TestvBank:vPharmacology:vConnectionsvtovNursingvPractice,v4ev(Adams)v
ReviewvofvthevCentralvNervousvSystem
1) Avclient,vprescribedvanvantidepressantvforvsymptomsvofvdepression,visvexpressingvfeelingsvof
hopelessnessvandvthoughtsvofvsuicide.vThevnurse'svresponsevwillvbevbasedvonvwhichvconclusion?
1. TherevisvgreatvvariabilityvinvindividualvresponsesvtovdrugsvthatvaffectvthevCNS.
2. Thevclientvhasvnotvbeenvtakingvthevantidepressant.
3. Thevantidepressantvneedsvtovbevtakenvforvseveralvmonthsvinvordervtoveliminatevsuicidalvi
deations.
4. Drugvlevelsvshouldvbevobtainedvtovseevifvthevdosevneedsvtovbevincreased.v
Answer:v 1
Explanation:vTherevisvgreatvclientvvariabilityvinvsymptomsvandvdiseasevprogressionvwithvcondition
svsuchvasvdepression.vWithoutvavcompletevunderstandingvofvthevetiologyvandvpathophysiologyvofv
mentalvdisorders,vpharmacotherapyvofvthesevconditionsvandvthevdevelopmentvofvnewvdrugvtherapie
svforvCNSvdisordersvwillvremainvchallenging.
2) Avclientvisvprescribedvmedicationvtovtreatvbipolarvdisorder.vWhichvstatementvindicatesvthevclientv
understandsvthevmedicationvregimen?v1.v"Thisvmedicationvisvgoingvtovcurevme."
2. "IvwillvtakevthisvmedicationvwhenvIvremembervto."
3. "Thisvmedicationvmayvhelpvmyvsymptoms."
4. "ThisvisvthevonlyvmedicationvthatvIvcanvtakevforvmyvillness."v
Answer:v 3
Explanation:v Thisvstatementvindicatesvthevclientvunderstandsvthevpurposevofvthevmedicationvregime
n.
3) AvclientvwithvParkinson'svdiseasevisvprescribedvavmedicationvthatvaffectsvavparticularvcentralvner
vousvsystemvneurotransmitter.vWhichvneurotransmittervisvthevmedicationvactingvonvtovtreatvthevsym
ptomsvofvParkinson'svdisease?
1. Acetylcholine
2. Norepinephrine
3. Anvendorphin
4. Gammavaminobutyricvacidv(GABA)v
Answer:v 1
4) Avclientvtellsvthevnursevaboutvtakingvavmedicationvthatvaffectsvthevcentralvnervousvsystemvbutv
cannotvrecallvthevnamevofvthevdrug.vWhenvassessingvthevclient,vitvwouldvbevappropriatevforvthevn
ursevtovaskvaboutvwhichvpossiblevsymptoms?
1. Weightvlossvdespitevanvincreasevinvappetite,vinabilityvtovsleep,vfeelingvfidgety,v
palpitations,vintolerancevtovheat
2. Weightvlossvdespitevanvincreasevinvappetitevandvfoodvconsumption,vextremevthirst,vdr
inkingvmorevfluids,vandvincreasevinvurinationv3.vMoodiness,vcrying,vorvfeelingsvofvanxiety
3. Morevthanvusualvshortnessvofv breath,vorvtightnessvinvthevchestvwithvphysicalva
ctivity,vandvsweating
Answer:v 3
,Explanation:v Moodiness,vcrying,vorvfeelingsvofvanxietyvcanvbevassociatedvwithvdisordersvsuchvasvb
ipolarvdisorder,vanxiety,vandvpanicvdisorders.vSomevcentralvnervousvsystemvmedicationsvwouldvb
evprescribedvforvthesevsymptoms.
5) Thevnursevrecognizesvthevactionvofvpsychotherapeuticvmedicationsvisvmediatedvbyvwhichv
processes?
Note:vCreditvwillvbevgivenvonlyvifvallvcorrectvchoicesvandvnovincorrectvchoicesvarevselected.
Selectvallvthatvapply.
1. Somevneurotransmittersvarevstimulatory.
2. Thevelectricalvimpulsevcausesvthevreleasevofvanvinhibitoryvneurotransmitter.
3. Somevneurotransmittersvarevinhibitory.
4. Thevelectricalvimpulsevinhibitsvthevneurotransmittervfromvbeingvreleased.
5. Thevelectricalvimpulsevatvthevsynapsevactivatesvavreceptor.v
Answer:v 1,v2,v3,v4
Explanation:v Somevneurotransmitters,vsuchvasvglutamate,varevprimarilyvstimulatory.vInvsomevcas
es,vthevelectricalvimpulsevcausesvthevreleasevofvanvinhibitoryvneurotransmittervthatvsuppressesvne
uronalvconduction.
Somevneurotransmitters,vsuchvasvgammavaminobutyricvacidv(GABA),vinhibitvneuronalvactivity.
6) Whichvstatementsvdescribevthevfunctionvofvthevcentralvnervousvsystemvsynapse?
Note:vCreditvwillvbevgivenvonlyvifvallvcorrectvchoicesvandvnovincorrectvchoicesvarevselected.
Selectvallvthatvapply.
1. Suppression,vorvinhibition,vofvthevfiringvofvneurons
2. Inhibitionvofvthevreleasevofvavneurotransmitter
3. Releasevofvanvinhibitoryvneurotransmittervthatvsuppressesvconduction
4. Simulation,vorvactivation,vofvthevfiringvofvneurons
5. Servingvasvthevprimaryvfunctioningvcellvwithinvthevnervousvsystemv
Answer:v 1,v2,v3,v4
Explanation:v Invsomevcases,vthevfiringvofvneuronsvisvinhibited.
SynapsesvwithinvthevCNSvoperatevbyvanvelectricalvimpulsevreleasingvavneurotransmittervtovactivateva
vreceptorvneuronvonvthevoppositevside.vInvsomevcases,vthevelectricalvimpulsevinhibitsvthevreleasevofvt
hevneurotransmitter.
Invsomevcases,vanvinhibitoryvneurotransmittervisvreleasedvthatvsuppressesvneuronalvconduction.vThe
vneuronvisvthevprimaryvfunctionalvcellvforvcommunicatingvmessagesvthroughvconductionvofvanvactio
nvpotential.
7) Avclientvisvtreatedvinvthevemergencyvdepartmentvforvanvoverdosevofvcocaine.vThevnursevmonitorsv
thevclientvbasedvonvthevknowledgevthatvcocainevaffectsvwhichvitem?
1. Cholinergicvsynapses
2. Adrenergicvsynapses
3. Dopaminevreceptors
4. GlutamatevAnswer:v3
Explanation:v Cocainevandvamphetaminesvproducevtheirvstimulatoryvactionsvbyvaffectingvdopamine
vreceptors.
,8) Avclientvnewlyvdiagnosedvwithvdepressionvisvgivenvavprescriptionvforvanvantidepressant.vThev
nursevunderstandsvthatvthevmedicationvprescribedvaffectsvwhichvneuroNURSINGTB.COMvtransm
ittervthatvisvassociatedvwithvanxiety,vimpulsivevbehavior,vandvsuicidalvideation?
1. Glutamate
2. Serotonin
3. Dopamine
4. Acetylcholine
Answer:v 2
Explanation:vLowvserotoninvlevelsvinvthevCNSvarevassociatedvwithvanxietyvandvimpulsivevb
ehavior,vincludingvsuicidalvideation.vSerotonergicvreceptorsvplayvanvimportantvrolevinvthevm
echanismvofvactionvofvantidepressantvdrugs.
9) Thevclientvisvreceivingvavmedicationvthatvaltersvthevutilizationvofvglutamate,vthereforevriskingvanv
increasevinvglutamatevlevelsvinvthevCNS.vThevnursevshouldvevaluatevforvwhichvmanifestationvofvhig
hvglutamatevlevels?v1.vBlurredvvisionvandvdryvmouth
2. Signsvofvneurotoxicity
3. Ataxia
4. TremorsvAnswer:v 2
Explanation:v Highvamountsvofvglutamatevcanvcausevdeathvofvneurons,vandvcanvbevthevmechanismvr
esponsiblevforvcertainvtypesvofvneurotoxicity.
10) Avclientvrecoveringvfromvavrecentvstrokevisvhavingvdifficultyvwithvspeech,vmemory,vandvmo
vementvofvthevextremitiesvonvthevleftvsidevofvthevbody.vThevnursevexplainsvtovthevfamilyvthatvwhic
hvareavofvthevCNSvhasvmostvlikelyvbeenvaffectedvbyvthevstroke?
1. Limbicvsystem
2. Cerebrum
3. Cerebellum
4. ThalamusvAnswer:v 2
Explanation:v Thevcerebrumvisvthev"thinking"vpartvofvthevbrainvresponsiblevforvperception,vspeech,vc
onsciousvmotorvmovement,vmovementvofvskeletalvmuscles,vmemory,vandvsmell.vFocalvabnormaliti
es,voftenvthevresultvofvstroke,voccurvinvspecificvregionsvandvcanvaffectvavsinglevbrainvfunction.vGene
ralizedvdisordersvofvthevcerebrumvaffectvwidespreadvareasvorvmultiplevregions.
11) Avclientvadmittedvtovthevhospitalvwithvavpossiblevbrainvtumorvhasvsymptomsvofvincreasedvthirstv
andvhunger,vdespitevanvincreasevinvweight,vandvcomplainsvofvfeelingvcoldvallvthevtime.vWhichvregio
nvofvthevCNSvsystemvmostvlikelyvhasvbeenvaffected?
1. Thalamus
2. Hypothalamus
3. Cerebellum
4. Limbicvsystem
Answer:v 2
Explanation:v Thevregulationvofvhunger,vthirst,vwatervbalance,vandvbodyvtemperaturevisvthevfunction
vofvthevhypothalamus.
, 12) Thevnursevisvinstructingvavclientvonvthevcharacteristicsvofvcentralvnervousvsystemvmedications.v
Whichvcharacteristicvshouldvbevincludedvinvthisvteaching?
1. Abilityvofvthevmedicationsvtovcrossvthevblood—brainvbarrier
2. Neurotransmitters
3. Functionvofvavneuron
4. LocationvofvsynapsesvAnswer:v 1
Explanation:v CNSvdrugsvmustvbevdesignedvwithvthevabilityvtovpenetratevthevblood—
brainvbarriervtovproducevtheirveffects.
13) Thevnursevisvtakingvcarevofvavclientvwhovhasvbeenvinvthevintensivevcarevunitv(ICU)vforv10vdays.v
Whichvnursingvactionvwouldvcausevavdecreasevinvstimulationvofvthevreticularvactivatingvsystemv(RA
S)?
1. Keepingvthevdoorvclosedvandvthevlightsvdim
2. Assistingvwithvbathingvandvactivitiesvforvelimination
3. Allowingvfamilyvmembers,vincludingvchildren,vtovvisit
4. Turningvonvthevtelevisionv
Answer:v 1
Explanation:v Stimulationvofvthevreticularvformationvcausesvheightenedvalertnessvandvarousalvofvthev
brainvasvavwhole.vInhibitionvcausesvgeneralvdrowsinessvandvthevinductionvofvsleep.vThevRASvisvresp
onsiblevforvsleepingvandvwakefulness,vandvitvperformsvanvalertingvfunctionvforvthevcerebralvcortex.
14) Thevnursevisvconcernedvthatvavclientvtakingvanvantipsychoticvmedicationvisvexperiencingvextr
apyramidalvsideveffects.vForvwhichveffectsvshouldvthevnursevnotifyvthevhealthcarevprovider?
1. Complaintsvofvslightvdrowsiness
2. Urinaryvhesitancy
3. Muscularvspasmsvofvthevheadvandvneck
4. DryvmouthvAnswer:v 3
Explanation:v Adversevextrapyramidalvsymptomsvincludevjerkingvmotions;vmuscularvspasmsvofvt
hevhead,vface,vandvneck;vandvakathisia.vTheyvcanvcausevnervevdamagevifvallowedvtovcontinue.
15) Thevfamilyvofvavclientvwhovhasvavtumorvdeepvinvthevbrainvisvconcernedvaboutvthevclient'svdemon
strationvofvaggressionvandvangervovervthevpastvfewvmonths.vWhichvresponsevbyvthevnursevisvthevmos
tvappropriate?
1. "Ivwillvinformvthevhealthcarevprovidervaboutvthevclient'svangervandvaggression."
2. "Ivwillvrequestvavreferralvforvangervmanagement."
3. "Thevtumorvmightvaffectvareasvofvthevbrainvresponsiblevforvemotionalvexpression."
4. "Thisvisvanvabnormalvresponsevtovthevdiagnosis."v
Answer:v 3
Explanation:vThevlimbicvsystemvisvavgroupvofvstructuresvdeepvinvthevbrainvresponsiblevforvemotiona
lvexpression,vlearning,vandvmemory.vEmotionalvstatesvassociatedvwithvthisvsystemvincludevanxiety,v
fear,vanger,vaggression,vremorse,vdepression,vsexualvdrive,vandveuphoria.vSignalsvroutedvthroughvth
evlimbicvsystemvultimatelyvconnectvwithvthevhypothalamus.
ReviewvofvthevCentralvNervousvSystem
1) Avclient,vprescribedvanvantidepressantvforvsymptomsvofvdepression,visvexpressingvfeelingsvof
hopelessnessvandvthoughtsvofvsuicide.vThevnurse'svresponsevwillvbevbasedvonvwhichvconclusion?
1. TherevisvgreatvvariabilityvinvindividualvresponsesvtovdrugsvthatvaffectvthevCNS.
2. Thevclientvhasvnotvbeenvtakingvthevantidepressant.
3. Thevantidepressantvneedsvtovbevtakenvforvseveralvmonthsvinvordervtoveliminatevsuicidalvi
deations.
4. Drugvlevelsvshouldvbevobtainedvtovseevifvthevdosevneedsvtovbevincreased.v
Answer:v 1
Explanation:vTherevisvgreatvclientvvariabilityvinvsymptomsvandvdiseasevprogressionvwithvcondition
svsuchvasvdepression.vWithoutvavcompletevunderstandingvofvthevetiologyvandvpathophysiologyvofv
mentalvdisorders,vpharmacotherapyvofvthesevconditionsvandvthevdevelopmentvofvnewvdrugvtherapie
svforvCNSvdisordersvwillvremainvchallenging.
2) Avclientvisvprescribedvmedicationvtovtreatvbipolarvdisorder.vWhichvstatementvindicatesvthevclientv
understandsvthevmedicationvregimen?v1.v"Thisvmedicationvisvgoingvtovcurevme."
2. "IvwillvtakevthisvmedicationvwhenvIvremembervto."
3. "Thisvmedicationvmayvhelpvmyvsymptoms."
4. "ThisvisvthevonlyvmedicationvthatvIvcanvtakevforvmyvillness."v
Answer:v 3
Explanation:v Thisvstatementvindicatesvthevclientvunderstandsvthevpurposevofvthevmedicationvregime
n.
3) AvclientvwithvParkinson'svdiseasevisvprescribedvavmedicationvthatvaffectsvavparticularvcentralvner
vousvsystemvneurotransmitter.vWhichvneurotransmittervisvthevmedicationvactingvonvtovtreatvthevsym
ptomsvofvParkinson'svdisease?
1. Acetylcholine
2. Norepinephrine
3. Anvendorphin
4. Gammavaminobutyricvacidv(GABA)v
Answer:v 1
4) Avclientvtellsvthevnursevaboutvtakingvavmedicationvthatvaffectsvthevcentralvnervousvsystemvbutv
cannotvrecallvthevnamevofvthevdrug.vWhenvassessingvthevclient,vitvwouldvbevappropriatevforvthevn
ursevtovaskvaboutvwhichvpossiblevsymptoms?
1. Weightvlossvdespitevanvincreasevinvappetite,vinabilityvtovsleep,vfeelingvfidgety,v
palpitations,vintolerancevtovheat
2. Weightvlossvdespitevanvincreasevinvappetitevandvfoodvconsumption,vextremevthirst,vdr
inkingvmorevfluids,vandvincreasevinvurinationv3.vMoodiness,vcrying,vorvfeelingsvofvanxiety
3. Morevthanvusualvshortnessvofv breath,vorvtightnessvinvthevchestvwithvphysicalva
ctivity,vandvsweating
Answer:v 3
,Explanation:v Moodiness,vcrying,vorvfeelingsvofvanxietyvcanvbevassociatedvwithvdisordersvsuchvasvb
ipolarvdisorder,vanxiety,vandvpanicvdisorders.vSomevcentralvnervousvsystemvmedicationsvwouldvb
evprescribedvforvthesevsymptoms.
5) Thevnursevrecognizesvthevactionvofvpsychotherapeuticvmedicationsvisvmediatedvbyvwhichv
processes?
Note:vCreditvwillvbevgivenvonlyvifvallvcorrectvchoicesvandvnovincorrectvchoicesvarevselected.
Selectvallvthatvapply.
1. Somevneurotransmittersvarevstimulatory.
2. Thevelectricalvimpulsevcausesvthevreleasevofvanvinhibitoryvneurotransmitter.
3. Somevneurotransmittersvarevinhibitory.
4. Thevelectricalvimpulsevinhibitsvthevneurotransmittervfromvbeingvreleased.
5. Thevelectricalvimpulsevatvthevsynapsevactivatesvavreceptor.v
Answer:v 1,v2,v3,v4
Explanation:v Somevneurotransmitters,vsuchvasvglutamate,varevprimarilyvstimulatory.vInvsomevcas
es,vthevelectricalvimpulsevcausesvthevreleasevofvanvinhibitoryvneurotransmittervthatvsuppressesvne
uronalvconduction.
Somevneurotransmitters,vsuchvasvgammavaminobutyricvacidv(GABA),vinhibitvneuronalvactivity.
6) Whichvstatementsvdescribevthevfunctionvofvthevcentralvnervousvsystemvsynapse?
Note:vCreditvwillvbevgivenvonlyvifvallvcorrectvchoicesvandvnovincorrectvchoicesvarevselected.
Selectvallvthatvapply.
1. Suppression,vorvinhibition,vofvthevfiringvofvneurons
2. Inhibitionvofvthevreleasevofvavneurotransmitter
3. Releasevofvanvinhibitoryvneurotransmittervthatvsuppressesvconduction
4. Simulation,vorvactivation,vofvthevfiringvofvneurons
5. Servingvasvthevprimaryvfunctioningvcellvwithinvthevnervousvsystemv
Answer:v 1,v2,v3,v4
Explanation:v Invsomevcases,vthevfiringvofvneuronsvisvinhibited.
SynapsesvwithinvthevCNSvoperatevbyvanvelectricalvimpulsevreleasingvavneurotransmittervtovactivateva
vreceptorvneuronvonvthevoppositevside.vInvsomevcases,vthevelectricalvimpulsevinhibitsvthevreleasevofvt
hevneurotransmitter.
Invsomevcases,vanvinhibitoryvneurotransmittervisvreleasedvthatvsuppressesvneuronalvconduction.vThe
vneuronvisvthevprimaryvfunctionalvcellvforvcommunicatingvmessagesvthroughvconductionvofvanvactio
nvpotential.
7) Avclientvisvtreatedvinvthevemergencyvdepartmentvforvanvoverdosevofvcocaine.vThevnursevmonitorsv
thevclientvbasedvonvthevknowledgevthatvcocainevaffectsvwhichvitem?
1. Cholinergicvsynapses
2. Adrenergicvsynapses
3. Dopaminevreceptors
4. GlutamatevAnswer:v3
Explanation:v Cocainevandvamphetaminesvproducevtheirvstimulatoryvactionsvbyvaffectingvdopamine
vreceptors.
,8) Avclientvnewlyvdiagnosedvwithvdepressionvisvgivenvavprescriptionvforvanvantidepressant.vThev
nursevunderstandsvthatvthevmedicationvprescribedvaffectsvwhichvneuroNURSINGTB.COMvtransm
ittervthatvisvassociatedvwithvanxiety,vimpulsivevbehavior,vandvsuicidalvideation?
1. Glutamate
2. Serotonin
3. Dopamine
4. Acetylcholine
Answer:v 2
Explanation:vLowvserotoninvlevelsvinvthevCNSvarevassociatedvwithvanxietyvandvimpulsivevb
ehavior,vincludingvsuicidalvideation.vSerotonergicvreceptorsvplayvanvimportantvrolevinvthevm
echanismvofvactionvofvantidepressantvdrugs.
9) Thevclientvisvreceivingvavmedicationvthatvaltersvthevutilizationvofvglutamate,vthereforevriskingvanv
increasevinvglutamatevlevelsvinvthevCNS.vThevnursevshouldvevaluatevforvwhichvmanifestationvofvhig
hvglutamatevlevels?v1.vBlurredvvisionvandvdryvmouth
2. Signsvofvneurotoxicity
3. Ataxia
4. TremorsvAnswer:v 2
Explanation:v Highvamountsvofvglutamatevcanvcausevdeathvofvneurons,vandvcanvbevthevmechanismvr
esponsiblevforvcertainvtypesvofvneurotoxicity.
10) Avclientvrecoveringvfromvavrecentvstrokevisvhavingvdifficultyvwithvspeech,vmemory,vandvmo
vementvofvthevextremitiesvonvthevleftvsidevofvthevbody.vThevnursevexplainsvtovthevfamilyvthatvwhic
hvareavofvthevCNSvhasvmostvlikelyvbeenvaffectedvbyvthevstroke?
1. Limbicvsystem
2. Cerebrum
3. Cerebellum
4. ThalamusvAnswer:v 2
Explanation:v Thevcerebrumvisvthev"thinking"vpartvofvthevbrainvresponsiblevforvperception,vspeech,vc
onsciousvmotorvmovement,vmovementvofvskeletalvmuscles,vmemory,vandvsmell.vFocalvabnormaliti
es,voftenvthevresultvofvstroke,voccurvinvspecificvregionsvandvcanvaffectvavsinglevbrainvfunction.vGene
ralizedvdisordersvofvthevcerebrumvaffectvwidespreadvareasvorvmultiplevregions.
11) Avclientvadmittedvtovthevhospitalvwithvavpossiblevbrainvtumorvhasvsymptomsvofvincreasedvthirstv
andvhunger,vdespitevanvincreasevinvweight,vandvcomplainsvofvfeelingvcoldvallvthevtime.vWhichvregio
nvofvthevCNSvsystemvmostvlikelyvhasvbeenvaffected?
1. Thalamus
2. Hypothalamus
3. Cerebellum
4. Limbicvsystem
Answer:v 2
Explanation:v Thevregulationvofvhunger,vthirst,vwatervbalance,vandvbodyvtemperaturevisvthevfunction
vofvthevhypothalamus.
, 12) Thevnursevisvinstructingvavclientvonvthevcharacteristicsvofvcentralvnervousvsystemvmedications.v
Whichvcharacteristicvshouldvbevincludedvinvthisvteaching?
1. Abilityvofvthevmedicationsvtovcrossvthevblood—brainvbarrier
2. Neurotransmitters
3. Functionvofvavneuron
4. LocationvofvsynapsesvAnswer:v 1
Explanation:v CNSvdrugsvmustvbevdesignedvwithvthevabilityvtovpenetratevthevblood—
brainvbarriervtovproducevtheirveffects.
13) Thevnursevisvtakingvcarevofvavclientvwhovhasvbeenvinvthevintensivevcarevunitv(ICU)vforv10vdays.v
Whichvnursingvactionvwouldvcausevavdecreasevinvstimulationvofvthevreticularvactivatingvsystemv(RA
S)?
1. Keepingvthevdoorvclosedvandvthevlightsvdim
2. Assistingvwithvbathingvandvactivitiesvforvelimination
3. Allowingvfamilyvmembers,vincludingvchildren,vtovvisit
4. Turningvonvthevtelevisionv
Answer:v 1
Explanation:v Stimulationvofvthevreticularvformationvcausesvheightenedvalertnessvandvarousalvofvthev
brainvasvavwhole.vInhibitionvcausesvgeneralvdrowsinessvandvthevinductionvofvsleep.vThevRASvisvresp
onsiblevforvsleepingvandvwakefulness,vandvitvperformsvanvalertingvfunctionvforvthevcerebralvcortex.
14) Thevnursevisvconcernedvthatvavclientvtakingvanvantipsychoticvmedicationvisvexperiencingvextr
apyramidalvsideveffects.vForvwhichveffectsvshouldvthevnursevnotifyvthevhealthcarevprovider?
1. Complaintsvofvslightvdrowsiness
2. Urinaryvhesitancy
3. Muscularvspasmsvofvthevheadvandvneck
4. DryvmouthvAnswer:v 3
Explanation:v Adversevextrapyramidalvsymptomsvincludevjerkingvmotions;vmuscularvspasmsvofvt
hevhead,vface,vandvneck;vandvakathisia.vTheyvcanvcausevnervevdamagevifvallowedvtovcontinue.
15) Thevfamilyvofvavclientvwhovhasvavtumorvdeepvinvthevbrainvisvconcernedvaboutvthevclient'svdemon
strationvofvaggressionvandvangervovervthevpastvfewvmonths.vWhichvresponsevbyvthevnursevisvthevmos
tvappropriate?
1. "Ivwillvinformvthevhealthcarevprovidervaboutvthevclient'svangervandvaggression."
2. "Ivwillvrequestvavreferralvforvangervmanagement."
3. "Thevtumorvmightvaffectvareasvofvthevbrainvresponsiblevforvemotionalvexpression."
4. "Thisvisvanvabnormalvresponsevtovthevdiagnosis."v
Answer:v 3
Explanation:vThevlimbicvsystemvisvavgroupvofvstructuresvdeepvinvthevbrainvresponsiblevforvemotiona
lvexpression,vlearning,vandvmemory.vEmotionalvstatesvassociatedvwithvthisvsystemvincludevanxiety,v
fear,vanger,vaggression,vremorse,vdepression,vsexualvdrive,vandveuphoria.vSignalsvroutedvthroughvth
evlimbicvsystemvultimatelyvconnectvwithvthevhypothalamus.
