NSG 3450 Mental Health Exam 2, Unit 4 ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Review exam with correct answers ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
A client asks, "What are neurotransmitters? My
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
doctor said mine are imbalanced." What is the ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
nurse's best response? ||\\||\\ ||\\||\\
a. "How do you feel about having imbalanced
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
neurotransmitters?"
b. "Neurotransmitters protect us from harmful
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
effects of free radicals." ||\\||\\ ||\\||\\ ||\\||\\
c. "Neurotransmitters are substances we consume
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
that influence memory and mood."
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
d. "Neurotransmitters are natural chemicals that
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
pass messages between brain cells." - correct
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
answers ✔✔d. "Neurotransmitters are natural ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
chemicals that pass messages between brain cells. ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
,The parent of an adolescent diagnosed with
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
schizophrenia asks the nurse, "My child's doctor ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
ordered a PET. What kind of test is that?" What is the ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
nurse's best reply? ||\\||\\ ||\\||\\
a. "This test uses a magnetic field and gamma waves
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
to identify problem areas in the brain.
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Does your teenager have any metal implants?" ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
b. "PET means positron-emission tomography. It is a
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
special type of scan that shows blood ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
flow and activity in the brain." ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
c. "A PET scan passes an electrical current through
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
the brain and shows brain-wave activity.
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
It can help diagnose seizures."
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
d. "It's a special x-ray that shows structures of the
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
brain and whether there has ever been a ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
brain injury." - correct answers ✔✔b. "PET means ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
positron-emission tomography. It is a special type of ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
scan that shows blood flow and activity in the brain."
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
,A client with a long history of hypertension and
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
diabetes now develops confusion. The health care ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
provider wants to make a differential diagnosis ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
between Alzheimer's disease and multiple cerebral ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
infarcts. Which diagnostic procedure should the ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
nurse expect to prepare ||\\||\\ ||\\||\\ ||\\||\\
the client for first? ||\\||\\ ||\\||\\ ||\\||\\
a. Skull x-rays
||\\||\\ ||\\||\\
b. Computerized axial tomography (CT) scan
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
c. Positron-emission tomography (PET)
||\\||\\ ||\\||\\ ||\\||\\
d. Single photon emission computed tomography
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
(SPECT) - correct answers ✔✔b. Computerized axial ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
tomography (CT) scan ||\\||\\ ||\\||\\
A client's history shows drinking 4 to 6 L of fluid and
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
eating more than 6,000 calories per day. Which part ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
of the central nervous system is most likely
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
dysfunctional for this client? ||\\||\\ ||\\||\\ ||\\||\\
, a. Amygdala ||\\||\\
b. Parietal lobe||\\||\\ ||\\||\\
c. Hippocampus
||\\||\\
d. Hypothalamus - correct answers ✔✔d.
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Hypothalamus
The nurse prepares to assess a client diagnosed with
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
major depressive disorder for disturbances in ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
circadian rhythms. Which question should the nurse ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
ask this client? ||\\||\\ ||\\||\\
a. "Have you ever seen or heard things that others do
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
not?"
||\\||\\
b. "What are your worst and best times of the day?"
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
c. "How would you describe your thinking?"
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
d. "Do you think your memory is failing?" - correct
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
answers ✔✔b. "What are your worst and best times ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
of the day?" ||\\||\\ ||\\||\\
Review exam with correct answers ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
A client asks, "What are neurotransmitters? My
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
doctor said mine are imbalanced." What is the ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
nurse's best response? ||\\||\\ ||\\||\\
a. "How do you feel about having imbalanced
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
neurotransmitters?"
b. "Neurotransmitters protect us from harmful
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
effects of free radicals." ||\\||\\ ||\\||\\ ||\\||\\
c. "Neurotransmitters are substances we consume
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
that influence memory and mood."
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
d. "Neurotransmitters are natural chemicals that
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
pass messages between brain cells." - correct
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
answers ✔✔d. "Neurotransmitters are natural ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
chemicals that pass messages between brain cells. ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
,The parent of an adolescent diagnosed with
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
schizophrenia asks the nurse, "My child's doctor ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
ordered a PET. What kind of test is that?" What is the ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
nurse's best reply? ||\\||\\ ||\\||\\
a. "This test uses a magnetic field and gamma waves
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
to identify problem areas in the brain.
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Does your teenager have any metal implants?" ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
b. "PET means positron-emission tomography. It is a
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
special type of scan that shows blood ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
flow and activity in the brain." ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
c. "A PET scan passes an electrical current through
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
the brain and shows brain-wave activity.
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
It can help diagnose seizures."
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
d. "It's a special x-ray that shows structures of the
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
brain and whether there has ever been a ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
brain injury." - correct answers ✔✔b. "PET means ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
positron-emission tomography. It is a special type of ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
scan that shows blood flow and activity in the brain."
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
,A client with a long history of hypertension and
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
diabetes now develops confusion. The health care ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
provider wants to make a differential diagnosis ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
between Alzheimer's disease and multiple cerebral ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
infarcts. Which diagnostic procedure should the ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
nurse expect to prepare ||\\||\\ ||\\||\\ ||\\||\\
the client for first? ||\\||\\ ||\\||\\ ||\\||\\
a. Skull x-rays
||\\||\\ ||\\||\\
b. Computerized axial tomography (CT) scan
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
c. Positron-emission tomography (PET)
||\\||\\ ||\\||\\ ||\\||\\
d. Single photon emission computed tomography
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
(SPECT) - correct answers ✔✔b. Computerized axial ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
tomography (CT) scan ||\\||\\ ||\\||\\
A client's history shows drinking 4 to 6 L of fluid and
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
eating more than 6,000 calories per day. Which part ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
of the central nervous system is most likely
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
dysfunctional for this client? ||\\||\\ ||\\||\\ ||\\||\\
, a. Amygdala ||\\||\\
b. Parietal lobe||\\||\\ ||\\||\\
c. Hippocampus
||\\||\\
d. Hypothalamus - correct answers ✔✔d.
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Hypothalamus
The nurse prepares to assess a client diagnosed with
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
major depressive disorder for disturbances in ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
circadian rhythms. Which question should the nurse ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
ask this client? ||\\||\\ ||\\||\\
a. "Have you ever seen or heard things that others do
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
not?"
||\\||\\
b. "What are your worst and best times of the day?"
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
c. "How would you describe your thinking?"
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
d. "Do you think your memory is failing?" - correct
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
answers ✔✔b. "What are your worst and best times ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
of the day?" ||\\||\\ ||\\||\\
