NR546 Midterm Exam | Final
Exam 2024 | Exam Questions
With Correct Detailed
Answers | Already Graded A +
QUESTION; Pines - ANSWER--bind more potently to the 5HT 2A
receptor than the D2.
-Sedation is common and relates to a high affinity for histamine.
-least risk of EPS but a high risk for weight gain and metabolic
abnormalities
QUESTION; 2 dones and a rone - ANSWER--more potently to the 5HT 2A
receptor than to D2 or bine equally between the 2 receptors.
-less sedating and cause less weight gain, but have a higher risk for
hyperprolactinemia and EPS
QUESTION; 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
,QUESTION; Are the PMHNP and other staff liable if the client has an
allergic reaction or adverse side effects to the drugs used for chemical
restraint? - ANSWER-No.
The client has been court-ordered to take the prescribed medications
and the standing order for chemical restraints is approved. The PMHNP
and other staff are not liable if the patient has an allergic reaction or
adverse side effects.
QUESTION; 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.
QUESTION; 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.
QUESTION; central sulcus - ANSWER-separates the frontal lobe from the
parietal lobe
QUESTION; frontal lobe - ANSWER-associated with movement,
intelligence, abstract thinking
QUESTION; broca's area - ANSWER-speech production
QUESTION; temporal lobe - ANSWER-involves object identification and
auditory signals
QUESTION; cerebellum - ANSWER-coordination
QUESTION; wernicke's area - ANSWER-speech comprehension
QUESTION; occipital lobe - ANSWER-primary visual area
QUESTION; parietal lobe - ANSWER-keeps us alert to what is going on
around us
, QUESTION; sensory cortex - ANSWER-pain, heat, and other sensations
QUESTION; motor cortex - ANSWER-movement
QUESTION; hippocampus - ANSWER-involved in both memory and
anxiety
QUESTION; nucleus accumbens - ANSWER-involved in the reward
process
QUESTION; thalamus - ANSWER-involved in sensory organ and motor
command processing
QUESTION; striatum - ANSWER-involved in complex motor actions, also
links cognition to motor actions
QUESTION; limbic system - ANSWER-includes circuits that are
associated with pleasure and reward
QUESTION; basal ganglia - ANSWER-group of structures involved in
voluntary motor movements
QUESTION; amygdala - ANSWER-involved in emotional regulation and
perception of odors
Exam 2024 | Exam Questions
With Correct Detailed
Answers | Already Graded A +
QUESTION; Pines - ANSWER--bind more potently to the 5HT 2A
receptor than the D2.
-Sedation is common and relates to a high affinity for histamine.
-least risk of EPS but a high risk for weight gain and metabolic
abnormalities
QUESTION; 2 dones and a rone - ANSWER--more potently to the 5HT 2A
receptor than to D2 or bine equally between the 2 receptors.
-less sedating and cause less weight gain, but have a higher risk for
hyperprolactinemia and EPS
QUESTION; 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
,QUESTION; Are the PMHNP and other staff liable if the client has an
allergic reaction or adverse side effects to the drugs used for chemical
restraint? - ANSWER-No.
The client has been court-ordered to take the prescribed medications
and the standing order for chemical restraints is approved. The PMHNP
and other staff are not liable if the patient has an allergic reaction or
adverse side effects.
QUESTION; 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.
QUESTION; 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.
QUESTION; central sulcus - ANSWER-separates the frontal lobe from the
parietal lobe
QUESTION; frontal lobe - ANSWER-associated with movement,
intelligence, abstract thinking
QUESTION; broca's area - ANSWER-speech production
QUESTION; temporal lobe - ANSWER-involves object identification and
auditory signals
QUESTION; cerebellum - ANSWER-coordination
QUESTION; wernicke's area - ANSWER-speech comprehension
QUESTION; occipital lobe - ANSWER-primary visual area
QUESTION; parietal lobe - ANSWER-keeps us alert to what is going on
around us
, QUESTION; sensory cortex - ANSWER-pain, heat, and other sensations
QUESTION; motor cortex - ANSWER-movement
QUESTION; hippocampus - ANSWER-involved in both memory and
anxiety
QUESTION; nucleus accumbens - ANSWER-involved in the reward
process
QUESTION; thalamus - ANSWER-involved in sensory organ and motor
command processing
QUESTION; striatum - ANSWER-involved in complex motor actions, also
links cognition to motor actions
QUESTION; limbic system - ANSWER-includes circuits that are
associated with pleasure and reward
QUESTION; basal ganglia - ANSWER-group of structures involved in
voluntary motor movements
QUESTION; amygdala - ANSWER-involved in emotional regulation and
perception of odors
