A patient with depression mentions to the nurse, My mother says depression is a chemical disorder. What does she mean? The nurses response is based on the theory that depression primarily involves which of the following neurotransmitters?
a. Cortisol and GABA
b. COMT and glutamate
c. Monamine...
NSG 552 Exam 1 Questions And All
Correct Answers.
A patient with depression mentions to the nurse, My mother says depression is a chemical disorder.
What does she mean? The nurses response is based on the theory that depression primarily involves
which of the following neurotransmitters?
a. Cortisol and GABA
b. COMT and glutamate
c. Monamine and glycine
d. Serotonin and norepinephrine - Answer d. Serotonin and norepinephrine
A patient has experienced a stroke (cerebral vascular accident) that has resulted in damage to the Broca
area. Which evaluation does the nurse conduct to reinforce this diagnosis?
a. Observing the patient pick up a spoon
b. Asking the patient to recite the alphabet
c. Monitoring the patients blood pressure
d. Comparing the patients grip strength in both - Answer b. Asking the patient to recite the alphabet
The patient diagnosed with schizophrenia asks why psychotropic medications are always prescribed by
the doctor. The nurses answer will be based on information that the therapeutic action of psychotropic
drugs is the result of their effect on:
a. The temporal lobe; especially Wernickes area
b. Dendrites and their ability to transmit electrical impulses
c. The regulation of neurotransmitters especially dopamine
d. The peripheral nervous system sensitivity to the psychotropic medications - Answer c. The regulation
of neurotransmitters especially dopamine
A student nurse mutters that it seems entirely unnecessary to have to struggle with understanding the
anatomy and physiology of the neurologic system. The mentor would base a response on the
understanding that it is:
a. Necessary but generally for psychiatric nurses who focus primarily on behavioral interventions
,b. A complex undertaking that advance practice psychiatric nurses frequently use in their practice
c. Important primarily for the nursing assessment of patients with brain trauma caused cognitive
symptoms
d. Necessary for planning psychiatric care for all patients especially those experiencing psychiatric
disorders - Answer d. Necessary for planning psychiatric care for all patients especially those
experiencing psychiatric disorders
A patient asks the nurse, My wife has breast cancer. Could it be caused by her chronic depression? Which
response is supported by research data?
a. Too much stress has been proven to cause all kinds of cancer.
b. There have been no research studies done on stress and disease yet.
c. Stress does cause the release of factors that suppress the immune system.
d. There appears to be little connection between stress and diseases of the body - Answer c. Stress
does cause the release of factors that suppress the immune system.
A patient who has a parietal lobe injury is being evaluated for psychiatric rehabilitation needs. Of the
aspects of functioning listed, which will the nurse identify as a focus of nursing intervention?
a. Expression of emotion
b. Detecting auditory stimuli
c. Receiving visual images
d. Processing associations - Answer d. Processing associations
At admission, the nurse learns that some time ago the patient had an infarct in the right cerebral cortex.
During assessment, the nurse would expect to find that the patient:
a. Demonstrates major deficiencies in speech
b. Is unable to effectively hold a spoon in the left hand
c. Has difficulty explaining how to go about using the telephone
d. Cannot use his right hand to shave himself or comb his own - Answer b. Is unable to effectively hold
a spoon in the left hand
,A patient with chronic schizophrenia had a stroke involving the hippocampus. The patient will be
discharged on low doses of haloperidol. The nurse will need to individualize the patients medication
teaching by:
a. Including the patients caregiver in the education b. Being careful to stress the importance of taking the
medication as prescribed
c. Providing the education at a time when the patient is emotionally calm and relaxed
d. Encouraging the patient to crush or dissolve the medication to help with swallowing - Answer a.
Including the patients caregiver in the education
The physician tells the nurse, The medication Im prescribing for the patient enhances the g-aminobutyric
acid (GABA) system. Which patient behavior will provide evidence that the medication therapy is
successful?
a. The patient is actively involved in playing cards with other patients.
b. The patient reports that, I don't feel as anxious as I did a couple of days ago.
c. The patient reports that both auditory and visual hallucinations have decreased.
d. The patient says that, I am much happier than before I came to the hospital. - Answer b. The patient
reports that, I don't feel as anxious as I did a couple of days ago.
The patients family asks whether a diagnosis of Parkinsons disease creates an increased risk for any
mental health issues. What question would the nurse ask to assess for such a comorbid condition?
a. Has your father exhibited any signs of depression? b. Does your father seem to experience mood
swings?
c. Have you noticed your father talking about seeing things you cant see?
d. Is your dad preoccupied with behaviors that he needs to repeat over and over? - Answer a. Has your
father exhibited any signs of depression?
Which explanation for the prescription of donepezil (Aricept) would the nurse provide for a patient in
the early stage of Alzheimers disease?
a. It will increase the metabolism of excess GABA.
b. Excess dopamine will be prevented from attaching to receptor sites.
c. Serotonin deficiency will be managed through a prolonged reuptake period.
d. The acetylcholine deficiency will be managed by inhibiting cholinesterase. - Answer d. The
acetylcholine deficiency will be managed by inhibiting cholinesterase.
, There remains a stigma attached to psychiatric illnesses. The psychiatric nurse makes the greatest impact
on this sociological problem when:
a. Providing educational programming for patients and the public
b. Arranging for adequate and appropriate social support for the patient
c. Assisting the patient to achieve the maximum level of independent functioning
d. Regularly praising the patient for seeking and complying with appropriate treatment - Answer a.
Providing educational programming for patients and the public
The wife of a patient with paranoid schizophrenia tells the nurse, Ive learned that my husband has
several close relatives with the same disorder. Does this problem run in families? The response based on
recent discoveries in the field of genetics would be: a. Your children should be monitored closely for the
disorder.
b. Research tends to support a familiar tendency to schizophrenia.
c. There is no concrete evidence; it is just as likely a coincidence.
d. Only bipolar disorder has been identified to have a genetic - Answer b. Research tends to support a
familiar tendency to schizophrenia.
A patient whose symptoms of mild depression have been managed with antidepressants is concerned
about the affect of accepting a promotion that will require working the night shift. What will be the basis
of the response the nurse gives to address the patients concern?
a. The connection between a new job and possible depression does exist.
b. The medication can be adjusted to manage any increase in depression.
c. The interruption in normal wake-sleep patterns can influence mood disorders.
d. The change in sleep routine can be managed with a healthy sleep hygiene routine. - Answer c. The
interruption in normal wake-sleep patterns can influence mood disorders.
The nurse is discouraged because the patient exhibiting negative symptoms of schizophrenia has shown
no improvement with the planned interventions to reduce the symptoms. The mentors remark that
helps place the problem in perspective is:
a. You aren't responsible for the behavior of any other person.
b. Patients can be perverse and cling to symptoms despite our efforts.
c. Negative symptoms have been associated with genetic pathology.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller TestSolver9. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $10.39. You're not tied to anything after your purchase.
