NSG552 / NSG 552 Exam 1 (Latest 2024 / 2025 Update): Psychopharmacology | Complete Review with Questions and Verified Answers | 100% Correct | Grade A - Wilkes

NSG552 / NSG 552 Exam 1 (Latest 2024 / 2025 Update): Psychopharmacology | Complete Review with Questions and Verified Answers | 100% Correct | Grade A - Wilkes A 19-year-old patient is admitted for the second time in 9 months and is acutely psychotic with a diagnosis of undifferentiated schizophrenia. The patient sits alone rubbing her arms and smiling. She tells the nurse her thoughts cause earthquakes, and that the world is burning. The nurse assesses the primary deficit associated with the patient's condition as: a. Social isolation b. Disturbed thinking c. Altered mood states d. Poor impulse - ANSWER-b. Disturbed thinking .A 34-year-old male admitted with catatonic schizophrenia has been mute and motionless for several days while at home prior to admission. He still appears stuporous in the hospital. Which nursing intervention would be an initial priority? a. Orienting the patient to the unit b. Reinforcing reality with the patient c. Establishing a nonthreatening relationship d. Assessing the patient for physical problems - ANSWER-d. Assessing the patient for physical problems .A 60-year-old woman has been recently diagnosed with multiple sclerosis, a disease in which the oligodendrocytes of the patients central nervous system (CNS) are progressively destroyed. Which physiologic process within the neurologic system is most likely be affected by this disease process? A) Oxygen metabolism B) Neurotransmitter synthesis C) Nerve conduction D) Production of cerebrospinal fluid - ANSWER-C) Nerve conduction .A group of nursing students are reviewing the role of serotonin in psychiatric disorders. The students demonstrate a need for additional study when they identify which disorder as being associated with its dysfunction? A) Depression B) Obsessive-compulsive disorder C) Panic disorder D) Schizophrenia - ANSWER-D) Schizophrenia .A group of nursing students are reviewing the various neurotransmitters. The students demonstrate understanding when they identify which of the following as a neuropeptide? A) Melatonin B) Serotonin C) Glutamate D) Gamma-aminobutyric acid - ANSWER-A) Melatonin .A group of students are reviewing information about neurotransmitter subtypes. The group demonstrates understanding of the information when they identify which neurotransmitter as having muscarinic and nicotinic receptors? A) Serotonin B) Gamma-aminobutyric acid (GABA) C) Dopamine D) Acetylcholine - ANSWER-D) Acetylcholine .A male patient becomes verbally aggressive and insists the nurse is poisoning him as she attempts to administer haloperidol (Haldol). Which action will the nurse take? a. Support the patients decision to refuse the medication. b. Discreetly ask an assistant to put the medication in the patients food. c. Firmly redirect the patient to take the medication. d. Speak privately with the patient and reinforce medication action. - ANSWER-c. Firmly redirect the patient to take the medication. .A neuron has been hyperpolarized. How will this affect the excitability of the neuron? A) The neuron will have a membrane potential farther from the threshold. B) The neuron will be more difficult to repolarize after firing. C) The membrane potential of the neuron will be closer to the threshold. D) The neurons excitability will be significantly increased. - ANSWER-A) The neuron will have a membrane potential farther from the threshold. .A newly admitted client has been diagnosed with major depressive disorder. Which nursing diagnosis takes priority? A. Impaired social interaction B. Self-esteem deficit C. Hopelessness D. Self-care deficit - ANSWER-C. Hopelessness .A newly admitted patient has the diagnosis of catatonic schizophrenia. Which behavior observed in the patient supports that diagnosis? a. Uses a rhyming form of speech b. Refuses to eat any unwrapped foods c. Laughs when watching a sad movie d. Maintains an immobilized state for hours - ANSWER-d. Maintains an immobilized state for hours .A nurse is developing a plan of care for a patient diagnosed with schizophrenia. The nurse integrates knowledge of this disorder, identifying which neurotransmitter as being primarily involved? A) Acetylcholine B) Dopamine C) Norepinephrine D) Serotonin - ANSWER-B) Dopamine .A nurse is developing a plan of care for a patient experiencing expressive aphasia. The nurse incorporates knowledge that the patient most likely has sustained damage to which of the following? A) The postcentral gyrus B) Brocas area C) Basal ganglia D) The hippocampus - ANSWER-B) Brocas area .A nurse is involved in gathering information about the inheritance of mental disorders using population genetics. Which of the following would the nurse be least likely to be evaluating? A) Concordance rates B) Occurrence in first-degree relatives C) Risk factor analysis D) Adoptions studies - ANSWER-C) Risk factor analysis .A nurse is reading a journal article about psychoneuroimmunology. Which 16. information would the nurse most likely find? Select all that apply. A) Neurotoxins role in receptor site damage B) Hypothalamicpituitarythyroid axis disruption C) Static activity of natural killer cells in response to stress D) Hypothalamic damage leading to immune dysfunction E) Interruption in the typical circadian rhythm cycle - ANSWER-A) Neurotoxins role in receptor site damage B) Hypothalamicpituitarythyroid axis disruption D) Hypothalamic damage leading to immune dysfunction .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 - ANSWER-C) Neuroplasticity .A nursing instructor asks a student to explain the influence of chronobiology on depression. Which of the following would the student include when responding? A) The exact location of genes leads to identifying the gene responsible for causing depression. B) A break in the corpus coliseum blocks information exchange between the right and left hemispheres. C) Damage to the posterior areas of the parietal lobe leads to altered discriminative sensory function. D) Internal and external triggers can elicit biologic rhythm changes indicative of clinical depression. - ANSWER-D) Internal and external triggers can elicit biologic rhythm changes indicative of clinical depression. .A patient admitted to the mental unit has shown a deficit in providing self- care and has a medical diagnosis of major depression. The nursing diagnosis for this would be: A. Knowledge deficit related to personal choices. B. Self-care deficit related to impaired ability to provide personal hygiene. C. Risk for violence related to poor hygiene. D. Impaired social interaction related to poor hygiene. - ANSWER-B. Self-care deficit related to impaired ability to provide personal hygiene. .A patient admitted with the diagnosis of schizophreniform disorder R/O organic pathology. Based on this information, the nurse can expect that the patient will: a. Be scheduled for a magnetic resonance imaging (MRI) test b. See a mental health specialist for extensive psychological testing c. Have an immunologic assay performed within 2 days of the admission d. Participate in a dexamethasone suppression test (DST) administered by the staff - ANSWER-a. Be scheduled for a magnetic resonance imaging (MRI) test .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 experiences intrusive, insulting auditory hallucinations. Which independent behavioral technique can the nurse teach the patient to employ when the voices are troublesome? a. Introduce a distraction like reading. b. Use positive talk to offset the insults. c. Sing or whistle to compete with the voices. d. Increase the daily dose of an antipsychotic medication. - ANSWER-c. Sing or whistle to compete with the voices. .A patient has been admitted with disorganized type schizophrenia. The nurse asks the patient how he is feeling, and he responds, Everybody picks on me. They frobitz me. The best response for the nurse to make would be: a. Thats really too bad that you are being treated that way. b. Who do you mean when you say everybody? c. What difference does frobitzing make? d. Why do they frobitz? - ANSWER-b. Who do you mean when you say everybody? .A patient has been admitted with disorganized type schizophrenia. The nurse observes blunted affect and social isolation. He occasionally curses or calls another patient a jerk without provocation. The nurse asks the patient how he is feeling, and he responds, Everybody picks on me. They frobitz me. The patients communication exhibits: a. A neologism b. Loose associations c. Delusional thinking d. Circumstantial speech - ANSWER-a. A neologism