NR546 Midterm Exam REAL EXAM
QUESTIONS 2024/2025
What should the PMHNP consider when prescribing chemical restraints? -
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
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? - ANSWER
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? - 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? - 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 - ANSWER separates the frontal lobe from the
parietal lobe
frontal lobe - ANSWER associated with movement, intelligence,
abstract thinking
broca's area - ANSWER speech production
temporal lobe - ANSWER involves object identification and
auditory signals
cerebellum - ANSWER coordination
wernicke's area - ANSWER speech comprehension
occipital lobe - ANSWER primary visual area
,parietal lobe - ANSWER keeps us alert to what is going on around
us
sensory cortex - ANSWER pain, heat, and other sensations
motor cortex - ANSWER movement
hippocampus - ANSWER involved in both memory and anxiety
nucleus accumbens - ANSWER involved in the reward process
thalamus - ANSWER involved in sensory organ and motor
command processing
striatum - ANSWER involved in complex motor actions, also links
cognition to motor actions
limbic system - ANSWER includes circuits that are associated with
pleasure and reward
basal ganglia - ANSWER group of structures involved in voluntary
motor movements
, amygdala - ANSWER involved in emotional regulation and
perception of odors
corpus callosum - ANSWER controls the communication between
the two brain hemispheres
white matter - ANSWER contains nerve fibers that connect neurons
from different regions into functional circuits
grey matter - ANSWER contains nerve cells and dendrites
brain tissue - ANSWER made up of grey matter and white matter
dorsal striatum - ANSWER involved in complex motor actions and
linkage of cognition to motor actions
-main input area for basal ganglia
*activated when anticipating or engaging in pleasure
The field of epigenetics is rapidly growing and can help explain how gene
expression is: - ANSWER influenced by environmental factors and
how epigenetics contributes to the manifestation of mental illness
How does epigenetics impact a person's mental health? - ANSWER
internal or external factors activate portions of the genome that result in the
manifestation of mental health symptoms
QUESTIONS 2024/2025
What should the PMHNP consider when prescribing chemical restraints? -
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
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? - ANSWER
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? - 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? - 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 - ANSWER separates the frontal lobe from the
parietal lobe
frontal lobe - ANSWER associated with movement, intelligence,
abstract thinking
broca's area - ANSWER speech production
temporal lobe - ANSWER involves object identification and
auditory signals
cerebellum - ANSWER coordination
wernicke's area - ANSWER speech comprehension
occipital lobe - ANSWER primary visual area
,parietal lobe - ANSWER keeps us alert to what is going on around
us
sensory cortex - ANSWER pain, heat, and other sensations
motor cortex - ANSWER movement
hippocampus - ANSWER involved in both memory and anxiety
nucleus accumbens - ANSWER involved in the reward process
thalamus - ANSWER involved in sensory organ and motor
command processing
striatum - ANSWER involved in complex motor actions, also links
cognition to motor actions
limbic system - ANSWER includes circuits that are associated with
pleasure and reward
basal ganglia - ANSWER group of structures involved in voluntary
motor movements
, amygdala - ANSWER involved in emotional regulation and
perception of odors
corpus callosum - ANSWER controls the communication between
the two brain hemispheres
white matter - ANSWER contains nerve fibers that connect neurons
from different regions into functional circuits
grey matter - ANSWER contains nerve cells and dendrites
brain tissue - ANSWER made up of grey matter and white matter
dorsal striatum - ANSWER involved in complex motor actions and
linkage of cognition to motor actions
-main input area for basal ganglia
*activated when anticipating or engaging in pleasure
The field of epigenetics is rapidly growing and can help explain how gene
expression is: - ANSWER influenced by environmental factors and
how epigenetics contributes to the manifestation of mental illness
How does epigenetics impact a person's mental health? - ANSWER
internal or external factors activate portions of the genome that result in the
manifestation of mental health symptoms
