NR 546 MIDTERM EXAM
WITH ANSWERS GRADED A+
BRANDNEW!!
Update 2023/2024
1. 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
2. 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.
3. 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.
,4. 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.
5. central sulcus
separates the frontal lobe from the parietal lobe
6. frontal lobe
associated with movement, intelligence, abstract thinking
7. broca's area
speech production
8. temporal lobe
involves object identification and auditory signals
9. cerebellum
coordination
,10.wernicke's area
speech comprehension
11.occipital lobe
primary visual area
12.parietal lobe
keeps us alert to what is going on around us
13.sensory cortex
pain, heat, and other sensations
14.motor cortex
movement
15.hippocampus
involved in both memory and anxiety
16.nucleus accumbens
involved in the reward process
17.thalamus
involved in sensory organ and motor command processing
18.striatum involved in complex motor actions, also links cognition to motor
actions
19.limbic system
includes circuits that are associated with pleasure and reward
20.basal ganglia
group of structures involved in voluntary motor movements
, 21.amygdala
involved in emotional regulation and perception of odors
22.corpus callosum controls the communication between the two brain
hemispheres
23.white matter contains nerve fibers that connect neurons from different regions into
functional circuits
24.grey matter
contains nerve cells and dendrites
25.brain tissue
made up of grey matter and white matter
26.dorsal striatum 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
27.The field of epigenetics is rapidly growing and can help explain how gene expression is:
influenced by environmental factors and how epigenetics contributes to the
manifestation of mental illness
28.How does epigenetics impact a person's mental health?
internal or external factors activate portions of the genome that result in the
manifestation of mental health symptoms
-activation is often a result of a stressful event, which, when combined with the genetic
risk, results in the disease
WITH ANSWERS GRADED A+
BRANDNEW!!
Update 2023/2024
1. 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
2. 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.
3. 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.
,4. 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.
5. central sulcus
separates the frontal lobe from the parietal lobe
6. frontal lobe
associated with movement, intelligence, abstract thinking
7. broca's area
speech production
8. temporal lobe
involves object identification and auditory signals
9. cerebellum
coordination
,10.wernicke's area
speech comprehension
11.occipital lobe
primary visual area
12.parietal lobe
keeps us alert to what is going on around us
13.sensory cortex
pain, heat, and other sensations
14.motor cortex
movement
15.hippocampus
involved in both memory and anxiety
16.nucleus accumbens
involved in the reward process
17.thalamus
involved in sensory organ and motor command processing
18.striatum involved in complex motor actions, also links cognition to motor
actions
19.limbic system
includes circuits that are associated with pleasure and reward
20.basal ganglia
group of structures involved in voluntary motor movements
, 21.amygdala
involved in emotional regulation and perception of odors
22.corpus callosum controls the communication between the two brain
hemispheres
23.white matter contains nerve fibers that connect neurons from different regions into
functional circuits
24.grey matter
contains nerve cells and dendrites
25.brain tissue
made up of grey matter and white matter
26.dorsal striatum 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
27.The field of epigenetics is rapidly growing and can help explain how gene expression is:
influenced by environmental factors and how epigenetics contributes to the
manifestation of mental illness
28.How does epigenetics impact a person's mental health?
internal or external factors activate portions of the genome that result in the
manifestation of mental health symptoms
-activation is often a result of a stressful event, which, when combined with the genetic
risk, results in the disease
