NR546 MIDTERM EXAM EXAM
QUESTIONS AND ANSWERS
Question : What should the PMHNP consider when
prescribing chemical restraints?
CORRECT 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
Question : 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?
CORRECT 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.
Question : How does reviewing the genetic makeup of a client
help guide the PMHNP in selecting medication for clients?
CORRECT 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.
Question : 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?
CORRECT 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.
Question : central sulcus
CORRECT ANSWER : separates the frontal lobe from the
parietal lobe
Question : frontal lobe
CORRECT ANSWER : associated with movement,
intelligence, abstract thinking
Question : broca's area
CORRECT ANSWER : speech production
Question : temporal lobe
CORRECT ANSWER : involves object identification and
auditory signals
Question : cerebellum
CORRECT ANSWER : coordination
Question : wernicke's area
CORRECT ANSWER : speech comprehension
Question : occipital lobe
CORRECT ANSWER : primary visual area
Question : parietal lobe
CORRECT ANSWER : keeps us alert to what is going on
around us
Question : sensory cortex
CORRECT ANSWER : pain, heat, and other sensations
Question : motor cortex
CORRECT ANSWER: movement
Question : hippocampus
CORRECT ANSWER : involved in both memory and
anxiety
Question : nucleus accumbens
CORRECT ANSWER : involved in the reward process
Question : thalamus
CORRECT ANSWER : involved in sensory organ and motor
command processing
Question : striatum
CORRECT ANSWER : involved in complex motor actions,
also links cognition to motor actions
Question : limbic system
CORRECT ANSWER : includes circuits that are associated
with pleasure and reward
Question : basal ganglia
CORRECT ANSWER : group of structures involved in
voluntary motor movements
Question : amygdala
CORRECT ANSWER : involved in emotional regulation and
perception of odors
Question : corpus callosum
CORRECT ANSWER : controls the communication between
the two brain hemispheres
Question : white matter
CORRECT ANSWER : contains nerve fibers that connect
neurons from different regions into functional circuits