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NR546 Advanced Health Assessment Midterm Exam | Chamberlain University | Complete Exam Material

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This document contains the NR546 Advanced Health Assessment midterm exam covering key topics from the first half of the course. It includes exam questions designed to assess understanding of patient assessment, health history collection, physical examination techniques, and clinical reasoning. The material helps students review important concepts and prepare for midterm testing.

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Terms in this set (291)

,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


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?


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?


-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.


central sulcus


separates the frontal lobe from the parietal lobe


frontal lobe


associated with movement, intelligence, abstract thinking

,broca's area


speech production


temporal lobe


involves object identification and auditory signals


cerebellum


coordination


wernicke's area


speech comprehension


occipital lobe


primary visual area


parietal lobe


keeps us alert to what is going on around us


sensory cortex


pain, heat, and other sensations


motor cortex


movement


hippocampus


involved in both memory and anxiety


nucleus accumbens


involved in the reward process

, thalamus


involved in sensory organ and motor command processing


striatum


involved in complex motor actions, also links cognition to motor actions


limbic system


includes circuits that are associated with pleasure and reward


basal ganglia


group of structures involved in voluntary motor movements


amygdala


involved in emotional regulation and perception of odors


corpus callosum


controls the communication between the two brain hemispheres


white matter


contains nerve fibers that connect neurons from different regions into
functional circuits


grey matter


contains nerve cells and dendrites


brain tissue


made up of grey matter and white matter

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