COMMON DIAGNOSIS AND MANAGEMENT IN
ACUTE CARE MIDTERM ACTUAL TEST PAPER
2026 COMPLETE QUESTIONS AND ANSWERS
GRADED A+
◉ 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
,◉ 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
◉ amygdala Answer: involved in emotional regulation and
perception of odors
◉ corpus callosum Answer: controls the communication between
the two brain hemispheres
◉ white matter Answer: contains nerve fibers that connect neurons
from different regions into functional circuits
◉ grey matter Answer: contains nerve cells and dendrites
◉ brain tissue Answer: made up of grey matter and white matter
◉ dorsal striatum Answer: involved in complex motor actions and
linkage of cognition to motor actions
-main input area for basal ganglia
*activated when anticipating or engaging in pleasure
ACUTE CARE MIDTERM ACTUAL TEST PAPER
2026 COMPLETE QUESTIONS AND ANSWERS
GRADED A+
◉ 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
,◉ 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
◉ amygdala Answer: involved in emotional regulation and
perception of odors
◉ corpus callosum Answer: controls the communication between
the two brain hemispheres
◉ white matter Answer: contains nerve fibers that connect neurons
from different regions into functional circuits
◉ grey matter Answer: contains nerve cells and dendrites
◉ brain tissue Answer: made up of grey matter and white matter
◉ dorsal striatum Answer: involved in complex motor actions and
linkage of cognition to motor actions
-main input area for basal ganglia
*activated when anticipating or engaging in pleasure
