NR 546 ACTUAL MIDTERM
EXAM 2023 QUESTIONS
AND CORRECT ANSWERS
,What should the PMHNP consider when prescribing chemical
restraints? - ANSWER ✔✔-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? - ANSWER ✔✔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? - ANSWER ✔✔-
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? - ANSWER ✔✔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 - ANSWER ✔✔separates the frontal lobe from
the parietal lobe
frontal lobe - ANSWER ✔✔associated with movement,
intelligence, abstract thinking
parietal lobe - ANSWER ✔✔keeps us alert to what is going on
around us
sensory cortex - ANSWER ✔✔pain, heat, and other sensations
motor cortex - ANSWER ✔✔movement
hippocampus - ANSWER ✔✔involved in both memory and
anxiety
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