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NR546 WEEK 1: TEST YOUR KNOWLEDGE QUIZ

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NR546 WEEK 1: TEST YOUR KNOWLEDGE QUIZ What should the PMHNP consider when prescribing chemical restraints? - CORRECT ANSWER- -allergy status -prior med hx for adverse drug reactions r/t the meds ordered in the chemical restraint -state regulations regarding chemical restrains must be reviewed How does reviewing the genetic makeup of a client help guide the PMHNP in selecting medication for clients? - CORRECT 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? - CORRECT 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 - CORRECT ANSWER- separates the frontal lobe from the parietal lobe frontal lobe - CORRECT ANSWER- associated with movement, intelligence, abstract thinking broca's area - CORRECT ANSWER- speech production temporal lobe - CORRECT ANSWER- involves object identification and auditory signals cerebellum - CORRECT ANSWER- coordination wernicke's area - CORRECT ANSWER- speech comprehension occipital lobe - CORRECT ANSWER- primary visual area parietal lobe - CORRECT ANSWER- keeps us alert to what is going on around us sensory cortex - CORRECT ANSWER- pain, heat, and other sensations motor cortex - CORRECT ANSWER- movement hippocampus - CORRECT ANSWER- involved in both memory and anxiety nucleus accumbens - CORRECT ANSWER- involved in the reward process thalamus - CORRECT ANSWER- involved in sensory organ and motor command processing striatum - CORRECT ANSWER- involved in complex motor actions, also links cognition to motor actions limbic system - CORRECT ANSWER- includes circuits that are associated with pleasure and reward basal ganglia - CORRECT ANSWER- group of structures involved in voluntary motor movements amygdala - CORRECT ANSWER- involved in emotional regulation and perception of odors

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NR546 week 7 test your knowledge quiz
Questions And Answers
Neurotransmitters involved in ADHD - CORRECT ANSWERS- Dopamine &
norepinephrine
-affect symptoms of inattention & hyperactivity

Pharmacologic Treatment of Sleep Disorders: - CORRECT ANSWERS- Over-the-
counter
Melatonin
Orexin receptor antagonists
Antidepressants
Z-drugs
Benzodiazepines

prevalence of ADHD in the United States population - CORRECT ANSWERS- 6.1
million children are diagnosed with ADHD in the U.S.
-Boys more likely than girls (12.9% boys, 5.6% girls)
-1/3 have symptoms into adulthood
-6 in 10 children have at least one other mental, emotional, or behavioral disorder
-Comorbidities:
• Behavior/conduct problems
• Anxiety
• Depression
• Autism spectrum disorder
• Tourette syndrome

ADHD Symptoms: - CORRECT ANSWERS- Typically start before age 12, may begin to
appear early as 3:

-Selective Attention
• lack of attention to detail
• careless mistakes
• not listening
• losing things
• diverting attention
• forgetfulness

-Lack of Sustained Attention
• poor problem solving

, • difficulty completing tasks
• disorganization
• difficulty sustaining mental effort

-Impulsivity
• excessive talking
• blurting things out
• not waiting one's turn
• interrupting

-Hyperactivity
• fidgeting
• leaving one's seat
• running, climbing
• trouble playing quietly

*Symptoms related to attention usually develop 2-4 years after the emergence of
hyperactive symptoms in childhood

ADHD lifespan considerations - CORRECT ANSWERS- -Symptoms change with age.
-Not only a childhood diagnosis
-Hyperactivity decreases markedly with age
-Primary Symptoms: inattention, restlessness, cognitive & emotional impulsivity,
executive functioning deficits, and self-regulation
-Adults struggling with executive functioning difficulties and disorganization may
experience occupational stress or anxiety.

neurobiological factors that contribute to ADHD: Genetics - CORRECT ANSWERS-
Important role in development of ADHD.
-heritability of up to 88%

Other risk factors for ADHD include
-premature birth
-low birth weight
-maternal stress during pregnancy
-prenatal substance exposure, including tobacco
-adverse childhood environmental
-psychosocial stress
-inconsistent parenting practices

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