, including viral agents
Problem in the brain in schizophrenia - ANSWERS-enlarged
ventricles, everything else decreases
ADPIER - ANSWERS-Assessment, diagnosis, Plan, intervention,
evaluate, refer out last.
Lithium - ANSWERS-Normal 0.6-1.2
,Lithium toxicity occurs at levels - ANSWERS-> 1.5
Signs of Lithium toxicity - ANSWERS-severe nausea, diarrhea,
vomiting, confusion, drowsiness, muscle weakness, heart
palpitation, coarse hand tremors, unsteady gait
When many answers are remarkably similar, they are usually
_____________ - ANSWERS-wrong
Interprofessional collaboration is encouraged. - ANSWERS-
Collaborate is usually right.
Delegate is usually wrong.
Lithium is gold standard for - ANSWERS-MANIA
Lithium has evidence shown to - ANSWERS-reduce suicidal
ideation
,What does lithium cause in neonate, especially 1st trimester -
ANSWERS-Ebstein anomaly (congenital heart defect)
dehydration and hyponatremia cause lithium levels to -
ANSWERS-rise
Baseline labs before initiation of lithium - ANSWERS-TSH
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 - ANSWERS-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 - ANSWERS-staying hydrated
avoiding NSAIDS
compliance
Depakote normal level - ANSWERS-50-125
Depakote toxicity level - ANSWERS-greater than 150
Teratogenic effects of Depakote - ANSWERS-spina bifida
Adverse effects of depakote - ANSWERS-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 - ANSWERS-disorientation, lethargy,
respiratory depression, nausea/vomiting
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