Week 1 Midterm Exam: NR546 / NR-
546 (Latest 2025 / 2026) Advanced Pharmacology Psychopharmacology for the PMHNP | Questions and Answers | 100% Correct | Grade A - Chamberlain
Question:
Off-Label Prescribing
Answer:
Some clients may benefit from the unapproved use of a drug for symptom management. For example, many selective serotonin reuptake inhibitors (SSRIs) are used to treat anxiety and obsessive-compulsive disorder but are not FDA approved for use in this disorder.
Off-label prescribing potentially raises ethical and legal concerns; the PMHNP must remain up to date with the latest recommendations for off- label prescribing.
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Question:
What should the PMHNP consider when prescribing chemical restraints for this client?
Answer:
Prescribing considerations include carefully reviewing the client's allergy status and prior medication history for adverse drug reactions related to the medications ordered in the chemical restraint.
If the client has a known allergy and was given the medication, the prescriber and staff could be held liable for harm to the client. Also, state regulations regarding chemical restraints must be reviewed, as some states do not allow court-ordered treatment against a client's wishes.
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?
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:
Normal and abnormal genes both contribute to
Answer:
disease and drug efficacy. 2 / 3
Question:
Epigenetics
Answer:
can contribute to the risk of any disorder or disease. Psychiatric disorders can also be due to normal genes that are "on" that should be "off."
Question:
Mental health diagnoses contribute significantly
Answer:
to the global burden of disease.
Question:
to appropriately prescribe psychotropic medications.
Answer:
A strong understanding of the functions of the brain and neurotransmitter roles in illness and treatment is needed
Question:
Psychiatric prescribing decisions are based
Answer:
on neuroscience and symptom presentation.
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