Exam (elaborations)
NSG 552 Exam 1 with correct answers
- Course
- Nsg 552 (NSG552)
- Institution
- Wilkes University
NSG 552 Exam 1 with correct answers
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NSG 552 Exam 1 with correct answersA nurse is teaching a medication class to a group of psychiatric
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patients. One of them asks the nurse why he has so much more
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trouble learning now when he's in his 60s than he did when he was
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younger. Which of the following concepts would the nurse
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integrate into the response?
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A) The extrapyramidal motor system
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B) The amygdala
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C) Neuroplasticity
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D) Psychoneuroimmunology -
|/\ |/\ |/\ CORRECT ANSWERS ✔✔C) |/\ |/\
Neuroplasticity
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A patient has experienced a stroke (cerebral vascular accident) that
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has resulted in damage to the Broca area. Which evaluation does
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the nurse conduct to reinforce this diagnosis?
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a. Observing the patient pick up a spoon
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b. Asking the patient to recite the alphabet
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c. Monitoring the patients blood pressure
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d. Comparing the patients grip strength in both -
|/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\ CORRECT
ANSWERS ✔✔b. Asking the patient to recite the alphabet
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,The patient diagnosed with schizophrenia asks why psychotropic
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medications are always prescribed by the doctor. The nurses
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answer will be based on information that the therapeutic action of
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psychotropic drugs is the result of their effect on:
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a. The temporal lobe; especially Wernickes area
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b. Dendrites and their ability to transmit electrical impulses
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c. The regulation of neurotransmitters especially dopamine
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d. The peripheral nervous system sensitivity to the psychotropic
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medications -
|/\ |/\ |/\ CORRECT ANSWERS ✔✔c. The regulation of |/\ |/\ |/\ |/\ |/\
neurotransmitters especially dopamine
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A student nurse mutters that it seems entirely unnecessary to have
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to struggle with understanding the anatomy and physiology of the
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neurologic system. The mentor would base a response on the
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understanding that it is:
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a. Necessary but generally for psychiatric nurses who focus
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primarily on behavioral interventions
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b. A complex undertaking that advance practice psychiatric nurses
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frequently use in their practice
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c. Important primarily for the nursing assessment of patients with
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brain trauma caused cognitive symptoms
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d. Necessary for planning psychiatric care for all patients especially
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those experiencing psychiatric disorders -
|/\ |/\ |/\ |/\ |/\ |/\ CORRECT ANSWERS |/\
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, ✔✔d. Necessary for planning psychiatric care for all patients
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especially those experiencing psychiatric disorders
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A patient asks the nurse, My wife has breast cancer. Could it be
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caused by her chronic depression? Which response is supported by
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research data?
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a. Too much stress has been proven to cause all kinds of cancer.
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b. There have been no research studies done on stress and disease
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yet.
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c. Stress does cause the release of factors that suppress the immune
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system.
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d. There appears to be little connection between stress and
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diseases of the body -
|/\ |/\ |/\ |/\ |/\ |/\ CORRECT ANSWERS ✔✔c. Stress does |/\ |/\ |/\ |/\
cause the release of factors that suppress the immune system.
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A patient who has a parietal lobe injury is being evaluated for
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psychiatric rehabilitation needs. Of the aspects of functioning
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listed, which will the nurse identify as a focus of nursing
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intervention?
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a. Expression of emotion
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b. Detecting auditory stimuli
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c. Receiving visual images
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d. Processing associations -
|/\ |/\ |/\ |/\ CORRECT ANSWERS ✔✔d. |/\ |/\
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, Processing associations
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At admission, the nurse learns that some time ago the patient had
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an infarct in the right cerebral cortex. During assessment, the nurse
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would expect to find that the patient:
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a. Demonstrates major deficiencies in speech
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b. Is unable to effectively hold a spoon in the left hand
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c. Has difficulty explaining how to go about using the telephone
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d. Cannot use his right hand to shave himself or comb his own -
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|/\ CORRECT ANSWERS ✔✔b. Is unable to effectively hold a spoon |/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\
in the left hand
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A patient with chronic schizophrenia had a stroke involving the
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hippocampus. The patient will be discharged on low doses of
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haloperidol. The nurse will need to individualize the patients
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medication teaching by:
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a. Including the patients caregiver in the education b. Being careful
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to stress the importance of taking the medication as prescribed
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c. Providing the education at a time when the patient is emotionally
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calm and relaxed
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d. Encouraging the patient to crush or dissolve the medication to
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help with swallowing -
|/\ |/\ |/\ |/\ |/\ CORRECT ANSWERS ✔✔a. Including the |/\ |/\ |/\ |/\
patients caregiver in the education
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