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Why is trazodone not used as a front-line antidepressant Correct
Answer Its antidepressant that has a secondary effect of blocking
histamine and adrenergic receptors
-causes sedation and somnolence and as a result
*often used as an adjunct in therapy when a depressed patient
has difficulty sleeping
effect on neurotransmitters and side effects: Selective Serotonin
Reuptake Inhibitors (SSRIs) Correct Answer Inhibits the reuptake
of serotonin, which can cause nausea, agitation, headache, and
sexual dysfunction
effect on neurotransmitters and side effects: Serotonin and
Norepinephrine Reuptake Inhibitors (SNRIs) Correct Answer
Inhibits the reuptake of serotonin and norepinephrine, which can
cause nausea, sweating, insomnia, tremors, sexual dysfunction
,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
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? Correct 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? 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