Georgette’s LMR Exam Questions and Answers (Latest
Update 2023) Verified Answers (250 Questions)
There is a medication class that is contraindicated when a patient has tics.
What is that class of medication? – Correct Answers ✅Stimulants –often
used for ADHD
What action do you take if a patient reports being a victim of abuse. –
Correct Answers ✅Safety first!
Provide patient with an environment of safety and reassure them of their
safety in the clinic/hospital.
If you work inpatient, what do you do before discharging a patient who says
they have been abused? – Correct Answers ✅Make sure the patient will be
safe.
If you work inpatient, is a safety contract sufficient to determine that you are
releasing a patient into a safe home? – Correct Answers ✅No. A safety
contract is not enough. The NP has to confirm that the patient is going to be
safe for themselves or their environment is safe.
Inpatient–for safety, where should the NP interview the patient and why? –
Correct Answers ✅Safety is more important than privacy. In an office with a
Georgette’s LMR Exam Questions and Answers (Latest
Update 2023) Verified Answers (250 Questions)
door open or partially open. The day room would be a breach of
confidentiality and a closed door or in their room would give the patient
access to harming the NP.
If a child comes into the office with their parents and say they have been
abused, what action does the NP take? – Correct Answers ✅interview the
child separately from the parents THEN report to CPS
If a child comes into an appointment without their parents and plays with a
toy in a sexual way, what action does the NP take? – Correct Answers ✅This
makes the NP suspect abuse so initial action is to immediately report to CPS.
What is the cornerstone of building a therapeutic alliance with adolescents?
- Correct Answers ✅Confidentiality with the explanation that confidentiality
must be broken if they are a danger to self or others
Do we interview adolescents with their parents in the room? – Correct
Answers ✅No because the adolescent may have info that they want kept
confidential from their parents.
Georgette’s LMR Exam Questions and Answers (Latest
Update 2023) Verified Answers (250 Questions)
If an adolescent comes in with their parents, do you keep the parents and
adolescent together or separate theme? – Correct Answers ✅Separate them
and speak to adolescent alone because the adolescent has a right to
confidentiality.
Which ethnic group has the highest incidence of suicide and suicide
attempts ? – Correct Answers ✅Native American
Native Americans believe in their healing stick. If a staff member tries to take
it away, what should the NP do? – Correct Answers ✅Educate the staff
member in cultural competency and sensitivity.
If a patient wants a traditional healer to accompany them to an
appointment, what does the NP have to do ? – Correct Answers ✅Get
consent from the patient and allow the traditional healer to attend as well.
With permission from the patient, you can include the healer in the care
plan as follow up.
Which labs should be taken before treating for depression or mania? –
Correct Answers ✅TSH
Georgette’s LMR Exam Questions and Answers (Latest
Update 2023) Verified Answers (250 Questions)
What is the normal range of TSH? – Correct Answers ✅0.5-5.0 mu/L
Symptoms of hypothyroidism mimic which mental illness? – Correct Answers
✅Depression
Symptoms of hyperthyroidism mimic which mental illness? – Correct
Answers ✅Mania
If TSH is low i.e. 0.4 or lower, what is happening to T4 an T3 and what
condition does patient have? – Correct Answers ✅T4 and T3 will be high and
patient will have hyperthyroidism
If TSH is high e.g. 7.0, what is happening to T4 an T3 and what condition
does patient have? – Correct Answers ✅T4 and T3 will be low and patient
will have hypothyroidism.
What are the symptoms of hyperthyroidism that can mimic mania? And
what are other symptoms? – Correct Answers ✅agitation, anxiety,
irritability, mood swings, weight loss.