WILKES NSG 552 PSYCHOPHARMACOLOGY
EXAM 1 EXAM SCRIPT 2026 COMPLETE Q
AND A 100% CORRECT
◉ 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.
EXAM 1 EXAM SCRIPT 2026 COMPLETE Q
AND A 100% CORRECT
◉ 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.
