NR546 Midterm Exam Questions
With Verified Answers
,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 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? - 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.
ş (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
The field of epigenetics is rapidly growing and can help explain how gene expression is: - Answer influenced by
environmental factors and how epigenetics contributes to the manifestation of mental illness
How does epigenetics impact a person's mental health? - Answer 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 Verified Answers
,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 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? - 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.
ş (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
The field of epigenetics is rapidly growing and can help explain how gene expression is: - Answer influenced by
environmental factors and how epigenetics contributes to the manifestation of mental illness
How does epigenetics impact a person's mental health? - Answer 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
