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NR546 - Week 1, NR 546 WEEK 1

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NR546 - Week 1, NR 546 WEEK 1 What is the global burden of disease of mental health, neurological, and substance use disorders? - CORRECT ANSWER- 30% How many children and adolescents are impacted by mental health disorders worldwide? - CORRECT ANSWER- 20% How much does lost productivity related to anxiety and depression cost the global economy each year? - CORRECT ANSWER- $1 trillion USD The development of mental health conditions are linked to causes such as - CORRECT ANSWER- genetics, biochemical processes, environment, and lifestyle When prescribing medications, the PMHNP must consider each client's unique circumstances including - CORRECT ANSWER- symptoms age physical health previous response to treatment lifestyle Treatment for mental health conditions requires - CORRECT ANSWER- individualized care that incorporates the client's desires and goals Which is the priority data used to determine a treatment plan for mental health disorders? a. drug adverse effects b. client symptoms c. treatment history d. client lifestyle - CORRECT ANSWER- b. client symptoms Rational: Client symptoms are the priority data to determine a treatment regimen for mental health disorders. The client's history of treatment success and failures, adverse effects of the drugs, and lifestyle are all considered when determining a treatment plan. Separates the frontal lobe from the parietal lobe - CORRECT ANSWER- central sulcus Associated with movement, intelligence, abstract thinking, etc. - CORRECT ANSWER- Frontal lobe Area of the brain responsible for speech - CORRECT ANSWER- Broca's area Involves object identification and auditory signals - CORRECT ANSWER- Temporal lobe Responsible for coordination - CORRECT ANSWER- cerebellum Area of the brain responsible for speech comprehension - CORRECT ANSWER- Wernickes area Primary visual area - CORRECT ANSWER- occipital lobe Keeps us alert to what is going on around us - CORRECT ANSWER- parietal lobe Responsible for pain, heat, and other sensations - CORRECT ANSWER- sensory cortex responsible for movement - CORRECT ANSWER- motor cortex involved in both memory and anxiety - CORRECT ANSWER- hippocampus involved in the reward process - CORRECT ANSWER- nucleus accumbens involved in sensory organ and motor command processing - CORRECT ANSWER- thalamus involved in complex motor actions, also links cognition to motor actions - CORRECT ANSWER- striatum includes circuits that are associated with pleasure and reward - CORRECT ANSWER- limbic system group of structures involved in voluntary motor movements - CORRECT ANSWER- basal ganglia involved in emotional regulation and perception of odors - CORRECT ANSWER- amygdala controls the communication between the two brain hemispheres - CORRECT ANSWER- corpus callosum contains nerve cells and dendrites - CORRECT ANSWER- grey matter made up of grey matter and white matter - CORRECT ANSWER- brain tissue Contains nerve fibers that connect neurons from different regions into functional circuits - CORRECT ANSWER- white matter What happens to patients that suffer from TBI? - CORRECT ANSWER- They can experience personality changes, difficulty controlling emotions, and other cognitive functions. This area of the brain helps humans with the ability to organize and involved in personality, behavior, and emotional control - CORRECT ANSWER- frontal lobe which area of the brain is associated with movement, intelligence, and abstract thinking? - CORRECT ANSWER- frontal lobe how many pathways within the temporal lobe affect object identification, language, comprehension, and the ability to understand semantics? - CORRECT ANSWER- multiple Where is the temporal lobe located? and what does it do or involved in? - CORRECT ANSWER- located at the sides of the brain and involved in short term memory, speech, auditory signals, smell recognition, identify what things are -aka- object identificaion. What is the name ofthe back part of the brain that controls visual processing? - CORRECT ANSWER- occipital lobe which part of the brain is responsible for proprioception and home of somatic senses? - CORRECT ANSWER- middle part of the brain; parietal lobe This part of the brain helps us to identify spatial relationships, interpret pain, touch to the body, and identify objects to give it meaning; damage to this area may cause a loss in the ability to recognize objects via sense of touch like CVA patients. - CORRECT ANSWER- parietal lobe What happens when damage to the occipital lobe occur? - CORRECT ANSWER- a person won't be able to form visual memories and when bilateral lobe damage occur a patient won't be able to recognize items although vision is normal. Where is the limbic system, amygdala, and hippocampus located? - CORRECT ANSWER- temporal lobe Name 3 temporal lobe disorders... - CORRECT ANSWER- dementia, affective disorders, ADHD What happens if a patient has a dominant lesion within the temporal lobe? - CORRECT ANSWER- they could present with symptoms similar to wernicke's aphasia If a patient has occipital lobe seizure what can occur? - CORRECT ANSWER- hallucinations such as lines of color Which structure has a role in both memory and anxiety? - CORRECT ANSWER- hippocampus

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NR546 WEEK 1: TEST YOUR KNOWLEDGE QUIZ
What should the PMHNP consider when prescribing chemical restraints? -
CORRECT 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

How does reviewing the genetic makeup of a client help guide the PMHNP in
selecting medication for clients? - CORRECT 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.

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? - CORRECT 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 - CORRECT ANSWER- separates the frontal lobe from the parietal
lobe

frontal lobe - CORRECT ANSWER- associated with movement, intelligence,
abstract thinking

broca's area - CORRECT ANSWER- speech production

temporal lobe - CORRECT ANSWER- involves object identification and auditory
signals

, cerebellum - CORRECT ANSWER- coordination

wernicke's area - CORRECT ANSWER- speech comprehension

occipital lobe - CORRECT ANSWER- primary visual area

parietal lobe - CORRECT ANSWER- keeps us alert to what is going on around us

sensory cortex - CORRECT ANSWER- pain, heat, and other sensations

motor cortex - CORRECT ANSWER- movement

hippocampus - CORRECT ANSWER- involved in both memory and anxiety

nucleus accumbens - CORRECT ANSWER- involved in the reward process

thalamus - CORRECT ANSWER- involved in sensory organ and motor command
processing

striatum - CORRECT ANSWER- involved in complex motor actions, also links
cognition to motor actions

limbic system - CORRECT ANSWER- includes circuits that are associated with
pleasure and reward

basal ganglia - CORRECT ANSWER- group of structures involved in voluntary
motor movements

amygdala - CORRECT ANSWER- involved in emotional regulation and
perception of odors

corpus callosum - CORRECT ANSWER- controls the communication between the
two brain hemispheres

white matter - CORRECT ANSWER- contains nerve fibers that connect neurons
from different regions into functional circuits

grey matter - CORRECT ANSWER- contains nerve cells and dendrites

brain tissue - CORRECT ANSWER- made up of grey matter and white matter

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