100% CORRECT QUESTIONS AND AN
6 6 6 6
SWERS FOR CU NR 5466 6 6 6
How6does6reviewing6the6genetic6makeup6of6a6client6help6guide6the6PMHNP6in
6selecting6medication6for6clients?6-6CORRECT6ANSWER-
Genetic6testing6can6assist6by6providing6more6information6on6how6clients6ma
y6respond6to6certain6psychotropic6medications,6as6well6as6providing6informat
ion6on6how6a6client6may6break6down6and6metabolize6medications6based6on6t
he6cytochrome6P4506system.
There6may6be6an6environmental6exposure6that6turned6a6gene6"on"6that6shou
ld6have6been6"off"6for6one6twin6to6develop6schizophrenia6and6not6the6other
.6Both6environmental6and6psychosocial6stressors6can6impact6mental6health.6
Although6twins6may6have6identical6genes,6their6gene6expression6may6be6diff
erent.
Neuroscience6-6CORRECT6ANSWER-
is6the6study6of6the6structure6and6function6of6the6brain6and6is6a6field6which6is6
making6great6advancements6(Pliszka,62016).6A6strong6foundational6understa
nding6of6neuroscience6and6how6the6structure6and6function6of6the6brain6can6re
sult6in6mental6health6symptoms6is6necessary6to6treat6mental6illnesses.
Some6mental6disorders6such6as6Alzheimer's6disease,6schizophrenia,6and6maj
or6depressive6disorder6are6thought6to6be6a6result6of6malformations6or6malfun
ctions6within6the6brain.
The6psychiatric6mental6health6nurse6practitioner6(PMHNP)6must6comprehend
6how6medications6impact6the6brain6in6order6to6safely6and6effectively6prescrib
e6psychotropic6medications.
Brain6tissue6-6CORRECT6ANSWER-is6composed6of6gray6and6white6matter.
gray6matter6-6CORRECT6ANSWER-
The6cerebellum,6cerebrum,6brain6stem,6and6the6butterfly-
shaped6portion6of6the6central6spinal6cord6are6comprised6of6gray6matter6whi
ch6contains6neural6cell6bodies,6axon6terminals,6dendrites,6and6all6nerve6sy
napses.
It6is6the6working6area6of6the6brain6and6the6focus6of6psychiatry6and6neurology.
, Gray6matter6-6CORRECT6ANSWER-associated6with6learning.
Changes6in6the6gray6matter6are6linked6to6psychiatric6diagnoses6including6Alz
heimer's6disease,6schizophrenia,6and6major6depressive6disorder.
White6Matter6-6CORRECT6ANSWER-
contains6nerve6fibers6that6connect6neurons6from6different6regions6into6functi
onal6circuits.
The6myelin6that6coats6neuronal6axons6is6necessary6for6electrical6impulse6trans
mission.
Think6of6the6white6matter6as6a6transit6system.6If6there6are6breaks6in6the6syst
em,6then6people6cannot6get6to6their6destinations.
Within6the6brain,6these6breaks6affect6neural6communication,6affecting6behavior
.
Damage6to6the6myelin6can6impair6transmission6which6can6impact6not6only6se
nsory6and6motor6function,6but6also6cognition.
White6matter6abnormalities6are6associated6with6autism6and6vascular6dementia
.
The6central6sulcus6separates6which6lobes?6-6CORRECT6ANSWER-
frontal6lobe6from6parietal6lobe
Frontal6lobe6-6CORRECT6ANSWER-
Associated6with6movement,6intelligence,6abstract6thinking.6etc.
Broca's6area6-6CORRECT6ANSWER-Speech
Temporal6lobe6-6CORRECT6ANSWER-
Involves6object6identification6and6auditory6signals
Cerebellum6-6CORRECT6ANSWER-coordination6and6balance
Wernicke's6area6-6CORRECT6ANSWER-Speech6comprehension
occipital6lobe6-6CORRECT6ANSWER-Primary6visual6area
parietal6lobe6-6CORRECT6ANSWER-Keeps6us6alert6to6what6is6going6on6around6us
Sensory6Cortex6-6CORRECT6ANSWER-Pain,6heat,6and6other6sensations
motor6cortex6-6CORRECT6ANSWER-Movement
Hippocampus6-6CORRECT6ANSWER-Involved6in6both6memory6and6anxiety
6 6 6 6
SWERS FOR CU NR 5466 6 6 6
How6does6reviewing6the6genetic6makeup6of6a6client6help6guide6the6PMHNP6in
6selecting6medication6for6clients?6-6CORRECT6ANSWER-
Genetic6testing6can6assist6by6providing6more6information6on6how6clients6ma
y6respond6to6certain6psychotropic6medications,6as6well6as6providing6informat
ion6on6how6a6client6may6break6down6and6metabolize6medications6based6on6t
he6cytochrome6P4506system.
There6may6be6an6environmental6exposure6that6turned6a6gene6"on"6that6shou
ld6have6been6"off"6for6one6twin6to6develop6schizophrenia6and6not6the6other
.6Both6environmental6and6psychosocial6stressors6can6impact6mental6health.6
Although6twins6may6have6identical6genes,6their6gene6expression6may6be6diff
erent.
Neuroscience6-6CORRECT6ANSWER-
is6the6study6of6the6structure6and6function6of6the6brain6and6is6a6field6which6is6
making6great6advancements6(Pliszka,62016).6A6strong6foundational6understa
nding6of6neuroscience6and6how6the6structure6and6function6of6the6brain6can6re
sult6in6mental6health6symptoms6is6necessary6to6treat6mental6illnesses.
Some6mental6disorders6such6as6Alzheimer's6disease,6schizophrenia,6and6maj
or6depressive6disorder6are6thought6to6be6a6result6of6malformations6or6malfun
ctions6within6the6brain.
The6psychiatric6mental6health6nurse6practitioner6(PMHNP)6must6comprehend
6how6medications6impact6the6brain6in6order6to6safely6and6effectively6prescrib
e6psychotropic6medications.
Brain6tissue6-6CORRECT6ANSWER-is6composed6of6gray6and6white6matter.
gray6matter6-6CORRECT6ANSWER-
The6cerebellum,6cerebrum,6brain6stem,6and6the6butterfly-
shaped6portion6of6the6central6spinal6cord6are6comprised6of6gray6matter6whi
ch6contains6neural6cell6bodies,6axon6terminals,6dendrites,6and6all6nerve6sy
napses.
It6is6the6working6area6of6the6brain6and6the6focus6of6psychiatry6and6neurology.
, Gray6matter6-6CORRECT6ANSWER-associated6with6learning.
Changes6in6the6gray6matter6are6linked6to6psychiatric6diagnoses6including6Alz
heimer's6disease,6schizophrenia,6and6major6depressive6disorder.
White6Matter6-6CORRECT6ANSWER-
contains6nerve6fibers6that6connect6neurons6from6different6regions6into6functi
onal6circuits.
The6myelin6that6coats6neuronal6axons6is6necessary6for6electrical6impulse6trans
mission.
Think6of6the6white6matter6as6a6transit6system.6If6there6are6breaks6in6the6syst
em,6then6people6cannot6get6to6their6destinations.
Within6the6brain,6these6breaks6affect6neural6communication,6affecting6behavior
.
Damage6to6the6myelin6can6impair6transmission6which6can6impact6not6only6se
nsory6and6motor6function,6but6also6cognition.
White6matter6abnormalities6are6associated6with6autism6and6vascular6dementia
.
The6central6sulcus6separates6which6lobes?6-6CORRECT6ANSWER-
frontal6lobe6from6parietal6lobe
Frontal6lobe6-6CORRECT6ANSWER-
Associated6with6movement,6intelligence,6abstract6thinking.6etc.
Broca's6area6-6CORRECT6ANSWER-Speech
Temporal6lobe6-6CORRECT6ANSWER-
Involves6object6identification6and6auditory6signals
Cerebellum6-6CORRECT6ANSWER-coordination6and6balance
Wernicke's6area6-6CORRECT6ANSWER-Speech6comprehension
occipital6lobe6-6CORRECT6ANSWER-Primary6visual6area
parietal6lobe6-6CORRECT6ANSWER-Keeps6us6alert6to6what6is6going6on6around6us
Sensory6Cortex6-6CORRECT6ANSWER-Pain,6heat,6and6other6sensations
motor6cortex6-6CORRECT6ANSWER-Movement
Hippocampus6-6CORRECT6ANSWER-Involved6in6both6memory6and6anxiety
