NSG 552 Exam 1 with correct answers
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 -
|/\ |/\ |/\ CORRECT ANSWERS ✔✔C) |/\ |/\
Neuroplasticity
|/\
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 -
|/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\ CORRECT
ANSWERS ✔✔b. Asking the patient to recite the alphabet
|/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\
1 \\\\\\/
|/\
\\\\\\62
|/\
,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 -
|/\ |/\ |/\ CORRECT ANSWERS ✔✔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 -
|/\ |/\ |/\ |/\ |/\ |/\ CORRECT ANSWERS |/\
2 \\\\\\/
|/\
\\\\\\62
|/\
, ✔✔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 -
|/\ |/\ |/\ |/\ |/\ |/\ CORRECT ANSWERS ✔✔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 -
|/\ |/\ |/\ |/\ CORRECT ANSWERS ✔✔d. |/\ |/\
3 \\\\\\/
|/\
\\\\\\62
|/\
, 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 -
|/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\
|/\ CORRECT ANSWERS ✔✔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 -
|/\ |/\ |/\ |/\ |/\ CORRECT ANSWERS ✔✔a. Including the |/\ |/\ |/\ |/\
patients caregiver in the education
|/\ |/\ |/\ |/\ |/\
4 \\\\\\/
|/\
\\\\\\62
|/\
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 -
|/\ |/\ |/\ CORRECT ANSWERS ✔✔C) |/\ |/\
Neuroplasticity
|/\
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 -
|/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\ CORRECT
ANSWERS ✔✔b. Asking the patient to recite the alphabet
|/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\
1 \\\\\\/
|/\
\\\\\\62
|/\
,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 -
|/\ |/\ |/\ CORRECT ANSWERS ✔✔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 -
|/\ |/\ |/\ |/\ |/\ |/\ CORRECT ANSWERS |/\
2 \\\\\\/
|/\
\\\\\\62
|/\
, ✔✔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 -
|/\ |/\ |/\ |/\ |/\ |/\ CORRECT ANSWERS ✔✔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 -
|/\ |/\ |/\ |/\ CORRECT ANSWERS ✔✔d. |/\ |/\
3 \\\\\\/
|/\
\\\\\\62
|/\
, 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 -
|/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\
|/\ CORRECT ANSWERS ✔✔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 -
|/\ |/\ |/\ |/\ |/\ CORRECT ANSWERS ✔✔a. Including the |/\ |/\ |/\ |/\
patients caregiver in the education
|/\ |/\ |/\ |/\ |/\
4 \\\\\\/
|/\
\\\\\\62
|/\
