NR546 MIDTERM EXAM WITH
CORRECT ANSWERS 2025
What should the PMHNP consider when prescribing chemical
restraints? correct answers >> -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? correct answers >> 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? correct answers >>
-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 answers >>
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 answers >> separates the frontal lobe
from the parietal lobe
frontal lobe correct answers >> associated with movement,
intelligence, abstract thinking
broca's area correct answers >> speech production
temporal lobe correct answers >> involves object
identification and auditory signals
cerebellum correct answers >> coordination
wernicke's area correct answers >> speech comprehension
occipital lobe correct answers >> primary visual area
,parietal lobe correct answers >> keeps us alert to what is
going on around us
sensory cortex correct answers >> pain, heat, and other
sensations
motor cortex correct answers >> movement
hippocampus correct answers >> involved in both memory
and anxiety
nucleus accumbens correct answers >> involved in the
reward process
thalamus correct answers >> involved in sensory organ and
motor command processing
striatum correct answers >> involved in complex motor
actions, also links cognition to motor actions
limbic system correct answers >> includes circuits that are
associated with pleasure and reward
basal ganglia correct answers >> group of structures
involved in voluntary motor movements
amygdala correct answers >> involved in emotional
regulation and perception of odors
, corpus callosum correct answers >> controls the
communication between the two brain hemispheres
white matter correct answers >> contains nerve fibers that
connect neurons from different regions into functional circuits
grey matter correct answers >> contains nerve cells and
dendrites
brain tissue correct answers >> made up of grey matter and
white matter
dorsal striatum correct answers >> 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: correct answers >> influenced by
environmental factors and how epigenetics contributes to the
manifestation of mental illness
How does epigenetics impact a person's mental health?
correct answers >> 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
combined with the genetic risk, results in the disease
CORRECT ANSWERS 2025
What should the PMHNP consider when prescribing chemical
restraints? correct answers >> -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? correct answers >> 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? correct answers >>
-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 answers >>
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 answers >> separates the frontal lobe
from the parietal lobe
frontal lobe correct answers >> associated with movement,
intelligence, abstract thinking
broca's area correct answers >> speech production
temporal lobe correct answers >> involves object
identification and auditory signals
cerebellum correct answers >> coordination
wernicke's area correct answers >> speech comprehension
occipital lobe correct answers >> primary visual area
,parietal lobe correct answers >> keeps us alert to what is
going on around us
sensory cortex correct answers >> pain, heat, and other
sensations
motor cortex correct answers >> movement
hippocampus correct answers >> involved in both memory
and anxiety
nucleus accumbens correct answers >> involved in the
reward process
thalamus correct answers >> involved in sensory organ and
motor command processing
striatum correct answers >> involved in complex motor
actions, also links cognition to motor actions
limbic system correct answers >> includes circuits that are
associated with pleasure and reward
basal ganglia correct answers >> group of structures
involved in voluntary motor movements
amygdala correct answers >> involved in emotional
regulation and perception of odors
, corpus callosum correct answers >> controls the
communication between the two brain hemispheres
white matter correct answers >> contains nerve fibers that
connect neurons from different regions into functional circuits
grey matter correct answers >> contains nerve cells and
dendrites
brain tissue correct answers >> made up of grey matter and
white matter
dorsal striatum correct answers >> 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: correct answers >> influenced by
environmental factors and how epigenetics contributes to the
manifestation of mental illness
How does epigenetics impact a person's mental health?
correct answers >> 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
combined with the genetic risk, results in the disease
