NR546 ACTUAL EXAM PAPER 2026
QUESTIONS WITH ANSWERS GRADED A+
◉ 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
QUESTIONS WITH ANSWERS GRADED A+
◉ 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
