CU NR546 Psychopharm Midterm Latest Update
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Acetylcholine (ACh) - CORRECT ANSWER: A neurotransmitter that enables learning
and memory and also triggers muscle contraction
one of the key neurotransmitters that psychotropic drugs target. Within the central nervous system, I affect arousal, motivation, attention, learning, and REM sleep.
I work within the parasympathetic nervous system too. I can make you sweat and salivate. Did you see my muscles? Substances that block me can paralyze you because I am the link between the brain and muscles. When there's not enough of me, I can be involved in Alzheimer's and Parkinson's disease.
Increase me, and I can help with symptoms, but be cautious, because I also have a role in addiction. Dr. Stahl refers to me as "the brain's own nicotine" when he talks about my role in addiction. I've got lots of receptor friends; my best friends are nicotinic and muscarinic receptors.
Adherence - CORRECT ANSWER: can be defined as persistence or compliance.
Persistence is taking the medication over the intended time period.
Compliance is taking the medication as prescribed. According to Dell'Osso et al. (2020), client, clinician, and structural factors all contribute to non-adherence.
Amygdala - CORRECT ANSWER: Involved in emotional regulation and perception of
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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.
Basal ganglia - CORRECT ANSWER: A group of structures involved in voluntary motor movements
Brain tissue - CORRECT ANSWER: is composed of gray and white matter.
Brain tissue - CORRECT ANSWER: Made up of grey matter and white matter
Broca's area - CORRECT ANSWER: Speech
Cerebellum - CORRECT ANSWER: coordination and balance
Client factors that contribute to nonadherence include - CORRECT ANSWER: concern about side effects,
fear of addiction to medications,
misunderstanding of expected outcomes.
Clinician factors that contribute to nonadherence include - CORRECT ANSWER: lack of shared-decision making with the client, providing inadequate education about medications, and lack of follow up.
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Compliance - CORRECT ANSWER: A court order may be issued for a client to receive treatment against their wishes if they are considered a danger to themselves or others.
Examples include clients with schizophrenia or sex offenders. Guardians can also provide consent for clients who have limited cognitive capabilities or are incompetent to make decisions.
Ultimately, PMHNPs are responsible for being knowledgeable about their state laws and abiding by them.
Corpus callosum - CORRECT ANSWER: Controls the communication between the two
brain hemispheres
Dopamine (DA) - CORRECT ANSWER: regulates motor behavior, motivation, pleasure,
and emotional arousal
. I am one of the key monamine neurotransmitters that regulate mood. First of all, I am associated with executive function, your ability to perform well, be organized, and all those good things including emotional intelligence.
That's when I'm working hard in the prefrontal cortex. I'm also essential to your movement and coordination. Being balanced is very important to me; too much or too little can cause problems. When my levels are low you'll lose pleasure, interest, alertness, and even self-confidence.
Low levels are also found in clients who have Parkinson's disease. Too much of me is not always a good thing. I can lead to the hallucinations you see in schizophrenia and psychosis. Another thing, do you know that great feeling you get when you win something? That's me, DA at work in your reward center. Some people have trouble with me because my reward properties can lead to all types of addictions.
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