NR546 MIDTERM EXAM
COMPLETE STUDY GUIDE WITH
300 QUESTIONS AND CORRECT
ANSWERS GRADED A+
(300 questions and answers)
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
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.
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.
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
limbic system
includes circuits that are associated with pleasure and reward
basal ganglia
COMPLETE STUDY GUIDE WITH
300 QUESTIONS AND CORRECT
ANSWERS GRADED A+
(300 questions and answers)
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
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.
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.
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
limbic system
includes circuits that are associated with pleasure and reward
basal ganglia
