Nsg 552 Wilkes University EXAM 2 QUESTIONS WITH SOLUTIONS
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Nsg 552 Wilkes University
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Nsg 552 Wilkes University
Nsg 552 Wilkes University EXAM 2 QUESTIONS WITH SOLUTIONS
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A 19-year-old patient is admitted for the second time in 9 months and is acutely psychotic with a diagnosis of undifferentiated schizophrenia. The patient sits alone rubbing her arms and smiling. She tells the nurse her thoughts c...
A 19-year-old patient is admitted for the second time in 9 months and is acutely
psychotic with a diagnosis of undifferentiated schizophrenia. The patient sits alone
rubbing her arms and smiling. She tells the nurse her thoughts cause earthquakes, and
that the world is burning. The nurse assesses the primary deficit associated with the
patient's condition as:
a. Social isolation
b. Disturbed thinking
c. Altered mood states
d. Poor impulse - Answer-b. Disturbed thinking
/.A 34-year-old male admitted with catatonic schizophrenia has been mute and
motionless for several days while at home prior to admission. He still appears stuporous
in the hospital. Which nursing intervention would be an initial priority?
a. Orienting the patient to the unit
b. Reinforcing reality with the patient
c. Establishing a nonthreatening relationship
d. Assessing the patient for physical problems - Answer-d. Assessing the patient for
physical problems
/.A 60-year-old woman has been recently diagnosed with multiple sclerosis, a disease in
which the oligodendrocytes of the patients central nervous system (CNS) are
progressively destroyed. Which physiologic process within the neurologic system is
most likely be affected by this disease process?
A) Oxygen metabolism
B) Neurotransmitter synthesis
C) Nerve conduction
D) Production of cerebrospinal fluid - Answer-C) Nerve conduction
/.A group of nursing students are reviewing the role of serotonin in psychiatric disorders.
The students demonstrate a need for additional study when they identify which disorder
as being associated with its dysfunction?
A) Depression
B) Obsessive-compulsive disorder
C) Panic disorder
D) Schizophrenia - Answer-D) Schizophrenia
/.A group of nursing students are reviewing the various neurotransmitters. The students
demonstrate understanding when they identify which of the following as a
neuropeptide?
A) Melatonin
,B) Serotonin
C) Glutamate
D) Gamma-aminobutyric acid - Answer-A) Melatonin
/.A group of students are reviewing information about neurotransmitter subtypes. The
group demonstrates understanding of the information when they identify which
neurotransmitter as having muscarinic and nicotinic receptors?
A) Serotonin
B) Gamma-aminobutyric acid (GABA)
C) Dopamine
D) Acetylcholine - Answer-D) Acetylcholine
/.A male patient becomes verbally aggressive and insists the nurse is poisoning him as
she attempts to administer haloperidol (Haldol). Which action will the nurse take?
a. Support the patients decision to refuse the medication.
b. Discreetly ask an assistant to put the medication in the patients food.
c. Firmly redirect the patient to take the medication.
d. Speak privately with the patient and reinforce medication action. - Answer-c. Firmly
redirect the patient to take the medication.
/.A neuron has been hyperpolarized. How will this affect the excitability of the neuron?
A) The neuron will have a membrane potential farther from the threshold.
B) The neuron will be more difficult to repolarize after firing.
C) The membrane potential of the neuron will be closer to the threshold.
D) The neurons excitability will be significantly increased. - Answer-A) The neuron will
have a membrane potential farther from the threshold.
/.A newly admitted client has been diagnosed with major depressive disorder. Which
nursing diagnosis takes priority?
A. Impaired social interaction
B. Self-esteem deficit
C. Hopelessness
D. Self-care deficit - Answer-C. Hopelessness
/.A newly admitted patient has the diagnosis of catatonic schizophrenia. Which behavior
observed in the patient supports that diagnosis?
a. Uses a rhyming form of speech
b. Refuses to eat any unwrapped foods
c. Laughs when watching a sad movie
d. Maintains an immobilized state for hours - Answer-d. Maintains an immobilized state
for hours
/.A nurse is developing a plan of care for a patient diagnosed with schizophrenia. The
nurse integrates knowledge of this disorder, identifying which neurotransmitter as being
primarily involved?
A) Acetylcholine
, B) Dopamine
C) Norepinephrine
D) Serotonin - Answer-B) Dopamine
/.A nurse is developing a plan of care for a patient experiencing expressive aphasia.
The nurse incorporates knowledge that the patient most likely has sustained damage to
which of the following?
A) The postcentral gyrus
B) Brocas area
C) Basal ganglia
D) The hippocampus - Answer-B) Brocas area
/.A nurse is involved in gathering information about the inheritance of mental disorders
using population genetics. Which of the following would the nurse be least likely to be
evaluating?
A) Concordance rates
B) Occurrence in first-degree relatives
C) Risk factor analysis
D) Adoptions studies - Answer-C) Risk factor analysis
/.A nurse is reading a journal article about psychoneuroimmunology. Which 16.
information would the nurse most likely find? Select all that apply.
A) Neurotoxins role in receptor site damage
B) Hypothalamicpituitarythyroid axis disruption
C) Static activity of natural killer cells in response to stress
D) Hypothalamic damage leading to immune dysfunction
E) Interruption in the typical circadian rhythm cycle - Answer-A) Neurotoxins role in
receptor site damage
B) Hypothalamicpituitarythyroid axis disruption
D) Hypothalamic damage leading to immune dysfunction
/.A nurse is teaching a medication class to a group of psychiatric patients. One of them
asks the nurse why he has so much more trouble learning now when he's in his 60s
than he did when he was younger. Which of the following concepts would the nurse
integrate into the response?
A) The extrapyramidal motor system
B) The amygdala
C) Neuroplasticity
D) Psychoneuroimmunology - Answer-C) Neuroplasticity
/.A nursing instructor asks a student to explain the influence of chronobiology on
depression. Which of the following would the student include when responding?
A) The exact location of genes leads to identifying the gene responsible for causing
depression.
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