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NR546 Midterm Exam QUESTIONS AND ANSWERS (2024/2025) (VERIFIED ANSWERS)

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NR546 Midterm Exam QUESTIONS AND ANSWERS (2024/2025) (VERIFIED ANSWERS)

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  • October 5, 2024
  • 151
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
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NR546 Midterm Exam


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

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 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



, 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

26.dorsal striatum: involved in complex motor actions and linkage of

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