NR 546 MIDTERM EXAM ACTUAL EXAM TEST BANK 200 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES |ALREADY GRADED A
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NR 546
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NR 546
NR 546 MIDTERM EXAM ACTUAL EXAM TEST BANK 200 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES |ALREADY GRADED A
NR 546 MIDTERM EXAM ACTUAL EXAM TEST BANK 200 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES |ALREADY GRADED A
NR 546 MIDTERM EXAM ACTUAL EXAM TEST BANK 200 QUESTIONS ...
NR 546 MIDTERM EXAM 2024-2025
ACTUAL EXAM TEST BANK 200
QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES |
ALREADY GRADED A+
What should the PMHNP consider when prescribing chemical restraints? - VERIFIED ANS -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? - VERIFIED ANS 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? - VERIFIED ANS -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? - VERIFIED ANS 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 - VERIFIED ANS separates the frontal lobe from the parietal lobe
frontal lobe - VERIFIED ANS associated with movement, intelligence, abstract thinking
broca's area - VERIFIED ANS speech production
temporal lobe - VERIFIED ANS involves object identification and auditory signals
cerebellum - VERIFIED ANS coordination
wernicke's area - VERIFIED ANS speech comprehension
occipital lobe - VERIFIED ANS primary visual area
parietal lobe - VERIFIED ANS keeps us alert to what is going on around us
sensory cortex - VERIFIED ANS pain, heat, and other sensations
motor cortex - VERIFIED ANS movement
hippocampus - VERIFIED ANS involved in both memory and anxiety
nucleus accumbens - VERIFIED ANS involved in the reward process
,thalamus - VERIFIED ANS involved in sensory organ and motor command processing
striatum - VERIFIED ANS involved in complex motor actions, also links cognition to motor actions
limbic system - VERIFIED ANS includes circuits that are associated with pleasure and reward
basal ganglia - VERIFIED ANS group of structures involved in voluntary motor movements
amygdala - VERIFIED ANS involved in emotional regulation and perception of odors
corpus callosum - VERIFIED ANS controls the communication between the two brain hemispheres
white matter - VERIFIED ANS contains nerve fibers that connect neurons from different regions into
functional circuits
grey matter - VERIFIED ANS contains nerve cells and dendrites
brain tissue - VERIFIED ANS made up of grey matter and white matter
dorsal striatum - VERIFIED ANS involved in complex motor actions and linkage of cognition to motor
actions
-main input area for basal ganglia
*activated when anticipating or engaging in pleasure
, The field of epigenetics is rapidly growing and can help explain how gene expression is: - VERIFIED ANS
influenced by environmental factors and how epigenetics contributes to the manifestation of mental
illness
How does epigenetics impact a person's mental health? - VERIFIED ANS internal or external factors
activate portions of the genome that result in the manifestation of mental health symptoms
-activation is often a result of a stressful event, which, when combined with the genetic risk, results in
the disease
-genes being on or off
-occurrence of symptoms may be the result of inheritance of an abnormal gene or of normal genes
being "on" when they should be "off."
Types of epigenetic changes: - VERIFIED ANS DNA Methylation
Histone modification
Non-coding RNA
The potential legal and ethical issues impacting mental health treatment must also be taken into
account, including: - VERIFIED ANS -informed consent
-competence to make healthcare decisions
-off-label prescribing
Informed consent - VERIFIED ANS Clients have the right to receive enough information to make
decisions about treatment.
-must also be informed about potential risks associated with medications.
-have the right to refuse treatment
-cannot be forcibly medicated in non-emergencies. However, clients can be forcibly medicated if they
are violent toward themselves or others and when less restrictive methods have failed
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