2027 ACTUAL EXAM TEST BANK
200 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH
RATIONALES |ALREADY GRADED
A+
What should the PMHNP consider when prescribing chemical restraints? -
🧠 ANSWER ✔✔-allergy status
-prior med hx for adverse drug reactions r/t the meds ordered in the
chemical restraint
,-state regulations regarding chemical restrains must be reviewed
Are the PMHNP and other staff liable if the client has an allergic reaction or
adverse side effects to the drugs used for chemical restraint? - 🧠 ANSWER
✔✔No.
The client has been court-ordered to take the prescribed medications and
the standing order for chemical restraints is approved. The PMHNP and
other staff are not liable if the patient has an allergic reaction or adverse
side effects.
How does reviewing the genetic makeup of a client help guide the PMHNP
in selecting medication for clients? - 🧠 ANSWER ✔✔-Genetic testing can
assist by providing more information on how clients may respond to certain
psychotropic medications
-provides information on how a client may break down and metabolize
medications based on the cytochrome P450 system.
Tanrıkulu and Erbaş (2020) investigated identical twins to determine the
presence of an inherited link for schizophrenia and why one twin may
develop schizophrenia when the other does not. When two people have
100% identical DNA, why don't both persons develop the exact illnesses?
Studies of identical Danish twins found that if one twin had schizophrenia,
,the other twin had a 50% lifetime risk of developing schizophrenia (Lemvigh
et al., 2020). Why is there only half the risk? - 🧠 ANSWER ✔✔Both
environmental and psychosocial stressors can impact mental health.
Although twins may have identical genes, their gene expression may be
different.
There may be an environmental exposure that turned a gene "on" that
should have been "off" for one twin to develop schizophrenia and not the
other.
central sulcus - 🧠 ANSWER ✔✔separates the frontal lobe from the parietal
lobe
frontal lobe - 🧠 ANSWER ✔✔associated with movement, intelligence,
abstract thinking
broca's area - 🧠 ANSWER ✔✔speech production
temporal lobe - 🧠 ANSWER ✔✔involves object identification and auditory
signals
cerebellum - 🧠 ANSWER ✔✔coordination
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, wernicke's area - 🧠 ANSWER ✔✔speech comprehension
occipital lobe - 🧠 ANSWER ✔✔primary visual area
parietal lobe - 🧠 ANSWER ✔✔keeps us alert to what is going on around us
sensory cortex - 🧠 ANSWER ✔✔pain, heat, and other sensations
motor cortex - 🧠 ANSWER ✔✔movement
hippocampus - 🧠 ANSWER ✔✔involved in both memory and anxiety
nucleus accumbens - 🧠 ANSWER ✔✔involved in the reward process
thalamus - 🧠 ANSWER ✔✔involved in sensory organ and motor command
processing
striatum - 🧠 ANSWER ✔✔involved in complex motor actions, also links
cognition to motor actions
limbic system - 🧠 ANSWER ✔✔includes circuits that are associated with
pleasure and reward
basal ganglia - 🧠 ANSWER ✔✔group of structures involved in voluntary
motor movements