NR546 Midterm Exam
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
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
