NR546 Newest Exam Prep 2025 Complete 290 Actual Exam Questions
with Correct Detailed Answers (Verified Answers) Graded A+
1. What should the PMHNP consider when -allergy status
prescribing chemical restraints? -prior med hx for adverse drug
reactions r/t the meds ordered
in the chemical restraint
-state regulations regarding
chemical restrains must be re-
viewed
2. Are the PMHNP and other staff liable if No.
the client has an allergic reaction or ad- The client has been court-or-
verse side effects to the drugs used for dered to take the prescribed
chemical restraint? medications and the standing
order for chemical restraints is
approved. The PMHNP and oth-
er staff are not liable if the pa-
tient has an allergic reaction or
adverse side effects.
3. How does reviewing the genetic makeup -Genetic testing can assist by
of a client help guide the PMHNP in se- providing more information on
lecting medication for clients? how clients may respond to cer-
tain psychotropic medications
-provides information on how a
client may break down and me-
tabolize medications based on
the cytochrome P450 system.
4. Tanr1kulu and Erba_ (2020) investigated Both environmental and psy-
identical twins to determine the presence chosocial stressors can impact
of an inherited link for schizophrenia and mental health. Although twins
why one twin may develop schizophrenia may have identical genes, their
when the other does not. When two peo- gene expression may be differ-
ple have 100% identical DNA, why don't ent.
both persons develop the exact illness-
es? Studies of identical Danish twins There may be an environmen-
found that if one twin had schizophrenia, tal exposure that turned a gene
the other twin had a 50% lifetime risk "on" that should have been "off"
of developing schizophrenia (Lemvigh et for one twin to develop schizo-
al., 2020). Why is there only half the risk? phrenia and not the other.
, NR546 Newest Exam Prep 2025
5. central sulcus separates the frontal lobe from
the parietal lobe
6. frontal lobe associated with movement, in-
telligence, 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 sensa-
tions
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 ac-
tions, also links cognition to mo-
tor actions
19. limbic system includes circuits that are associ-
ated with pleasure and reward
, NR546 Newest Exam Prep 2025
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 be-
tween the two brain hemi-
spheres
23. white matter contains nerve fibers that con-
nect neurons from different re-
gions into functional circuits
24. grey matter contains nerve cells and den-
drites
25. brain tissue made up of grey matter and
white matter
26. dorsal striatum involved in complex motor ac-
tions and linkage of cognition to
motor actions
-main input area for basal gan-
glia
*activated when anticipating or
engaging in pleasure
27. The field of epigenetics is rapidly grow- influenced by environmental
ing and can help explain how gene ex- factors and how epigenetics
pression is: contributes to the manifestation
of mental illness
28. How does epigenetics impact a person's internal or external factors ac-
mental health? tivate portions of the genome
that result in the manifestation
of mental health symptoms
-activation is often a result of
a stressful event, which, when
combined with the genetic risk,
, NR546 Newest Exam Prep 2025
results in the disease
-genes being on or off
-occurrence of symptoms may
be the result of inheritance of
an abnormal gene or of nor-
mal genes being "on" when they
should be "off."
29. Types of epigenetic changes: DNA Methylation
Histone modification
Non-coding RNA
30. The potential legal and ethical issues -informed consent
impacting mental health treatment must -competence to make health-
also be taken into account, including: care decisions
-off-label prescribing
31. Informed consent Clients have the right to receive
enough information to make de-
cisions about treatment.
-must also be informed about
potential risks associated with
medications.
-have the right to refuse treat-
ment
-cannot be forcibly medicated
in non-emergencies. However,
clients can be forcibly medicat-
ed if they are violent toward
themselves or others and when
less restrictive methods have
failed
32. Compliance A court order may be issued
for a client to receive treatment
against their wishes if they are
considered a danger to them-
selves or others.
-Examples: clients with schizo-
phrenia or sex offenders
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