NR-546 Advanced Pharmacology
Psychopharmacology for the Psychiatric-
Mental Health Nurse Practitioner
Midterm Exam (Latest Update)
Question:
when could the client's cognitive status create an ethical issue
Answer:
if the client is unable to self-determine care or is a danger to self or others
Question:
informed consent
Answer:
client has the right to receive enough information to make decisions about
treatment
-must be informed about potential risks associated with meds
-clients have the right to refuse treatment and cannot be forcibly medicated
in non-emergencies
-clients can be forcibly medicated if they are a danger to themselves or
others and less restrictive methods have failed
,Question:
compliance
Answer:
a client may be court ordered to receive treatment against their will if they
are a danger to themselves or others
Question:
examples of special situations for compliance
Answer:
-schizophrenia
-sex offenders
-guardians can provide consent if client is lacks the cognitive function to do
so
-PMHNP be knowledgeable about state laws and abide
Question:
example of off label prescribing
Answer:
SSRIs are used to treat anxiety and OCD but are not FDA approved for this.
Can raise legal concerns, remain up to date with recs
,Question:
epigenetics
Answer:
the study of how your behaviors and environment can cause changes that
affect the way your genes work
Question:
in mental health, activation of a gene is often caused by ___________
Answer:
a stressful event
Question:
when is there an increased risk for psychiatric disease?
Answer:
when a stressful event is combined with genetic risk (can also be due to
normal genes that should not be active)
Question:
are epigenetic changes reversible?
Answer:
yes! they don't change the DNA sequence, they change the way the body
reads the DNA sequence
, Question:
transcription factors
Answer:
proteins that bind to promotor sequences of DNA to turn gene expression on
and off
Question:
epigenetic changes can be influenced by
Answer:
infections, cancer, nutrition during pregnancy
Question:
how is genetic testing useful?
Answer:
can provide more information on how clients might respond to certain
psychotropic medications by providing info on how a client metabolizes a
drug based on the CYP450 system
Psychopharmacology for the Psychiatric-
Mental Health Nurse Practitioner
Midterm Exam (Latest Update)
Question:
when could the client's cognitive status create an ethical issue
Answer:
if the client is unable to self-determine care or is a danger to self or others
Question:
informed consent
Answer:
client has the right to receive enough information to make decisions about
treatment
-must be informed about potential risks associated with meds
-clients have the right to refuse treatment and cannot be forcibly medicated
in non-emergencies
-clients can be forcibly medicated if they are a danger to themselves or
others and less restrictive methods have failed
,Question:
compliance
Answer:
a client may be court ordered to receive treatment against their will if they
are a danger to themselves or others
Question:
examples of special situations for compliance
Answer:
-schizophrenia
-sex offenders
-guardians can provide consent if client is lacks the cognitive function to do
so
-PMHNP be knowledgeable about state laws and abide
Question:
example of off label prescribing
Answer:
SSRIs are used to treat anxiety and OCD but are not FDA approved for this.
Can raise legal concerns, remain up to date with recs
,Question:
epigenetics
Answer:
the study of how your behaviors and environment can cause changes that
affect the way your genes work
Question:
in mental health, activation of a gene is often caused by ___________
Answer:
a stressful event
Question:
when is there an increased risk for psychiatric disease?
Answer:
when a stressful event is combined with genetic risk (can also be due to
normal genes that should not be active)
Question:
are epigenetic changes reversible?
Answer:
yes! they don't change the DNA sequence, they change the way the body
reads the DNA sequence
, Question:
transcription factors
Answer:
proteins that bind to promotor sequences of DNA to turn gene expression on
and off
Question:
epigenetic changes can be influenced by
Answer:
infections, cancer, nutrition during pregnancy
Question:
how is genetic testing useful?
Answer:
can provide more information on how clients might respond to certain
psychotropic medications by providing info on how a client metabolizes a
drug based on the CYP450 system
