NR 546 Study guides, Class notes & Summaries

NR 546 MIDTERM EXAM 2023-2024 ACTUAL EXAM TEST BANK 300 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES |ALREADY GRADED A+

NR 546 Midterm Exam 2023/2024 Questions AND Answers Update A+ What should the PMHNP consider when prescribing chemical restraints? - 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 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-...

How does reviewing the genetic makeup of a client help guide the PMHNP in selecting medication for clients? - Answer Genetic testing can assist by providing more information on how clients may respond to certain psychotropic medications, as well as providing information on how a client may break down and metabolize medications based on the cytochrome P450 system. There may be an environmental exposure that turned a gene "on" that should have been "off" for one twin to develop schizophr...

Cascade iatrogenesis - Answer a spiraling unintended decline of health from a series of severe effects caused by medical intervention Examples of cascade iatrogenesis - Answer pressure ulcers medication errors delirium falls physical restraint use hospital mortality hospital length of stay hospital readmissions How is frailty defined in the older adult? - Answer 3 or more symptoms: -unintended weight loss -consistent exhaustion -weak grip strength -slow walking speed -low...

Prefrontal Cortex Symptoms of MDD - Answer Concentration Mental Fatigue Mood PFC & Amygdala Symptoms of MDD - Answer Guilt Suicidality Worthlessness Striatum Symptoms of MDD - Answer Physical fatigue Nucleus Accumbens Symptoms of MDD - Answer Pleasure interests Hypothalamus Symptoms of MDD - Answer Sleep Appetite Thalamus & Hypothalamus Symptoms of Mania - Answer Decreased sleep/arousal Striatum Symptoms of Mania - Answer Motor/agitation Prefrontal cortex ...

How does reviewing the genetic makeup of a client help guide the PMHNP in selecting medication for clients? - Answer Genetic testing can assist by providing more information on how clients may respond to certain psychotropic medications, as well as providing information on how a client may break down and metabolize medications based on the cytochrome P450 system. There may be an environmental exposure that turned a gene "on" that should have been "off" for one twin to develop schizophr...

How does the orbitofrontal cortex (OFC) affect the amygdala? - Answer inhibits and activates the amygdala Wernicke's area is associated with which of the following? - Answer speech comprehension The limbic system is associated with which of the following - Answer emotion and learning Which brain structure is most associated with long term memory? - Answer hippocampus When prescribing psychotropic medications, the PMHNP knows that these medications work within which specific ...

Pharmacokinetics - Answer the study of what happens to a drug from the time of administration until the parent drug and all metabolites leave the body Pharmacokinetics concepts - Answer absorption distribution metabolism excretion Flockhart Table - Answer drug interactions that are mediated by cytochrome P450 enzymes comprehensive list of drugs and the interactions related to the cytochrome P450 system client factors that impact the effect of psychotropic medications - Answe...

antipsychotic meds - Answer primarily used for schizophrenia & psychotic disorders -also used as adjunctive meds for management of tx-resistant depression & other conditions -not curative -decrease/control symptoms/improve quality of life Schizophrenia - Answer a disturbance that must last for 6 months or longer, including at least one month of positive symptoms or negative symptoms -neurodevelopmental, brain disorder -psychological condition involving chronic or repeated episodes of...

Pharmacologic Treatment of Major Depressive Disorder - Answer Selective serotonin reuptake inhibitors (SSRIs) Serotonin-norepinephrine reuptake inhibitors (SNRIs) Norepinephrine and dopamine reuptake inhibitors (NDRIs) Serotonin antagonists and reuptake inhibitors (SARIs) Miscellaneous antidepressants Monoamine oxidase (MAO)-B inhibitors Adjunct: antipsychotics Pharmacologic Treatment of Bipolar Disorder - Answer Lithium Anticonvulsants Second generation antipsychotics Mood dis...

Neurotransmitters involved in ADHD - Answer Dopamine & norepinephrine -affect symptoms of inattention & hyperactivity Pharmacologic Treatment of Sleep Disorders: - Answer Over-the-counter Melatonin Orexin receptor antagonists Antidepressants Z-drugs Benzodiazepines prevalence of ADHD in the United States population - Answer 6.1 million children are diagnosed with ADHD in the U.S. -Boys more likely than girls (12.9% boys, 5.6% girls) -1/3 have symptoms into adulthood -6 in 10...

Supplements general anesthesia by providing pain control and added sedation - Answer Fentanyl Can relieve pain in mucous membranes and of hemorrhoids - Answer Lidocaine Provides sedation for client that can cause amnesia - Answer Midazolam Use for rapid induction of anesthesia - Answer Methohexital Sodium Fentanyl Adverse reaction - Answer amnesia Methohexital Sodium Adverse reaction - Answer SI or abuse of this medication Lidocaine adverse effects - Answer hypote...