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LMR PMHNP Board Exam 2024 Newest Graded And Verified
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LMR PMHNP Board Exam 2024 Newest Graded AndVerified
if a patient just lost house or job, treat with - Correct Answer-supportive therapy, not meds
native americans have the highest rate of - Correct Answer-SA/SI
healing stick for native americans - Correct Answer-make accomodations
if an answer includes confronting a patient, it is likely - Correct Answer-incorrect
if patient presents with depression, manic symptoms, check these labs - Correct Answer-
TSH first, then T3/T4 if TSH is abnormal
normal TSH level - Correct Answer-0.5-5.0
symptoms and labs for hypothyroidism - Correct Answer-high TSH, low t3/t4. cold
intolerance, lethargy, wt gain, decreased libido
,sx and labs for hyperthyroidism - Correct Answer-low TSH, high t3/t4, heat intolerance,
agitation ,anxiety, irritability, tachycardia, mood swings, wt loss
if a pt is on depakote and complains of RUQ pain, dark urine, yellow skin, check this lab -
Correct Answer-LFTs - AST, ALT
pregnancy risk with depakote (divalproex sodium) - Correct Answer-spina bifida - neural
tube defect
always x before intervention - Correct Answer-assess
what does ADPIE stand for - Correct Answer-assess, diagnose, plan, intervention, evaluate
answers mentioning safety contract/do no harm contracts are - Correct Answer-most
likely incorrect
if i child is engaging in sexual play, suspect - Correct Answer-sexual abuse, report to CPS
on boards questions, don't select y leadership style. instead choose x. z is your last choice. -
Correct Answer-delegation, collaboration (choose answers where you're actively getting
involved.
referring out is last choice.
if a cultural question examines a stressor, the answer is not a - Correct Answer-mental
illness
,how to tx cultural syndrome - Correct Answer-supportive therapy
what is the therapeutic range for depakote - Correct Answer-50-125
when is depakote level toxic - Correct Answer->150
signs of valproic acid toxicity (4) - Correct Answer-disorientation, lethargy, respiratory
depression, n/v
kava risk - Correct Answer-can cause liver damage/hepatotoxicity. check LFTs. can also
cause drowsiness, do not ocmbine with other sedatives or benzos
kava treats - Correct Answer-anxiety, stress, insomnia
first sign of SJS in patients taking lamictal (lamotrigine) - Correct Answer-FEVER
mood stabilizer with least amount of weight gain as side effect. also least likely to cause
metabolic SE - Correct Answer-lamictal
SJS symptoms (5) - Correct Answer-fever, body aches, red rash, peeling skin, facial and
tongue swelling
antipsychotics causing least weight gain - Correct Answer-1 - ziprasodone
2 - aripiprazole
, 3 - lurasidone
(think ZAL)
management of antipsychotic induced weight gain - Correct Answer-exercise, nutritional
counseling. switching to med with less potential for weight gain.
name the black box warning and drug: Pallor, fatigue, headache, fever, bleedung skin rash,
shortness of breath - Correct Answer-agranulocytosis, carbamazepine, clozapine
carbamazepine allele that increases risk of SJS in asian descent - Correct Answer-HLAB-
1502 allele
d/c clozaril and carbamazepine at ANC less than x - Correct Answer-1000mm^3
lithium level range - Correct Answer-0.6-1.2
toxic level lithium - Correct Answer-1.5
if lithium level is 1.3 or 1.4 - Correct Answer-continue to monitor, but d/c if pt showing signs
of toxicity. always check levels after d/c before doing any other interventions
what is the gold standard of mania tx - Correct Answer-lithium (it protects neurons from
damage). also evidence it of anti-suicidal effects
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