1.What should the PMHNP consider when prescribing chemical restraints?:
-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
2.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?: No.
The client has been court-ordered to take the prescribed medications an
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.
3.How does reviewing the genetic makeup of a client help guide the PMHNP
in selecting medication for clients?: -Genetic testing can assist by
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,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.
4.Tanr1kulu and Erba_ (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?: Both environmental and
psychosocial stressors can im- pact 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
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,other.
5.central sulcus: separates the frontal lobe from the parietal lobe
6.frontal lobe: associated with movement, intelligence, abstract thinking
7.broca's area: speech production
8.temporal lobe: involves object identification and auditory signals
9.cerebellum: coordination
10.wernicke's area: speech comprehension
11.occipital lobe: primary visual area
12.parietal lobe: keeps us alert to what is going on around us
13.sensory cortex: pain, heat, and other sensations
14.motor cortex: movement
15.hippocampus: involved in both memory and anxiety
16.nucleus accumbens: involved in the reward process
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, 17.thalamus: involved in sensory organ and motor command processing
18. striatum: involved in complex motor actions, also links cognition to
motor actions
19.limbic system: includes circuits that are associated with pleasure and
reward
20.basal ganglia: group of structures involved in voluntary motor
movements
21.amygdala: involved in emotional regulation and perception of odors
22.corpus callosum: controls the communication between the two
brain hemi- spheres
23.white matter: contains nerve fibers that connect neurons from
different regions into functional circuits
24.grey matter: contains nerve cells and dendrites
25.brain tissue: made up of grey matter and white matter
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