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LMR Georgette’s PMHNP Certification Exam Latest 2025 Questions And Correct Answers(Verifie, Exams of Nursing

LMR Georgette’s PMHNP Certification Exam Latest 2025 Questions And Correct Answers(Verified Answers)

Typology: Exams

2024/2025

Available from 06/11/2025

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LMR Georgette’s PMHNP Certification
Exam Latest 2025/2026 Questions And
Correct Detailed And (Verified Answers)
What does ADPIE stand for?
Assessment
Diagnosis
Planning
Implementation
Evaluation
What should you do when a mother reports her child woke up screaming in the middle of the night?
Ask her if it's happened before to assess for sleep issue patterns
What do you do if a patient comes in with fungus on their toenail?
Scrape nail and send for testing
What do you do if a patient on lithium has dark brown urine?
Check renal function
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Download LMR Georgette’s PMHNP Certification Exam Latest 2025 Questions And Correct Answers(Verifie and more Exams Nursing in PDF only on Docsity!

LMR Georgette’s PMHNP Certification

Exam Latest 2025/2026 Questions And

Correct Detailed And (Verified Answers)

What does ADPIE stand for?

Assessment

Diagnosis

Planning

Implementation

Evaluation

What should you do when a mother reports her child woke up screaming in the middle of the night?

Ask her if it's happened before to assess for sleep issue patterns

What do you do if a patient comes in with fungus on their toenail?

Scrape nail and send for testing

What do you do if a patient on lithium has dark brown urine?

Check renal function

What do you do if a patient presents with fever while on Clozaril?

Check ANC level to assess for agranulocytosis

What can cause serotonin syndrome?

Antidepressants, St. John's Wort, Same-E, Kava Kava, and Tryptophan

What labs are indicative of NMS?

Elevated WBC (over 11,000) and elevated CPK

S/S of NMS

muscle rigidity, hyperthermia, tachycardia, abnormal bp, sweating, altered mental status, cherry colored urine

What should you do if a patient presents with cherry colored urine?

Check for rhabdo with CPK

s/s of serotonin syndrome

hyperreflexia, muscle spasms, myoclonus (involuntary muscle jerk), fever, tachycardia, HTN, shits and shivers

What happens with lithium and ACE inhibitors?

Increased risk of lithium toxicity related to the increased urination from the ACE inhibitors

Why should a patient on lithium avoid calcium channel blockers?

Risk of fatal nephrotoxicity

What is a fetal side effect of lithium?

Epstein's anomaly

What lab should you check for athletes on lithium?

Specific gravity to assess for dehydration (dehydration is >1.015)

What do you do if the lithium level is 1.3?

Do not give the next dose and assess for s/s

At what level is lithium toxicity a medical emergency?

S/S of lithium toxicity

vomiting, diarrhea, slurred speech, hand tremor, dry mouth/thirst, muscle weakness/twitching

Why check an EKG with lithium?

Inverted T-waves

What medication should treat hypothyroidism caused by lithium use?

Synthroid

What do you do if patient is prescribed both depakote and lamictal?

Decreased lamictal dose by 50%

Depakote and pregnancy

Spina bifida

What emergency may be occuring if patient on depakote reports upper abdominal pain?

Pancreatitis

What lab should you check if patient has right upper quadrant pain and dark brown urine?

What two epidermal issues can arise from Tegretol or Lamictal?

Toxic epidermal necrosis and SJS

What may be the issue if a patient on Lamictal presents with a fever and severe headache?

Aspetic meningitis

What three antipsychotics have very low weight gaining effects?

Geodon, Abilify, and Latuda

Mini-Cog

3 word recall and

clock drawing

MMSE scoring

24 - 30 severe impairment

18 - 23 mild impairment

17 and less no impairment

What happens during pruning?

Brain eliminates extra synapses during infancy

autism and pruning

Excess synapses caused by under-pruning (patient oversensitive to light/sounds and seizures)

schizophrenia and pruning

Fewer synapses caused by over-pruning

grey matter vs white matter

Grey matter- synapses, working area of brain, dendrites

White matter- myelinated axons

axons and dendrites

axon away from cell and dendrites to neuron's cell body

CNS is made up of

brain and spinal cord

Prefrontal cortex- Explains TMS

What is the dorsolateral prefrontal cortex responsible for?

Executive functioning- undergoes maturation until adulthood

orbitofrontal cortex

a region of the brain that controls impulses and attention (ADHD explained)

frontal lobe

associated with reasoning, planning, parts of speech (Broca-forming), movement, emotions, and problem solving

parietal lobe

A region of the cerebral cortex whose functions include memory, attention, perception, cognition, taste, and reading/writing

occipital lobe

A region of the cerebral cortex that processes visual information

temporal lobe

A region of the cerebral cortex responsible for hearing, agnosia, and language (Wernicke's area-receptive speech)

Issues with what lobe can lead to visual/auditory hallucinations?

Temporal

How does the amygdala work?

Sends signal to hypothalamus when in distress, which then communicates to the rest of the body through the nervous system

anterior cingulate cortex

critical for stress; implicated in childhood trauma

basal ganglia

directs intentional movements and is also called the corpus striatum

Hypothalamus

brain region controlling appetite, sleep, libido, heart rate

Hippocampus

Cholinergic

acetylcholine and neuropeptides

Brain Changes in Alzheimer's Disease

amyloid plaques and neurofibrillary tangles

Increased and decreased acetylcholine

Increased- parkinson's

Decreased-alzheimers

Where is Norepinephrine produced?

locus coeruleus

Where is serotonin produced?

raphe nuclei

Where is epinephrine produced?

adrenal glands

Where is dopamine produced?

substantia nigra and ventral tegmental area

Where is GABA synthesized?

limbic system

s/s of acute dystonia

Severe spasm of the tongue, neck, eyes, face and back; laryngeal spasms (mutism)

Akathisia

motor restlessness

Parkinonism s/s

slouched posture, shuffling gait, rigid, bradykinesia, tremors at rest, pin-rolling

tardive dyskinesia

involuntary movements of the facial muscles, tongue, and limbs, protrusion of tongue, smacking lips

Parkinson's neurotransmitters

increased acetylcholine and decreased dopamine

ADHD neurotransmitters

decrease in dopamine and norepinephrine

Tourette's Neurotransmitters

dopamine, serotonin, GABA, and glutamate

What to prescribe for Tourette's

Risperdal

Substance abuse neurotransmitters

decrease in opioid neuropeptides

Alcohol abuse neurotransmitters

increase in GABA and dopamine and decrease in serotonin

Depression neurotransmitters

decrease in serotonin, dopamine, and norepinephrine

sleep neurotransmitters

low serotonin causes insomnia (Melatonin is pre-cursor)

Schizophrenia neurotransmitters

increased dopamine and decreased serotonin

negative symptoms of schizophrenia

disturbance of affect, blunting (severe reduction in the intensity of affect expression), flat affect, inappropriate affect (might laugh hysterically while describing someones death)

positive symptoms of schizophrenia

Delusions of reference, delusions of persecution, delusions of grandeur, thought broadcasting, though insertion, hallucinations, disorganized thought, disorganized behavior, catatonia

Side effects of atypical antipsychotics

Risk of metabolic syndrome: increased weight, blood glucose, triglycerides, and insulin resistance

Zyprexa (Olanzapine) side effect

arcus senilis

gray-white arc or circle around the limbus of the iris that is common with aging; hyperlipidemia

Protection of ischemic injuries

atypical antipsychotics

Ages of Schizophrenia

18 - 25 males

25 - 35 females

Why dose cimetidine, zantac, and omeprazole 2 hours apart from Risperdal?

They are inhibitors and will decrease the absorption of Risperdal in liver

What alpha 2 delta ligands are approved for neuropathic pain tx?

Lyrica and gabapentin

Celexa and Lexapro side effect

Prolonged QT interval

Effexor side effect

elevated bp

false positives

benzos- zoloft

what to avoid with MAOIs

Tyramine (aged cheese, wine, pickled herring)

What can happen when TCAs and MAOIs are combined?

Increased norepinephrine causing a hypertensive crisis (flushing, explosive headache in the back of head)

How to treat hypertensive crisis from MAOI and TCA combo

Phentolamine

What is 1st line antidepressant for children?

Prozac