NR546 Midterm Exam 202425 Prediction Questions (All correct Answers, Already Graded A).pdf

NR546 MIDTERM EXAM BANK / 300
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+ COMPLETE EXAM QUESTIONS
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AND CORRECT ANSWERS 2024/202
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5 GRADED A+ ( BEST FOR REVISIO
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,1. WhatnshouldnthenPMHNPnconsidernwhennprescribingnchemicalnrestraints?n ANSWER n -
-allergyn status
-priornmed n hxn fornadversen drugn reactionsn r/t n then medsn ordered n inn then chemicaln restraint
-staten regulationsn regardingn chemicaln restrainsn must n ben reviewed
2.

ArenthenPMHNPnandnothernstaff nliablenif nthenclientnhasnannallergicnreactionnornadversensideneffectsntonthendrugsn
usednfornchemicalnrestraint?n ANSWER n No.
Then client n hasn beenn court-
ordered n ton taken thenprescribed n medicationsn andnthen standingnordernfornchemicalnrestraintsnisn approved.nThen PMHNPnand nothe
aff n aren not n liablen if n then patient n hasn ann allergicn reactionn orn adversen siden effects.
3.

How ndoesnreviewingnthengeneticnmakeupnofnanclientnhelpnguidenthenPMHNPninnselectingnmedicationnfornclients?n
ANSWER n -
Geneticn testingn cann assist n byn providingn moren informationn onnhownclientsn mayn respond nton certainn psychotropicn medicat
ions
-providesninformationnonnhownanclient n maynbreakndownnand nmetabolizenmedicationsn based n onn then cytochromen P450n system
4.

Tanr1kulunandnErba_n(2020)ninvestigatednidenticalntwinsntondeterminenthenpresencenof nanninheritednlinknfornschiz
ophrenianandnwhynonentwinnmayndevelopnschizophrenianwhennthenotherndoesnnot.Whenntwonpeoplenhaven100%nidenti
calnDNA,nwhyndon'tnbothnpersonsndevelopnthenexactnillnesses?nStudiesnof nidenticalnDanishntwinsnfoundnthatnif nonentwin
n hadnschizophrenia,nthenotherntwinnhadnan50%nlifetimenrisknof ndevelopingnschizophrenian(Lemvighnetnal.,n2020).nWh
ynisntherenonlynhalf nthenrisk?n ANSWER n Bothn environmentaln and n psychosocialn stressorsn cann im-
n pact nmentaln health.nAlthoughn twinsn maynhaven identicaln genes,n theirn genen expressionn mayn ben different.


Therenmaynbenannenvironmentalnexposurenthat nturned nangenen"on"nthat nshould nhaven beenn"off"nfornonen twinn ton developn schizo
enian and n not n then other.
5. centralnsulcusn ANSWER n separatesn then frontaln loben fromn then parietaln lobe
6. frontalnloben ANSWER n associated n withn movement,n intelligence,n abstract n thinking
7. broca'snarean ANSWER n speechn production
8. temporalnloben ANSWER n involvesn object n identificationn and n auditoryn signals
9. cerebellumn ANSWER n coordination
10. wernicke'snarean ANSWER n speechn comprehension
11. occipitalnloben ANSWER n n primaryn visualn area
12. parietalnloben ANSWER n keepsn usn alert n ton what n isn goingn onn around n us
13. sensoryncortexn ANSWER n pain,n heat,n and n othern sensations

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,14. motorncortexn ANSWER n movement
15. hippocampusn ANSWER n involved n inn bothn memoryn and n anxiety
16. nucleusnaccumbensn ANSWER n involved ninnthenreward nprocess




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, 17. thalamusn ANSWER n involved n inn sensoryn organn and n motorn command n processing
18. striatumn ANSWER n involved ninncomplexnmotornactions,nalsonlinksncognitionntonmotornactions
19. limbicnsystemn ANSWER n includesn circuitsn that n aren associated n withn pleasuren and n reward
20. basalnganglian ANSWER n groupn of n structuresn involved n inn voluntarynmotorn movements
21. amygdalan ANSWER n involved n inn emotionaln regulationn and n perceptionn of n odors
22. corpusncallosumn ANSWER n controlsn then communicationn betweenn then twonbrainn hemi-n spheres
23. whitenmattern ANSWER n containsnnervenfibersnthat nconnect nneuronsnfromndifferent nregionsn inton functionaln circuits
24. greynmattern ANSWER n containsn nerven cellsn and n dendrites
25. brainntissuen ANSWER n maden upn of n greyn mattern and n whiten matter
26. dorsalnstriatumn ANSWER n involved n inncomplexn motornactionsn and nlinkagenof ncognitionn ton motorn actions
-mainn input n arean forn basaln ganglia
*activated n whenn anticipatingn orn engagingn inn pleasure
27.

Thenfieldnof nepigeneticsnisnrapidlyngrowingnandncannhelpnexplainnhow ngenenexpressionnisn ANSWER nA
NSWER n influenced nbynenvironmentalnfactorsnand nhownepigeneticsn contributesn tonthen manifestationn of n mentaln ill
ness
28.

How ndoesnepigeneticsnimpactnanperson'snmentalnhealth?n ANSWER n internalnornexternaln factorsn activaten portionsn
of n then genomen that n result n inn then manifestationn of n mentaln healthn symptoms
-activationn isn oftenn an result n of n an stressfuln event,n which,n whenn combined n withn then geneticn risk,n resultsn inn then disease
-genesn beingn onn orn off
-
occurrencen of n symptomsn maynben thenresult n ofninheritancen of nannabnormaln genen ornofn normaln genesn beingn "on"n whenntheynsho
ben "off."
29. Typesnof nepigeneticnchangesn ANSWER
ANSWER n DNA n Methylationn Histonen modification
Non-codingn RNA
30.

Thenpotentialnlegalnandnethicalnissuesnimpactingnmentalnhealthntreatmentnmustnalsonbentakennintonaccount,n
includingn ANSWER ANSWER n -informed n consent
-competencen ton maken healthcaren decisions
-off-labeln prescribing
31.


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