NR546 Advanced Pharmacology: Psychopharmacology for Psychi-
atric-Mental Health Nurse Practitioner
1. : Week 1
2. The patients:
symptoms
age
physical health
previous response to treatment
lifestyle: When prescribing medications, what must the psychiatric mental health
nurse practitioner (PMHNP) consider?
3. Patient symptoms: What is the priority data used to determine a treatment plan
for mental health disorders?
4. Alzheimer's disease, schizophrenia, and major depressive disorder.: -
Changes or losses in grey matter can be associated with psychiatric diagnoses such
as?
5. True, caution is taken when prescribing to obese patients.: Many psychotrop-
ic medications can cause weight gain. True of False.
6. Pediatric patients: Which lifespan group respond differently to drugs than adults,
have heightened drug sensitivity, show greater individual variation, and have in-
creased risk for adverse drug reactions? Dosage selection can be challenging
because their brains and bodies are still developing.
7. Pregnancy/breastfeeding patients: Which lifespan group have several psy-
chotropic drugs that are not safe to use, certain drugs resulting in birth defects and
certain drugs presenting in breastmilk, affecting the breastfed child, or affecting milk
production?
8. Older adult patients: The physiologic changes associated with aging impact the
drug processes of absorption, distribution, metabolism, and excretion of medica-
tions, so lower than normal dosages may be needed. The most recent Beers Criteria
should be reviewed to avoid prescribing potentially inappropriate medications to this
lifespan group.
9. The cerebellum, cerebrum, brain stem, and butterfly-shaped portion of the
central spinal cord.: Brain tissue composed of gray matter includes?
10. Psychiatry and neurology and is associated with learning.: The gray matter
of the brain focuses on?
11. Nerve fibers that connect neurons from different regions into functional
circuits.: Brain tissue composed of white matter includes?
12. Necessary for electrical impulse transmission. If there are breaks in the
system, it can affect neural communication, affecting behavior. Damage to the
myelin can impair transmission which can impact not only sensory and motor
function, but also cognition.: Why is white matter considered the transit system?
, NR546 Advanced Pharmacology: Psychopharmacology for Psychi-
atric-Mental Health Nurse Practitioner
13. Autism and vascular dementia.: White brain matter is associated with which
disease processes?
14. Associated with movement, intelligence, abstract thinking. the ability to
organize, personality, behavior, and emotional control. Traumatic brain injuries
can result in personality changes, difficulty controlling emotions, and other
cognitive functions.: Frontal Lobe
15. Middle part of the brain
Responsible for proprioception.
Helps a person to identify spatial relationships, interpret pain and touch in the
body, and identify and give meaning to objects.
Damage to the anterior portion of the parietal lobe may cause asterogenesis,
the loss of ability to recognize objects via the sense of touch.
May be experienced post cerebral vascular accidents.: Parietal Lobe
16. Located on the sides of the brain
Involved in short-term memory, speech, auditory signals, and smell recogni-
tion.
Identifies "what" things are - object identification.
Contains the limbic system, amygdala, and hippocampus.
A dominant temporal lobe lesion can present as Wernicke's aphasia.: Temporal
Lobe
17. Temporal lobe disorders include dementia, affective disorders, and atten-
tion deficit hyperactivity disorders (ADHD).: Temporal Lobe Disorders
18. Back part of the brain and controls visual processing. Damage to this lobe
results in the inability to form visual memories.
Bilateral lobe damage results in the inability to recognize items by sight even
though vision is normal.
Occipital lobe seizures can cause hallucinations, such as lines of color.: Oc-
cipital Lobe
19. Complex motor actions and linkage of cognition to motor actions.
Main input area for the basal ganglia and is activated when anticipating or
engaging in pleasure.: Dorsal Striatum
20. Controls the communication between the two brain hemispheres.
Involved in attention, impulse control, and emotion regulation.
Integrates impulses from both sides of the brain.
Persons with an underdeveloped or missing corpus collosum may have intel-
lectual impairment.: Corpus Callosum
21. An egg-shaped structure involved in sensory organ and motor command
processing.
All sensory systems except for the olfaction process through the thalamus,
, NR546 Advanced Pharmacology: Psychopharmacology for Psychi-
atric-Mental Health Nurse Practitioner
which is responsible for processing all external information.
Associated with symptoms related to schizophrenia and post-traumatic stress
disorder (PTSD).: Thalamus
22. Involved in voluntary motor movements, cognition, and emotion. Involved
in facilitating voluntary movement.: Basal Ganglia
23. Include Parkinson's disease, obsessive-compulsive disorder (OCD), and
Tourette syndrome.: Basal ganglia movement disorders include?
24. Associated with pleasure, reward, and reinforcing behavior. Drug abuse
affects the limbic system, disrupting emotions and feelings associated with
normal behavior.: Limbic System
25. This is involved in the reward circuit and reinforces addictive behaviors.: -
Nucleus Accumbens
26. Located deep in the temporal lobes and involved in emotional regulation
and perception of odors.
All smells travel directly to the amygdala.
Cooking smells can elicit memories of childhood events and holidays.
A traumatic event can result in the formation of the fear response, causing
the fight or flight reflex within the autonomic nervous system and affects
the hypothalamic-pituitary-adrenal (HPA) axis causing the release of stress
hormones (e.g. cortisol).
The amygdala also is involved in the interpretation of facial expressions and
sexual stimuli.: Amygdala
27. Located deep in the temporal lobes and is involved in anxiety and memory,
and shifting short-term to long-term memory.
Hippocampal function is impaired in schizophrenia and dementia. There is
ongoing research into the role the hippocampus plays in anxiety and decision
making.: Hippocampus
28. Affect how genes are turned on or off, influencing the production of
proteins that carry out various functions in the body.
Can be influenced by a variety of factors, including environmental stimuli,
lifestyle, and experiences.
Normal and abnormal genes both contribute to disease and drug efficacy.
Epigenetics can contribute to the risk of any disorder or disease.
Psychiatric disorders can also be due to normal genes that are "on" that
should be "off.": What are epigenetic modifications
29. Provide information on:
How clients may respond to certain psychotropic medications
How a client may break down and metabolize medications based on the
cytochrome P450 system
, NR546 Advanced Pharmacology: Psychopharmacology for Psychi-
atric-Mental Health Nurse Practitioner
If there may be an environmental exposure that turned a gene "on" that should
have been "off": How does reviewing the genetic makeup of a client help guide the
PMHNP in selecting medication for clients?
30. Provide
The chief complaint
Context of the visit, and/or special circumstances where additional time was
needed beyond what is considered "usual".
Note serves as a tool for the recall of memory when more information is
requested.: Visit Note
31. Electronic databases enable providers to access information regarding a
client's prescription history of controlled substances.: Prescription Drug Moni-
toring Programs (PDMPs)
32. Separates the frontal lobe from the parietal lobe: Central Sulcus
33. Associated with movement, intelligence, abstract thinking etc.: Frontal lobe
34. Speech: Broca's area
35. Involves object identification and auditory signals: Temporal lobe
36. Coordination: Cerebellum
37. Speech comprehension: Wernicke's area
38. Primary visual area: Occipital lobe
39. Keeps us alert to what is going on around us (think proprioception): Pari-
etal lobe
40. Pain heat and other sensations: Sensory cortex
41. Movement: Motor cortex
42. Involved in both memory and anxiety: Hippocampus
43. Involved in the reward process: Nucleus accumbens
44. Involved in sensory organs and motor command processing: Thalmus
45. Involved in complex motor actions also links cognition to motor activities-
: Striatum
46. Includes circuits that are associated with pleasure and reward: Limbic
System
47. Group of structures involved in voluntary muscle movements: Basal Gan-
glia
48. Involved in emotional regulation and perception of odors: Amygdala
49. Controls the communication between the two brain hemispheres: Corpus
Callosum
50. Contains nerve fibers that connect neurons from different regions into
functional circuits: White Matter
51. Contains nerve cells and dendrites: Gray Matter
52. Made up of gray and white matter: Brain Tissue
atric-Mental Health Nurse Practitioner
1. : Week 1
2. The patients:
symptoms
age
physical health
previous response to treatment
lifestyle: When prescribing medications, what must the psychiatric mental health
nurse practitioner (PMHNP) consider?
3. Patient symptoms: What is the priority data used to determine a treatment plan
for mental health disorders?
4. Alzheimer's disease, schizophrenia, and major depressive disorder.: -
Changes or losses in grey matter can be associated with psychiatric diagnoses such
as?
5. True, caution is taken when prescribing to obese patients.: Many psychotrop-
ic medications can cause weight gain. True of False.
6. Pediatric patients: Which lifespan group respond differently to drugs than adults,
have heightened drug sensitivity, show greater individual variation, and have in-
creased risk for adverse drug reactions? Dosage selection can be challenging
because their brains and bodies are still developing.
7. Pregnancy/breastfeeding patients: Which lifespan group have several psy-
chotropic drugs that are not safe to use, certain drugs resulting in birth defects and
certain drugs presenting in breastmilk, affecting the breastfed child, or affecting milk
production?
8. Older adult patients: The physiologic changes associated with aging impact the
drug processes of absorption, distribution, metabolism, and excretion of medica-
tions, so lower than normal dosages may be needed. The most recent Beers Criteria
should be reviewed to avoid prescribing potentially inappropriate medications to this
lifespan group.
9. The cerebellum, cerebrum, brain stem, and butterfly-shaped portion of the
central spinal cord.: Brain tissue composed of gray matter includes?
10. Psychiatry and neurology and is associated with learning.: The gray matter
of the brain focuses on?
11. Nerve fibers that connect neurons from different regions into functional
circuits.: Brain tissue composed of white matter includes?
12. Necessary for electrical impulse transmission. If there are breaks in the
system, it can affect neural communication, affecting behavior. Damage to the
myelin can impair transmission which can impact not only sensory and motor
function, but also cognition.: Why is white matter considered the transit system?
, NR546 Advanced Pharmacology: Psychopharmacology for Psychi-
atric-Mental Health Nurse Practitioner
13. Autism and vascular dementia.: White brain matter is associated with which
disease processes?
14. Associated with movement, intelligence, abstract thinking. the ability to
organize, personality, behavior, and emotional control. Traumatic brain injuries
can result in personality changes, difficulty controlling emotions, and other
cognitive functions.: Frontal Lobe
15. Middle part of the brain
Responsible for proprioception.
Helps a person to identify spatial relationships, interpret pain and touch in the
body, and identify and give meaning to objects.
Damage to the anterior portion of the parietal lobe may cause asterogenesis,
the loss of ability to recognize objects via the sense of touch.
May be experienced post cerebral vascular accidents.: Parietal Lobe
16. Located on the sides of the brain
Involved in short-term memory, speech, auditory signals, and smell recogni-
tion.
Identifies "what" things are - object identification.
Contains the limbic system, amygdala, and hippocampus.
A dominant temporal lobe lesion can present as Wernicke's aphasia.: Temporal
Lobe
17. Temporal lobe disorders include dementia, affective disorders, and atten-
tion deficit hyperactivity disorders (ADHD).: Temporal Lobe Disorders
18. Back part of the brain and controls visual processing. Damage to this lobe
results in the inability to form visual memories.
Bilateral lobe damage results in the inability to recognize items by sight even
though vision is normal.
Occipital lobe seizures can cause hallucinations, such as lines of color.: Oc-
cipital Lobe
19. Complex motor actions and linkage of cognition to motor actions.
Main input area for the basal ganglia and is activated when anticipating or
engaging in pleasure.: Dorsal Striatum
20. Controls the communication between the two brain hemispheres.
Involved in attention, impulse control, and emotion regulation.
Integrates impulses from both sides of the brain.
Persons with an underdeveloped or missing corpus collosum may have intel-
lectual impairment.: Corpus Callosum
21. An egg-shaped structure involved in sensory organ and motor command
processing.
All sensory systems except for the olfaction process through the thalamus,
, NR546 Advanced Pharmacology: Psychopharmacology for Psychi-
atric-Mental Health Nurse Practitioner
which is responsible for processing all external information.
Associated with symptoms related to schizophrenia and post-traumatic stress
disorder (PTSD).: Thalamus
22. Involved in voluntary motor movements, cognition, and emotion. Involved
in facilitating voluntary movement.: Basal Ganglia
23. Include Parkinson's disease, obsessive-compulsive disorder (OCD), and
Tourette syndrome.: Basal ganglia movement disorders include?
24. Associated with pleasure, reward, and reinforcing behavior. Drug abuse
affects the limbic system, disrupting emotions and feelings associated with
normal behavior.: Limbic System
25. This is involved in the reward circuit and reinforces addictive behaviors.: -
Nucleus Accumbens
26. Located deep in the temporal lobes and involved in emotional regulation
and perception of odors.
All smells travel directly to the amygdala.
Cooking smells can elicit memories of childhood events and holidays.
A traumatic event can result in the formation of the fear response, causing
the fight or flight reflex within the autonomic nervous system and affects
the hypothalamic-pituitary-adrenal (HPA) axis causing the release of stress
hormones (e.g. cortisol).
The amygdala also is involved in the interpretation of facial expressions and
sexual stimuli.: Amygdala
27. Located deep in the temporal lobes and is involved in anxiety and memory,
and shifting short-term to long-term memory.
Hippocampal function is impaired in schizophrenia and dementia. There is
ongoing research into the role the hippocampus plays in anxiety and decision
making.: Hippocampus
28. Affect how genes are turned on or off, influencing the production of
proteins that carry out various functions in the body.
Can be influenced by a variety of factors, including environmental stimuli,
lifestyle, and experiences.
Normal and abnormal genes both contribute to disease and drug efficacy.
Epigenetics can contribute to the risk of any disorder or disease.
Psychiatric disorders can also be due to normal genes that are "on" that
should be "off.": What are epigenetic modifications
29. Provide information on:
How clients may respond to certain psychotropic medications
How a client may break down and metabolize medications based on the
cytochrome P450 system
, NR546 Advanced Pharmacology: Psychopharmacology for Psychi-
atric-Mental Health Nurse Practitioner
If there may be an environmental exposure that turned a gene "on" that should
have been "off": How does reviewing the genetic makeup of a client help guide the
PMHNP in selecting medication for clients?
30. Provide
The chief complaint
Context of the visit, and/or special circumstances where additional time was
needed beyond what is considered "usual".
Note serves as a tool for the recall of memory when more information is
requested.: Visit Note
31. Electronic databases enable providers to access information regarding a
client's prescription history of controlled substances.: Prescription Drug Moni-
toring Programs (PDMPs)
32. Separates the frontal lobe from the parietal lobe: Central Sulcus
33. Associated with movement, intelligence, abstract thinking etc.: Frontal lobe
34. Speech: Broca's area
35. Involves object identification and auditory signals: Temporal lobe
36. Coordination: Cerebellum
37. Speech comprehension: Wernicke's area
38. Primary visual area: Occipital lobe
39. Keeps us alert to what is going on around us (think proprioception): Pari-
etal lobe
40. Pain heat and other sensations: Sensory cortex
41. Movement: Motor cortex
42. Involved in both memory and anxiety: Hippocampus
43. Involved in the reward process: Nucleus accumbens
44. Involved in sensory organs and motor command processing: Thalmus
45. Involved in complex motor actions also links cognition to motor activities-
: Striatum
46. Includes circuits that are associated with pleasure and reward: Limbic
System
47. Group of structures involved in voluntary muscle movements: Basal Gan-
glia
48. Involved in emotional regulation and perception of odors: Amygdala
49. Controls the communication between the two brain hemispheres: Corpus
Callosum
50. Contains nerve fibers that connect neurons from different regions into
functional circuits: White Matter
51. Contains nerve cells and dendrites: Gray Matter
52. Made up of gray and white matter: Brain Tissue
