NR 546 Midterm Exam Test Bank 2024/2025

Tutor3 570@gmail Chamberlain University NR 546 Midterm Exam Question Bank 2024/2025 Advanced Pharmacology for the AGACNP (Chamberlain University) ACTUAL EXAMS (2 Versions) STUDY GUIDE WEEK 1 -7 QUIZ lOMoAR cPSD|35314907 NR546 Midterm Exam (Version 1 ) What should the PMHNP consider when prescribing chemical restraints? - Answer -allergy status -prior med hx for adverse drug reactions r/t the meds ordered in the chemical restraint -state regul ations 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? - Answer -No. The client has been court -ordered to take t he 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 me dications 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 p eople 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. lOMoAR cPSD|35314907 There may be an environmental exposure that turned a gene "on" t hat 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 lOMoAR cPSD|35314907 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 t wo 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 The field of epigenetics is rapidly gr owing and can help explain how gene expression is: - Answer -influenced by environmental factors and how epigenetics contributes to the manifestation of mental illness