NR546 Total PMHNP
Psychopharmacology
Questions andAnswers i i
Whati shouldi thei PMHNPi consideri wheni prescribingi chemicali restraints?
✓ ~i i i -allergyi status
-priori medi hxi fori adversei drugi reactionsi r/ti thei medsi orderedi ini thei chemicali restraint
-statei regulationsi regardingi chemicali restrainsi musti bei reviewed
Arei thei PMHNPi andi otheri staffi liablei ifi thei clienti hasi ani allergici reactioni ori
adversei sidei effectsi toi thei drugsi usedi fori chemicali restraint?
✓ ~i i i No.
Thei clienti hasi beeni court-orderedi toi takei thei prescribedi medicationsi andi thei standingi
orderi fori chemicali restraintsi isi approved.i Thei PMHNPi andi otheri staffi arei noti liablei ifi
thei patienti hasi ani allergici reactioni ori adversei sidei effects.
Howi doesi reviewingi thei genetici makeupi ofi ai clienti helpi guidei thei PMHNPi ini
selectingi medicationi fori clients?
,✓ ~i i -Genetici testingi cani assisti byi providingi morei informationi oni howi clientsi mayi
respondi toi certaini psychotropici medications
-providesi informationi oni howi ai clienti mayi breaki downi andi metabolizei medicationsi
basedi oni thei cytochromei P450i system.
Tanrıkului andi Erbaşi (2020)i investigatedi identicali twinsi toi determinei thei presencei
ofi ani inheritedi linki fori schizophreniai andi whyi onei twini mayi developi
schizophreniai wheni thei otheri doesi not.i Wheni twoi peoplei havei 100%i identicali
DNA,i whyi don'ti bothi personsi developi thei exacti illnesses?i Studiesi ofi identicali
Danishi twinsi foundi thati ifi onei twini hadi schizophrenia,i thei otheri twini hadi ai 50%i
lifetimei riski ofi developingi schizophreniai (Lemvighi eti al.,i 2020).i Whyi isi therei
onlyi halfi thei risk?
✓ ~i i Bothi environmentali andi psychosociali stressorsi cani impacti mentali health.i
Althoughi twinsi mayi havei identicali genes,i theiri genei expressioni mayi bei different.
Therei mayi bei ani environmentali exposurei thati turnedi ai genei "on"i thati shouldi havei
beeni "off"i fori onei twini toi developi schizophreniai andi noti thei other.
centrali sulcus
✓ ~i i i separatesi thei frontali lobei fromi thei parietali lobe
frontali lobe
✓ ~i i associatedi withi movement,i intelligence,i abstracti thinking
,broca'si area
✓ ~i i i speechi production
temporali lobe
✓ ~i i i involvesi objecti identificationi andi auditoryi signals
cerebellum
✓ ~i i i coordination
wernicke'si area
✓ ~i i i speechi comprehension
occipitali lobe
✓ ~i i i primaryi visuali area
parietali lobe
✓ ~i i i keepsi usi alerti toi whati isi goingi oni aroundi us
sensoryi cortex
✓ ~i i i pain,i heat,i andi otheri sensations
, motori cortex
✓ ~i i i movement
hippocampus
✓ ~i i i involvedi ini bothi memoryi andi anxiety
nucleusi accumbens
✓ ~i i i involvedi ini thei rewardi process
thalamus
✓ ~i i i involvedi ini sensoryi organi andi motori commandi processing
striatum
✓ ~i i i involvedi ini complexi motori actions,i alsoi linksi cognitioni toi motori actions
limbici system
✓ ~i i i includesi circuitsi thati arei associatedi withi pleasurei andi reward
basali ganglia
✓ ~i i i groupi ofi structuresi involvedi ini voluntaryi motori movements
Psychopharmacology
Questions andAnswers i i
Whati shouldi thei PMHNPi consideri wheni prescribingi chemicali restraints?
✓ ~i i i -allergyi status
-priori medi hxi fori adversei drugi reactionsi r/ti thei medsi orderedi ini thei chemicali restraint
-statei regulationsi regardingi chemicali restrainsi musti bei reviewed
Arei thei PMHNPi andi otheri staffi liablei ifi thei clienti hasi ani allergici reactioni ori
adversei sidei effectsi toi thei drugsi usedi fori chemicali restraint?
✓ ~i i i No.
Thei clienti hasi beeni court-orderedi toi takei thei prescribedi medicationsi andi thei standingi
orderi fori chemicali restraintsi isi approved.i Thei PMHNPi andi otheri staffi arei noti liablei ifi
thei patienti hasi ani allergici reactioni ori adversei sidei effects.
Howi doesi reviewingi thei genetici makeupi ofi ai clienti helpi guidei thei PMHNPi ini
selectingi medicationi fori clients?
,✓ ~i i -Genetici testingi cani assisti byi providingi morei informationi oni howi clientsi mayi
respondi toi certaini psychotropici medications
-providesi informationi oni howi ai clienti mayi breaki downi andi metabolizei medicationsi
basedi oni thei cytochromei P450i system.
Tanrıkului andi Erbaşi (2020)i investigatedi identicali twinsi toi determinei thei presencei
ofi ani inheritedi linki fori schizophreniai andi whyi onei twini mayi developi
schizophreniai wheni thei otheri doesi not.i Wheni twoi peoplei havei 100%i identicali
DNA,i whyi don'ti bothi personsi developi thei exacti illnesses?i Studiesi ofi identicali
Danishi twinsi foundi thati ifi onei twini hadi schizophrenia,i thei otheri twini hadi ai 50%i
lifetimei riski ofi developingi schizophreniai (Lemvighi eti al.,i 2020).i Whyi isi therei
onlyi halfi thei risk?
✓ ~i i Bothi environmentali andi psychosociali stressorsi cani impacti mentali health.i
Althoughi twinsi mayi havei identicali genes,i theiri genei expressioni mayi bei different.
Therei mayi bei ani environmentali exposurei thati turnedi ai genei "on"i thati shouldi havei
beeni "off"i fori onei twini toi developi schizophreniai andi noti thei other.
centrali sulcus
✓ ~i i i separatesi thei frontali lobei fromi thei parietali lobe
frontali lobe
✓ ~i i associatedi withi movement,i intelligence,i abstracti thinking
,broca'si area
✓ ~i i i speechi production
temporali lobe
✓ ~i i i involvesi objecti identificationi andi auditoryi signals
cerebellum
✓ ~i i i coordination
wernicke'si area
✓ ~i i i speechi comprehension
occipitali lobe
✓ ~i i i primaryi visuali area
parietali lobe
✓ ~i i i keepsi usi alerti toi whati isi goingi oni aroundi us
sensoryi cortex
✓ ~i i i pain,i heat,i andi otheri sensations
, motori cortex
✓ ~i i i movement
hippocampus
✓ ~i i i involvedi ini bothi memoryi andi anxiety
nucleusi accumbens
✓ ~i i i involvedi ini thei rewardi process
thalamus
✓ ~i i i involvedi ini sensoryi organi andi motori commandi processing
striatum
✓ ~i i i involvedi ini complexi motori actions,i alsoi linksi cognitioni toi motori actions
limbici system
✓ ~i i i includesi circuitsi thati arei associatedi withi pleasurei andi reward
basali ganglia
✓ ~i i i groupi ofi structuresi involvedi ini voluntaryi motori movements
