APPENDIX B
20. The role of neurotransmitters in the central nervous system is to function as
a. A communication medium
b. A gatekeeper for transmissions
c. A building block for amino acids
d. An agent to break down enzymes
20. Correct Answer: A. Neurotransmitters in the central nervous system function as a communication
medium.
21. Serotonin is produced in which of the following locations:
a. Locus ceruleus
b. Nucleus basalis
390 Psychiatric-Mental health nurse Practitioner review and resource Manual, 4th edition
c. Raphe nuclei
d. Substantia nigra
21. Correct Answer: C. Serotonin is produced in the raphe nuclei.
22. Dopamine is produced in which of the following locations:
a. Locus ceruleus
b. Nucleus basalis
c. Raphe nuclei
d. Substantia nigra
22. Correct Answer: D. Dopamine is produced in the substantia nigra.
23. A client presents with complaints of changes in appetite, feeling fatigued, problems with sleep-
rest cycle, and changes in libido. What is the neuroanatomical area of the brain that is responsible for
the normal regulation of these functions?
a. Thalamus
b. Hypothalamus
c. Limbic system
d. Hippocampus
23. Correct Answer: B. Appetite. sleep. and libido are regulated by the hypothalamus.
24. In considering whether to order an MRI of the head for a client, which of the following would be a
contraindication to this diagnostic test?
a. Prosthetic limb
b. History of head trauma
c. Pacemaker
d. Pregnancy
24. Correct Answer: C. A client with a pacemaker should not receive an MRI of the head.
25. The primary excitatory neurotransmitter is
a. GABA
b. Serotonin
, c. Dopamine
d. Glutamate
25. Correct Answer: D. Glutamate is the primary excitatory neurotransmitter.
26. A client who is experiencing difficulties with working memory, planning and prioritizing, insight
into his problems, and impulse control presents for assessment. In planning his care, the PMHNP
should apply his or her knowledge that these symptoms represent problems with the
a. Frontal lobe
b. Temporal lobe
c. Parietal lobe
d. Occipital lobe
26. Correct Answer: A. Problems with working memory. planning and prioritizing. insight into problems
and impulse control indicate a problem in the frontal lobe.
28. The goal of the psychiatric assessment process performed by the PMHNP is to
a. Gain an understanding of the life experiences of the client
b. Correctly diagnose the client
c. Identify the mental health needs of the client
d. Be able to communicate with other staff about the client’s health needs
28. Correct Answer: C. Although diagnosis is an important aspect of the assessment process. the
assessment ultimately should identify the needs of the client.
29. Mr. Johnson is a client newly admitted to an inpatient psychiatric hospital. The PMHNP on call at
the facility plans to perform the initial intake assessment and diagnostic process.
Mr. Johnson asks to please talk in his room because, he says, “People make me nervous.”
His room is at the end of the hallway and is the farthest away from the nursing station.
The PMHNP’s action should be based on awareness that the best location to do the assessment is
a. In Mr. Johnson’s room, because it is least noisy and most comfortable for him, thus facilitating data
collection
b. In the dayroom, which is full of people, to observe his interactions with other people
c. In a quiet place, but public enough to get assistance with client care should it be required during the
assessment
d. In the treatment room with the door closed, a neutral location
29. Correct Answer: C. One PMHNP role is to control the milieu as an aspect of assessment. so the
PMHNP should choose a quiet place that is public enough to get assistance with client care should it be
required during the assessment.
35. In completing the PMHNP assessment for the Mrs. Shea, the most appropriate lab test for the
PMHNP to order at this time is
a. CBC
b. TSH
c. Liver function tests
d. Electrolyte panel
20. The role of neurotransmitters in the central nervous system is to function as
a. A communication medium
b. A gatekeeper for transmissions
c. A building block for amino acids
d. An agent to break down enzymes
20. Correct Answer: A. Neurotransmitters in the central nervous system function as a communication
medium.
21. Serotonin is produced in which of the following locations:
a. Locus ceruleus
b. Nucleus basalis
390 Psychiatric-Mental health nurse Practitioner review and resource Manual, 4th edition
c. Raphe nuclei
d. Substantia nigra
21. Correct Answer: C. Serotonin is produced in the raphe nuclei.
22. Dopamine is produced in which of the following locations:
a. Locus ceruleus
b. Nucleus basalis
c. Raphe nuclei
d. Substantia nigra
22. Correct Answer: D. Dopamine is produced in the substantia nigra.
23. A client presents with complaints of changes in appetite, feeling fatigued, problems with sleep-
rest cycle, and changes in libido. What is the neuroanatomical area of the brain that is responsible for
the normal regulation of these functions?
a. Thalamus
b. Hypothalamus
c. Limbic system
d. Hippocampus
23. Correct Answer: B. Appetite. sleep. and libido are regulated by the hypothalamus.
24. In considering whether to order an MRI of the head for a client, which of the following would be a
contraindication to this diagnostic test?
a. Prosthetic limb
b. History of head trauma
c. Pacemaker
d. Pregnancy
24. Correct Answer: C. A client with a pacemaker should not receive an MRI of the head.
25. The primary excitatory neurotransmitter is
a. GABA
b. Serotonin
, c. Dopamine
d. Glutamate
25. Correct Answer: D. Glutamate is the primary excitatory neurotransmitter.
26. A client who is experiencing difficulties with working memory, planning and prioritizing, insight
into his problems, and impulse control presents for assessment. In planning his care, the PMHNP
should apply his or her knowledge that these symptoms represent problems with the
a. Frontal lobe
b. Temporal lobe
c. Parietal lobe
d. Occipital lobe
26. Correct Answer: A. Problems with working memory. planning and prioritizing. insight into problems
and impulse control indicate a problem in the frontal lobe.
28. The goal of the psychiatric assessment process performed by the PMHNP is to
a. Gain an understanding of the life experiences of the client
b. Correctly diagnose the client
c. Identify the mental health needs of the client
d. Be able to communicate with other staff about the client’s health needs
28. Correct Answer: C. Although diagnosis is an important aspect of the assessment process. the
assessment ultimately should identify the needs of the client.
29. Mr. Johnson is a client newly admitted to an inpatient psychiatric hospital. The PMHNP on call at
the facility plans to perform the initial intake assessment and diagnostic process.
Mr. Johnson asks to please talk in his room because, he says, “People make me nervous.”
His room is at the end of the hallway and is the farthest away from the nursing station.
The PMHNP’s action should be based on awareness that the best location to do the assessment is
a. In Mr. Johnson’s room, because it is least noisy and most comfortable for him, thus facilitating data
collection
b. In the dayroom, which is full of people, to observe his interactions with other people
c. In a quiet place, but public enough to get assistance with client care should it be required during the
assessment
d. In the treatment room with the door closed, a neutral location
29. Correct Answer: C. One PMHNP role is to control the milieu as an aspect of assessment. so the
PMHNP should choose a quiet place that is public enough to get assistance with client care should it be
required during the assessment.
35. In completing the PMHNP assessment for the Mrs. Shea, the most appropriate lab test for the
PMHNP to order at this time is
a. CBC
b. TSH
c. Liver function tests
d. Electrolyte panel
