Midterm Exam: NR546 / NR 546 (Latest Update 2024 / 2025) Advanced Pharmacology Psychopharmacology for the Psychiatric-Mental Health Nurse Practitioner Review | Complete Guide with Questions and Verified Answers | 100% Correct - Chamberlain Q: when could the client's cognitive status create an ethic...
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 Questio n: 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 lac ks 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 dat e 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
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