GEORGETTE PMHNP EXAM REVIEW 2025-2026 - UPDATED PSYCHIATRIC-MENTAL HEALTH NP BOARD Q&A, PROVEN STUDY GUIDE FOR ANCC CERTIFICATION SUCCESS When many answers are remarkably similar, they are usually _____________ - - ANSWER IS --wrong Interprofessional collaboration is encouraged. - - ANSWER IS --Collaborate is usually right. Delegate is usually wrong. ADPIER - - ANSWER IS --Assessment, diagnosis, Plan, intervention, evaluate, refer out last. Lithium - - ANSWER IS --Normal 0.6-1.2 Lithium toxicity occurs at levels - - ANSWER IS --> 1.5 Signs of Lithium toxicity - - ANSWER IS --severe nausea, diarrhea, vomiting, confusion, drowsiness, muscle weakness, heart palpitation, coarse hand tremors, unsteady gait Lithium is gold standard for - - ANSWER IS --MANIALithium has evidence shown to - - ANSWER IS --reduce suicidal ideation What does lithium cause in neonate, especially 1st trimester - - ANSWER IS --Ebstein anomaly (congenital heart defect) dehydration and hyponatremia cause lithium levels to - - ANSWER IS --rise Baseline labs before initiation of lithium - - ANSWER IS --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 - - ANSWER IS --hypothyroidism coase hand tremors with toxicity