1|Page
NR546 Midterm Exam TEST FINAL EXAM AND PRACTICE
EXAM 20262027 BANK 2 VERSIONS QUESTIONS WITH
DETAILED VERIFIED ANSWERS EXAM QUESTIONS WILL
COME FROM HERE (100% CORRECT ANSWERS A+ GRADED
What should the PMHNP consider when prescribing chemical
restraints? - ANSWERS---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? - ANSWERS--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? - ANSWERS---Genetic
testing can assist by providing more information on how clients may
respond to certain psychotropic medications
,2|Page
-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? -
ANSWERS--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 - ANSWERS--separates the frontal lobe from the parietal
lobe
Frontal lobe - ANSWERS--associated with movement, intelligence,
abstract thinking
Broca's area - ANSWERS--speech production
,3|Page
Temporal lobe - ANSWERS--involves object identification and auditory
signals
Cerebellum - ANSWERS--coordination
Wernicke's area - ANSWERS--speech comprehension
Occipital lobe - ANSWERS--primary visual area
Parietal lobe - ANSWERS--keeps us alert to what is going on around us
Sensory cortex - ANSWERS--pain, heat, and other sensations
Motor cortex - ANSWERS--movement
Hippocampus - ANSWERS--involved in both memory and anxiety
Nucleus accumbens - ANSWERS--involved in the reward process
Thalamus - ANSWERS--involved in sensory organ and motor command
processing
, 4|Page
Striatum - ANSWERS--involved in complex motor actions, also links
cognition to motor actions
Limbic system - ANSWERS--includes circuits that are associated with
pleasure and reward
Basal ganglia - ANSWERS--group of structures involved in voluntary
motor movements
Amygdala - ANSWERS--involved in emotional regulation and perception
of odors
Corpus callosum - ANSWERS--controls the communication between the
two brain hemispheres
White matter - ANSWERS--contains nerve fibers that connect neurons
from different regions into functional circuits
Grey matter - ANSWERS--contains nerve cells and dendrites
Brain tissue - ANSWERS--made up of grey matter and white matter
Dorsal striatum - ANSWERS--involved in complex motor actions and
linkage of cognition to motor actions
NR546 Midterm Exam TEST FINAL EXAM AND PRACTICE
EXAM 20262027 BANK 2 VERSIONS QUESTIONS WITH
DETAILED VERIFIED ANSWERS EXAM QUESTIONS WILL
COME FROM HERE (100% CORRECT ANSWERS A+ GRADED
What should the PMHNP consider when prescribing chemical
restraints? - ANSWERS---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? - ANSWERS--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? - ANSWERS---Genetic
testing can assist by providing more information on how clients may
respond to certain psychotropic medications
,2|Page
-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? -
ANSWERS--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 - ANSWERS--separates the frontal lobe from the parietal
lobe
Frontal lobe - ANSWERS--associated with movement, intelligence,
abstract thinking
Broca's area - ANSWERS--speech production
,3|Page
Temporal lobe - ANSWERS--involves object identification and auditory
signals
Cerebellum - ANSWERS--coordination
Wernicke's area - ANSWERS--speech comprehension
Occipital lobe - ANSWERS--primary visual area
Parietal lobe - ANSWERS--keeps us alert to what is going on around us
Sensory cortex - ANSWERS--pain, heat, and other sensations
Motor cortex - ANSWERS--movement
Hippocampus - ANSWERS--involved in both memory and anxiety
Nucleus accumbens - ANSWERS--involved in the reward process
Thalamus - ANSWERS--involved in sensory organ and motor command
processing
, 4|Page
Striatum - ANSWERS--involved in complex motor actions, also links
cognition to motor actions
Limbic system - ANSWERS--includes circuits that are associated with
pleasure and reward
Basal ganglia - ANSWERS--group of structures involved in voluntary
motor movements
Amygdala - ANSWERS--involved in emotional regulation and perception
of odors
Corpus callosum - ANSWERS--controls the communication between the
two brain hemispheres
White matter - ANSWERS--contains nerve fibers that connect neurons
from different regions into functional circuits
Grey matter - ANSWERS--contains nerve cells and dendrites
Brain tissue - ANSWERS--made up of grey matter and white matter
Dorsal striatum - ANSWERS--involved in complex motor actions and
linkage of cognition to motor actions
