NSG 552 EXAM 1
NSG 552 EXAM 1 QUESTIONS AND ANSWERS
GRADED A+ 100% VERIFIED.
A patient with depression mentions to the nurse, my mother says depression is a
chemical disorder. What does she mean? The nurse’s response is based on the
theory that depression primarily involves which of the following
neurotransmitters?
a. Cortisol and GABA
b. COMT and glutamate
c. Monoamine and glycine
d. Serotonin and norepinephrine ANS >> 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 ANS >> b. Asking the patient to
recite the alphabet
,NSG 552 EXAM 1
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 Wernicke’s 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 ANS
>> 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
behavioural interventions
b. A complex undertaking that advances 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 ANS >> 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.
,NSG 552 EXAM 1
d. There appears to be little connection between stress and diseases of the body
ANS >> 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 ANS >> 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 ANS >> 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 patient’s medication teaching by:
a. Including the patient’s caregiver in the education b. Being careful to stress the
importance of taking the medication as prescribed
, NSG 552 EXAM 1
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 ANS >> a. Including the patient’s caregiver in the education
The physician tells the nurse; The medication I’m prescribing for the patient
enhances the g-aminobutyric acid (GABA) system. Which patient behaviour 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.
ANS >> b. The patient reports that, I don't feel as anxious as I did a couple of days
ago.
The patient’s 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 can’t, see?
d. Is your dad preoccupied with behaviours that he needs to repeat over and
over? ANS >> 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 Alzheimer’s disease?
a. It will increase the metabolism of excess GABA.
NSG 552 EXAM 1 QUESTIONS AND ANSWERS
GRADED A+ 100% VERIFIED.
A patient with depression mentions to the nurse, my mother says depression is a
chemical disorder. What does she mean? The nurse’s response is based on the
theory that depression primarily involves which of the following
neurotransmitters?
a. Cortisol and GABA
b. COMT and glutamate
c. Monoamine and glycine
d. Serotonin and norepinephrine ANS >> 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 ANS >> b. Asking the patient to
recite the alphabet
,NSG 552 EXAM 1
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 Wernicke’s 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 ANS
>> 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
behavioural interventions
b. A complex undertaking that advances 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 ANS >> 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.
,NSG 552 EXAM 1
d. There appears to be little connection between stress and diseases of the body
ANS >> 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 ANS >> 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 ANS >> 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 patient’s medication teaching by:
a. Including the patient’s caregiver in the education b. Being careful to stress the
importance of taking the medication as prescribed
, NSG 552 EXAM 1
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 ANS >> a. Including the patient’s caregiver in the education
The physician tells the nurse; The medication I’m prescribing for the patient
enhances the g-aminobutyric acid (GABA) system. Which patient behaviour 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.
ANS >> b. The patient reports that, I don't feel as anxious as I did a couple of days
ago.
The patient’s 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 can’t, see?
d. Is your dad preoccupied with behaviours that he needs to repeat over and
over? ANS >> 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 Alzheimer’s disease?
a. It will increase the metabolism of excess GABA.
