NR546 Advanced Pharmacology: Psychopharmacology for Psychi-
atric-Mental Health Nurse Practitioner
1. Week 1
2. When prescribing The patients:
medications, what symptoms
must the psychiatric age
mental health nurse physical health
practitioner (PMHNP) previous response to treatment
consider? lifestyle
3. What is the priority Patient symptoms
data used to deter-
mine a treatment plan
for mental health dis-
orders?
4. Changes or loss- Alzheimer's disease, schizophrenia, and major de-
es in grey matter pressive disorder.
can be associated
with psychiatric diag-
noses such as?
5. Many psychotrop- True, caution is taken when prescribing to obese
ic medications can patients.
cause weight gain.
True of False.
6. Which lifespan group Pediatric patients
respond different-
ly to drugs than
adults, have height-
ened drug sensitivi-
ty, show greater indi-
vidual variation, and
have increased risk
for adverse drug re-
actions? Dosage se-
lection can be chal-
lenging because their
, NR546 Advanced Pharmacology: Psychopharmacology for Psychi-
atric-Mental Health Nurse Practitioner
brains and bodies are
still developing.
7. Which lifespan group Pregnancy/breastfeeding patients
have several psy-
chotropic drugs that
are not safe to use,
certain drugs result-
ing in birth defects
and certain drugs
presenting in breast-
milk, affecting the
breastfed child, or af-
fecting milk produc-
tion?
8. The physiologic Older adult patients
changes associated
with aging impact the
drug processes of
absorption, distribu-
tion, metabolism, and
excretion of medica-
tions, so lower than
normal dosages may
be needed. The most
recent Beers Criteria
should be reviewed
to avoid prescribing
potentially inappro-
priate medications to
this lifespan group.
9. Brain tissue com- The cerebellum, cerebrum, brain stem, and butter-
posed of gray matter fly-shaped portion of the central spinal cord.
includes?
10. The gray matter of the Psychiatry and neurology and is associated with
brain focuses on? learning.
, NR546 Advanced Pharmacology: Psychopharmacology for Psychi-
atric-Mental Health Nurse Practitioner
11. Brain tissue com- Nerve fibers that connect neurons from different re-
posed of white matter gions into functional circuits.
includes?
12. Why is white matter Necessary for electrical impulse transmission. If
considered the tran- there are breaks in the system, it can affect neural
sit system? communication, affecting behavior. Damage to the
myelin can impair transmission which can impact not
only sensory and motor function, but also cognition.
13. White brain mat- Autism and vascular dementia.
ter is associated
with which disease
processes?
14. Frontal Lobe Associated with movement, intelligence, abstract
thinking. the ability to organize, personality, behavior,
and emotional control. Traumatic brain injuries can
result in personality changes, difficulty controlling
emotions, and other cognitive functions.
15. Parietal Lobe Middle part of the brain
Responsible for proprioception.
Helps a person to identify spatial relationships, inter-
pret pain and touch in the body, and identify and give
meaning to objects.
Damage to the anterior portion of the parietal lobe
may cause asterogenesis, the loss of ability to rec-
ognize objects via the sense of touch.
May be experienced post cerebral vascular acci-
dents.
16. Temporal Lobe Located on the sides of the brain
Involved in short-term memory, speech, auditory sig-
nals, and smell recognition.
Identifies "what" things are - object identification.
Contains the limbic system, amygdala, and hip-
pocampus.
, NR546 Advanced Pharmacology: Psychopharmacology for Psychi-
atric-Mental Health Nurse Practitioner
A dominant temporal lobe lesion can present as Wer-
nicke's aphasia.
17. Temporal Lobe Disor- Temporal lobe disorders include dementia, affective
ders disorders, and attention deficit hyperactivity disor-
ders (ADHD).
18. Occipital Lobe Back part of the brain and controls visual processing.
Damage to this lobe results in the inability to form
visual memories.
Bilateral lobe damage results in the inability to recog-
nize items by sight even though vision is normal.
Occipital lobe seizures can cause hallucinations,
such as lines of color.
19. Dorsal Striatum Complex motor actions and linkage of cognition to
motor actions.
Main input area for the basal ganglia and is activated
when anticipating or engaging in pleasure.
20. Corpus Callosum Controls the communication between the two brain
hemispheres.
Involved in attention, impulse control, and emotion
regulation.
Integrates impulses from both sides of the brain.
Persons with an underdeveloped or missing corpus
collosum may have intellectual impairment.
21. Thalamus An egg-shaped structure involved in sensory organ
and motor command processing.
All sensory systems except for the olfaction process
through the thalamus, which is responsible for pro-
cessing all external information.
Associated with symptoms related to schizophrenia
and post-traumatic stress disorder (PTSD).
22. Basal Ganglia Involved in voluntary motor movements, cognition,
and emotion. Involved in facilitating voluntary move-
ment.
