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Terms in this set (49)
What should the PMHNP consider when prescribing chemical restraints?
-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
How does reviewing the genetic makeup of a client help guide the PMHNP in
selecting medication for clients?
-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?
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.