NR546 WEEK 1: TEST YOUR
KNOWLEDGE QUIZ 100% CORRECT
What should the PMHNP consider when prescribing chemical restraints? - 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? - 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
, Consideration must also be given to each client's unique circumstances when
prescribing medications including their: - ANSWER--symptoms
-age
-physical health
-lifestyle
The potential legal and ethical issues impacting mental health treatment must also be
taken into account, including: - ANSWER--informed consent
-competence to make healthcare decisions
-off-label prescribing
Sequential Framework of Priorities for providers to address when prescribing
antidepressants to treat MDD (improve med adherence) - ANSWER-Diagnosis
Pharmacological Tx
Medication Education
Monitoring Plan
Adherence Reinforcement
Adherence - ANSWER-Persistence
-taking med over intended time period
Compliance
-taking med as prescribed
Client, clinician, and structural factors all contribute to _______ - ANSWER-non-
adherence
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
KNOWLEDGE QUIZ 100% CORRECT
What should the PMHNP consider when prescribing chemical restraints? - 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? - 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
, Consideration must also be given to each client's unique circumstances when
prescribing medications including their: - ANSWER--symptoms
-age
-physical health
-lifestyle
The potential legal and ethical issues impacting mental health treatment must also be
taken into account, including: - ANSWER--informed consent
-competence to make healthcare decisions
-off-label prescribing
Sequential Framework of Priorities for providers to address when prescribing
antidepressants to treat MDD (improve med adherence) - ANSWER-Diagnosis
Pharmacological Tx
Medication Education
Monitoring Plan
Adherence Reinforcement
Adherence - ANSWER-Persistence
-taking med over intended time period
Compliance
-taking med as prescribed
Client, clinician, and structural factors all contribute to _______ - ANSWER-non-
adherence
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
