NR 546 MIDTERM EXAM 2025-2026 ACTUAL EXAM TEST BANK 200
QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES
|ALREADY GRADED A+
Terms in this set (291)
-allergy status
What should the PMHNP -prior med hx for adverse drug reactions r/t the meds ordered
consider when prescribing in the chemical restraint
chemical restraints? -state regulations regarding chemical restrains must be reviewed
Are the PMHNP and other staff No.
liable if the client has an allergic The client has been court-ordered to take the prescribed medications and the
reaction or adverse side effects standing order for chemical restraints is approved. The PMHNP
to the drugs used for chemical and other staff are not liable if the patient has an allergic
restraint? reaction or adverse side effects.
-Genetic testing can assist by providing more information on
How does reviewing the genetic
how clients may respond to certain psychotropic medications
makeup of a client help guide
-provides information on how a client may break down and
the PMHNP in selecting
metabolize medications based on the cytochrome P450
medication for clients?
system.
Tanrıkulu and Erbaş (2020) Both environmental and psychosocial stressors can impact mental
investigated health. Although twins may have identical genes, their gene
identical twins to determine the
expression may be different.
presence of an inherited link for
schizophrenia and why one There may be an environmental exposure that turned a gene "on"
twin may develop schizophrenia that should have been "off" for one twin to develop
when the other does not. When schizophrenia and not the other.
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?
,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 group of structures involved in voluntary motor movements
amygdala involved in emotional regulation and perception of odors
corpus callosum controls the communication between the two brain hemispheres
contains nerve fibers that connect neurons from different
white matter
regions into functional circuits
grey matter contains nerve cells and dendrites
brain tissue made up of grey matter and white matter
involved in complex motor actions and linkage of cognition to motor
dorsal striatum actions
-main input area for basal ganglia
*activated when anticipating or engaging in pleasure
The field of epigenetics is influenced by environmental factors and how epigenetics
rapidly growing and can help contributes to the manifestation of mental illness
explain how gene expression is:
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
How does epigenetics impact a
combined with the genetic risk, results in the disease
person's mental health?
-genes being on or off
-occurrence of symptoms may be the result of inheritance of an
abnormal gene or of normal genes being "on" when they
should be "off."
, DNA
Types of epigenetic changes: Methylation
Histone
modification
Non-coding
RNA
The potential legal and ethical -informed consent
issues -competence to make healthcare decisions
impacting mental health -off-label prescribing
treatment must also be taken
into account, including:
QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES
|ALREADY GRADED A+
Terms in this set (291)
-allergy status
What should the PMHNP -prior med hx for adverse drug reactions r/t the meds ordered
consider when prescribing in the chemical restraint
chemical restraints? -state regulations regarding chemical restrains must be reviewed
Are the PMHNP and other staff No.
liable if the client has an allergic The client has been court-ordered to take the prescribed medications and the
reaction or adverse side effects standing order for chemical restraints is approved. The PMHNP
to the drugs used for chemical and other staff are not liable if the patient has an allergic
restraint? reaction or adverse side effects.
-Genetic testing can assist by providing more information on
How does reviewing the genetic
how clients may respond to certain psychotropic medications
makeup of a client help guide
-provides information on how a client may break down and
the PMHNP in selecting
metabolize medications based on the cytochrome P450
medication for clients?
system.
Tanrıkulu and Erbaş (2020) Both environmental and psychosocial stressors can impact mental
investigated health. Although twins may have identical genes, their gene
identical twins to determine the
expression may be different.
presence of an inherited link for
schizophrenia and why one There may be an environmental exposure that turned a gene "on"
twin may develop schizophrenia that should have been "off" for one twin to develop
when the other does not. When schizophrenia and not the other.
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?
,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 group of structures involved in voluntary motor movements
amygdala involved in emotional regulation and perception of odors
corpus callosum controls the communication between the two brain hemispheres
contains nerve fibers that connect neurons from different
white matter
regions into functional circuits
grey matter contains nerve cells and dendrites
brain tissue made up of grey matter and white matter
involved in complex motor actions and linkage of cognition to motor
dorsal striatum actions
-main input area for basal ganglia
*activated when anticipating or engaging in pleasure
The field of epigenetics is influenced by environmental factors and how epigenetics
rapidly growing and can help contributes to the manifestation of mental illness
explain how gene expression is:
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
How does epigenetics impact a
combined with the genetic risk, results in the disease
person's mental health?
-genes being on or off
-occurrence of symptoms may be the result of inheritance of an
abnormal gene or of normal genes being "on" when they
should be "off."
, DNA
Types of epigenetic changes: Methylation
Histone
modification
Non-coding
RNA
The potential legal and ethical -informed consent
issues -competence to make healthcare decisions
impacting mental health -off-label prescribing
treatment must also be taken
into account, including:
