QUESTION BANK FULL SOLUTION SET
◉ 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