2024 NR546 WEEK 1 TEST EXAM
WITH CORRECT ANSWERS
Mental health diagnoses contribute significantly to: - CORRECT-ANSWERSthe
global burden of disease
What should the PMHNP consider when prescribing chemical restraints? -
CORRECT-ANSWERS-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
How does reviewing the genetic makeup of a client help guide the PMHNP in
selecting medication for clients? - CORRECT-ANSWERS-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.
A strong understanding of the functions of the brain and neurotransmitter
roles in illness and treatment is needed to: - CORRECT-
ANSWERSappropriately prescribe psychotropic medications
Psychiatric prescribing decisions are based on: - CORRECT-
ANSWERSneuroscience and symptom presentation
The field of epigenetics is rapidly growing and can help explain how gene
expression is: - CORRECT-ANSWERSinfluenced by environmental factors and
how epigenetics contributes to the manifestation of mental illness
Consideration must also be given to each client's unique circumstances when
prescribing medications including their: - CORRECT-ANSWERS-symptoms
-age
-physical health
-lifestyle
The potential legal and ethical issues impacting mental health treatment
must also be taken into account, including: - CORRECT-ANSWERS-informed
consent
-competence to make healthcare decisions
-off-label prescribing
, Sequential Framework of Priorities for providers to address when prescribing
antidepressants to treat MDD (improve med adherence) - CORRECT-
ANSWERSDiagnosis
Pharmacological Tx
Medication Education
Monitoring Plan
Adherence Reinforcement
Adherence - CORRECT-ANSWERSPersistence
-taking med over intended time period
Compliance
-taking med as prescribed
Client, clinician, and structural factors all contribute to _______ - CORRECT-
ANSWERSnon-adherence
non-adherence factors - CORRECT-ANSWERSClient factors
-concern about side effects
-fear of addiction to meds
-misunderstanding of expected outcomes
Clinician factors
-providing inadequate education about meds
-lack of shared decision making
-lack of follow-up
Sensory memory: - CORRECT-ANSWERSRegister of events in the
environment, often unconscious, for up to 10 seconds, is forgotten if not
moved to short-term memory.s
Short-term memory: - CORRECT-ANSWERSInformation lasts seconds to
minutes (remembering an unfamiliar phone number), has a limited capacity.
Working memory: - CORRECT-ANSWERSActively holding information in
memory and manipulating it (solving a word problem in your mind) is
considered part of executive function.
Long-term memory: - CORRECT-ANSWERSMemories stored for days to years,
can be lifelong.
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