NR 546 MIDTERM EXAM ACTUAL EXAM TEST BANK
c c c c c c c
200 QUESTIONS AND CORRECT DETAILED
c c c c c
ANSWERS WITH RATIONALES |ALREADY
c c c c
GRADED A+ 2027(100% verified Answers)
c c c c
GUARANTEED PASS
c c
What cshould cthe cPMHNP cconsider cwhen cprescribing cchemical crestraints?
-allergy cstatus
-prior cmed chx cfor cadverse cdrug creactions cr/t cthe cmeds cordered cin cthe cchemical
crestraint
-state cregulations cregarding cchemical crestrains cmust cbe creviewed
Are cthe cPMHNP cand cother cstaff cliable cif cthe cclient chas can callergic creaction cor
cadverse cside ceffects cto cthe cdrugs cused cfor cchemical crestraint?
No.
The cclient chas cbeen ccourt-ordered cto ctake cthe cprescribed cmedications cand cthe
cstanding corder cfor cchemical crestraints cis capproved. cThe cPMHNP cand cother cstaff care
cnot cliable cif cthe cpatient chas can callergic creaction cor cadverse cside ceffects.
How cdoes creviewing cthe cgenetic cmakeup cof ca cclient chelp cguide cthe cPMHNP cin
cselecting cmedication cfor cclients?
-Genetic ctesting ccan cassist cby cproviding cmore cinformation con chow cclients cmay
crespond cto ccertain cpsychotropic cmedications
-provides cinformation con chow ca cclient cmay cbreak cdown cand cmetabolize cmedications
cbased con cthe ccytochrome cP450 csystem.
Tanrıkulu cand cErbaş c(2020) cinvestigated cidentical ctwins cto cdetermine cthe
cpresence cof can cinherited clink cfor cschizophrenia cand cwhy cone ctwin cmay cdevelop
cschizophrenia cwhen c the cother cdoes cnot. cWhen ctwo cpeople chave c100% cidentical
cDNA, cwhy cdon't cboth cpersons cdevelop cthe cexact cillnesses? cStudies cof cidentical
cDanish ctwins cfound cthat cif cone ctwin chad cschizophrenia, cthe cother ctwin chad ca
c50% clifetime crisk cof cdeveloping cschizophrenia c(Lemvigh cet cal., c2020). cWhy cis
cthere conly chalf cthe crisk?
Both cenvironmental cand cpsychosocial cstressors ccan cimpact cmental chealth. cAlthough
ctwins cmay chave cidentical cgenes, ctheir cgene cexpression cmay cbe cdifferent.
1
,There cmay cbe can cenvironmental cexposure cthat cturned ca cgene c"on" cthat cshould chave
cbeen c"off" cfor cone ctwin cto cdevelop cschizophrenia cand cnot cthe cother.
central csulcus
separates cthe cfrontal clobe cfrom cthe cparietal clobe
frontal clobe
associated cwith cmovement, cintelligence, cabstract cthinking
broca's carea
c speech cproduction
c temporal clobe
involves cobject cidentification cand cauditory csignals
cerebellum
c coordination
wernicke's carea
c
c speech
comprehension
c
c occipital clobe
primary cvisual carea
parietal clobe
keeps cus calert cto cwhat cis cgoing con caround cus
sensory ccortex
pain, cheat, cand cother csensations
motor ccortex
c movement
hippocampus
c
involved cin cboth cmemory cand canxiety
nucleus caccumbens
involved cin cthe creward cprocess
thalamus
2
,involved cin csensory corgan cand cmotor ccommand cprocessing
striatum
involved cin ccomplex cmotor cactions, calso clinks ccognition cto cmotor cactions
limbic csystem
includes ccircuits cthat care cassociated cwith cpleasure cand creward
basal cganglia
group cof cstructures cinvolved cin cvoluntary cmotor cmovements
amygdala
involved cin cemotional cregulation cand cperception cof codors
corpus ccallosum
controls cthe ccommunication cbetween cthe ctwo cbrain chemispheres
white cmatter
contains cnerve cfibers cthat cconnect cneurons cfrom cdifferent cregions cinto cfunctional
ccircuits
grey cmatter
contains cnerve ccells cand cdendrites
brain ctissue
made cup cof cgrey cmatter cand cwhite cmatter
dorsal cstriatum
involved cin ccomplex cmotor cactions cand clinkage cof ccognition cto cmotor cactions
-main cinput carea cfor cbasal cganglia
*activated cwhen canticipating cor cengaging cin cpleasure
The cfield cof cepigenetics cis crapidly cgrowing cand ccan chelp cexplain chow cgene
cexpression cis:
influenced cby cenvironmental cfactors cand chow cepigenetics ccontributes cto cthe
cmanifestation cof cmental cillness
How cdoes cepigenetics cimpact ca cperson's cmental chealth?
3
, internal cor cexternal cfactors cactivate cportions cof cthe cgenome cthat cresult cin cthe
cmanifestation cof cmental chealth csymptoms
-activation cis coften ca cresult cof ca cstressful cevent, cwhich, cwhen ccombined cwith cthe
cgenetic crisk, cresults cin cthe cdisease
-genes cbeing con cor coff
-occurrence cof csymptoms cmay cbe cthe cresult cof cinheritance cof can cabnormal cgene cor
cof cnormal cgenes cbeing c"on" cwhen cthey cshould cbe c"off."
Types cof cepigenetic cchanges:
DNA cMethylation
cHistone
cmodification cNon-
coding cRNA
The cpotential clegal cand cethical cissues cimpacting cmental chealth ctreatment cmust calso
cbe ctaken cinto caccount, cincluding:
-informed cconsent
-competence cto cmake chealthcare cdecisions
-off-label cprescribing
Informed cconsent
Clients chave cthe cright cto creceive cenough cinformation cto cmake cdecisions cabout
ctreatment.
-must calso cbe cinformed cabout cpotential crisks cassociated cwith cmedications.
-have cthe cright cto crefuse ctreatment
-cannot cbe cforcibly cmedicated cin cnon-emergencies. cHowever, cclients ccan cbe
cforcibly cmedicated cif cthey care cviolent ctoward cthemselves cor cothers cand cwhen cless
crestrictive cmethods chave cfailed
Compliance
A ccourt corder cmay cbe cissued cfor ca cclient cto creceive ctreatment cagainst ctheir cwishes cif
cthey care cconsidered ca cdanger cto cthemselves cor cothers.
-Examples: cclients cwith cschizophrenia cor csex coffenders
-Guardians ccan cprovide cconsent cfor cclients cwho chave climited ccognitive ccapabilities
cor care cincompetent cto cmake cdecisions
-PMHNPs care cresponsible cfor cbeing cknowledgeable cabout ctheir cstate claws cand
cabiding cby cthem.
Off-Label cPrescribing
4
c c c c c c c
200 QUESTIONS AND CORRECT DETAILED
c c c c c
ANSWERS WITH RATIONALES |ALREADY
c c c c
GRADED A+ 2027(100% verified Answers)
c c c c
GUARANTEED PASS
c c
What cshould cthe cPMHNP cconsider cwhen cprescribing cchemical crestraints?
-allergy cstatus
-prior cmed chx cfor cadverse cdrug creactions cr/t cthe cmeds cordered cin cthe cchemical
crestraint
-state cregulations cregarding cchemical crestrains cmust cbe creviewed
Are cthe cPMHNP cand cother cstaff cliable cif cthe cclient chas can callergic creaction cor
cadverse cside ceffects cto cthe cdrugs cused cfor cchemical crestraint?
No.
The cclient chas cbeen ccourt-ordered cto ctake cthe cprescribed cmedications cand cthe
cstanding corder cfor cchemical crestraints cis capproved. cThe cPMHNP cand cother cstaff care
cnot cliable cif cthe cpatient chas can callergic creaction cor cadverse cside ceffects.
How cdoes creviewing cthe cgenetic cmakeup cof ca cclient chelp cguide cthe cPMHNP cin
cselecting cmedication cfor cclients?
-Genetic ctesting ccan cassist cby cproviding cmore cinformation con chow cclients cmay
crespond cto ccertain cpsychotropic cmedications
-provides cinformation con chow ca cclient cmay cbreak cdown cand cmetabolize cmedications
cbased con cthe ccytochrome cP450 csystem.
Tanrıkulu cand cErbaş c(2020) cinvestigated cidentical ctwins cto cdetermine cthe
cpresence cof can cinherited clink cfor cschizophrenia cand cwhy cone ctwin cmay cdevelop
cschizophrenia cwhen c the cother cdoes cnot. cWhen ctwo cpeople chave c100% cidentical
cDNA, cwhy cdon't cboth cpersons cdevelop cthe cexact cillnesses? cStudies cof cidentical
cDanish ctwins cfound cthat cif cone ctwin chad cschizophrenia, cthe cother ctwin chad ca
c50% clifetime crisk cof cdeveloping cschizophrenia c(Lemvigh cet cal., c2020). cWhy cis
cthere conly chalf cthe crisk?
Both cenvironmental cand cpsychosocial cstressors ccan cimpact cmental chealth. cAlthough
ctwins cmay chave cidentical cgenes, ctheir cgene cexpression cmay cbe cdifferent.
1
,There cmay cbe can cenvironmental cexposure cthat cturned ca cgene c"on" cthat cshould chave
cbeen c"off" cfor cone ctwin cto cdevelop cschizophrenia cand cnot cthe cother.
central csulcus
separates cthe cfrontal clobe cfrom cthe cparietal clobe
frontal clobe
associated cwith cmovement, cintelligence, cabstract cthinking
broca's carea
c speech cproduction
c temporal clobe
involves cobject cidentification cand cauditory csignals
cerebellum
c coordination
wernicke's carea
c
c speech
comprehension
c
c occipital clobe
primary cvisual carea
parietal clobe
keeps cus calert cto cwhat cis cgoing con caround cus
sensory ccortex
pain, cheat, cand cother csensations
motor ccortex
c movement
hippocampus
c
involved cin cboth cmemory cand canxiety
nucleus caccumbens
involved cin cthe creward cprocess
thalamus
2
,involved cin csensory corgan cand cmotor ccommand cprocessing
striatum
involved cin ccomplex cmotor cactions, calso clinks ccognition cto cmotor cactions
limbic csystem
includes ccircuits cthat care cassociated cwith cpleasure cand creward
basal cganglia
group cof cstructures cinvolved cin cvoluntary cmotor cmovements
amygdala
involved cin cemotional cregulation cand cperception cof codors
corpus ccallosum
controls cthe ccommunication cbetween cthe ctwo cbrain chemispheres
white cmatter
contains cnerve cfibers cthat cconnect cneurons cfrom cdifferent cregions cinto cfunctional
ccircuits
grey cmatter
contains cnerve ccells cand cdendrites
brain ctissue
made cup cof cgrey cmatter cand cwhite cmatter
dorsal cstriatum
involved cin ccomplex cmotor cactions cand clinkage cof ccognition cto cmotor cactions
-main cinput carea cfor cbasal cganglia
*activated cwhen canticipating cor cengaging cin cpleasure
The cfield cof cepigenetics cis crapidly cgrowing cand ccan chelp cexplain chow cgene
cexpression cis:
influenced cby cenvironmental cfactors cand chow cepigenetics ccontributes cto cthe
cmanifestation cof cmental cillness
How cdoes cepigenetics cimpact ca cperson's cmental chealth?
3
, internal cor cexternal cfactors cactivate cportions cof cthe cgenome cthat cresult cin cthe
cmanifestation cof cmental chealth csymptoms
-activation cis coften ca cresult cof ca cstressful cevent, cwhich, cwhen ccombined cwith cthe
cgenetic crisk, cresults cin cthe cdisease
-genes cbeing con cor coff
-occurrence cof csymptoms cmay cbe cthe cresult cof cinheritance cof can cabnormal cgene cor
cof cnormal cgenes cbeing c"on" cwhen cthey cshould cbe c"off."
Types cof cepigenetic cchanges:
DNA cMethylation
cHistone
cmodification cNon-
coding cRNA
The cpotential clegal cand cethical cissues cimpacting cmental chealth ctreatment cmust calso
cbe ctaken cinto caccount, cincluding:
-informed cconsent
-competence cto cmake chealthcare cdecisions
-off-label cprescribing
Informed cconsent
Clients chave cthe cright cto creceive cenough cinformation cto cmake cdecisions cabout
ctreatment.
-must calso cbe cinformed cabout cpotential crisks cassociated cwith cmedications.
-have cthe cright cto crefuse ctreatment
-cannot cbe cforcibly cmedicated cin cnon-emergencies. cHowever, cclients ccan cbe
cforcibly cmedicated cif cthey care cviolent ctoward cthemselves cor cothers cand cwhen cless
crestrictive cmethods chave cfailed
Compliance
A ccourt corder cmay cbe cissued cfor ca cclient cto creceive ctreatment cagainst ctheir cwishes cif
cthey care cconsidered ca cdanger cto cthemselves cor cothers.
-Examples: cclients cwith cschizophrenia cor csex coffenders
-Guardians ccan cprovide cconsent cfor cclients cwho chave climited ccognitive ccapabilities
cor care cincompetent cto cmake cdecisions
-PMHNPs care cresponsible cfor cbeing cknowledgeable cabout ctheir cstate claws cand
cabiding cby cthem.
Off-Label cPrescribing
4
