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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
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.
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.
1
,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
, 2