NR 546 MIDTERM EXAM QUESTIONS WITH COMPLETE
SOLUTIONS GUARANTEED PASS BRAND NEW 2025
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
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.
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
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
corpus callosum ANSWER - >controls the communication
between the two brain hemispheres
white matter ANSWER - >contains nerve fibers that
connect neurons from different regions into functional
circuits
SOLUTIONS GUARANTEED PASS BRAND NEW 2025
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
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.
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
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
corpus callosum ANSWER - >controls the communication
between the two brain hemispheres
white matter ANSWER - >contains nerve fibers that
connect neurons from different regions into functional
circuits
