Chapter 1: Neural Sciences
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, jk Test Bank MULTIPLE CHOICE
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1. A patient with depression mentions to the nurse, My mother says depression is a
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jk chemical disorder. What does she mean? The nurses response is based on the theory that
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jk depression primarily involves which of the following neurotransmitters?
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jk jk jk jk jk jk a Cortisol and GABA
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b COMT and glutamate
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c Monamine and glycine
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d Serotonin and norepinephrine
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2. A patient has experienced a stroke (cerebral vascular accident) that has resulted
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jk in damage to the Broca area. Which evaluation does the nurse conduct to
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jk reinforce this diagnosis? jk jk
jk jk jk jk a Observing the patient pick up a spoon
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b bAsking the patient to recite the alphabet
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jk jk c jk jk jk jk Monitoring the patients blood pressure jk jk jk jk
jk jk jk jk jk d Comparing the patients grip strength in both hands
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3. The patient diagnosed with schizophrenia asks why psychotropic medications are always
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jk prescribed by the doctor. The nurses answer will be based on information that the
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jk therapeutic action of psychotropic drugs is the result of their effect on:
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aThe 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 medications
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4. A student nurse mutters that it seems entirely unnecessary to have to struggle with
jk jk jk jk jk jk jk jk jk jk jk jk jk
jk understanding the anatomy and physiology of the neurologic system. The mentor would base
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jk a response on the understanding that it is:
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(a) Necessary but generally for psychiatric nurses who focus primarily on
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jkbehavioral interventions jk
,(b) A complex undertaking that advance practice psychiatric nurses frequently use in
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their practice
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Important primarily for the nursing assessment of patients with brain traumacaused
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jk cognitive symptoms jk
1. Necessary for planning psychiatric care for all patients especially those
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experiencing psychiatric disorders
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5. A patient asks the nurse, My wife has breast cancer. Could it be caused by her
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chronic depression? Which response is supported by research data? 1. Too much
jk jk jk jk jk jk jk jk jk jk jk jk
jk stress has been proven to cause all kinds of cancer.
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2. There have been no research studies done on stress and disease yet.
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3. Stress does cause the release of factors that suppress the immune system.
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4. There appears to be little connection between stress and diseases of the body
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6. A patient who has a parietal lobe injury is being evaluated for psychiatric
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jk rehabilitation needs. jk
Of the aspects of functioning listed, which will the nurse identify as a focus of nursing
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jk intervention?
1. Expression of emotion jk jk
2. Detecting auditory stimuli jk jk
3. Receiving visual images jk jk
4. Processing associations jk
7. At admission, the nurse learns that some time ago the patient had an infarct in the
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jk right cerebral cortex. During assessment, the nurse would expect to find that the
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jk patient:
1. Demonstrates major deficiencies in speech jk jk jk jk
2. Is unable to effectively hold a spoon in the left hand
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3. Has difficulty explaining how to go about using the telephone
jk jk jk jk jk jk jk jk jk
, 8. A patient with chronic schizophrenia had a stroke involving the hippocampus. The
jk jk jk jk jk jk jk jk jk jk jk
jk patient will be discharged on low doses of haloperidol. The nurse will need to
jk jk jk jk jk jk jk jk jk jk jk jk jk
jk individualize the patients medication teaching by:
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1. Including the patients caregiver in the education
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2. Being careful to stress the importance of taking the medication as prescribed 3.
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Providing the education at a time when the patient is emotionally calm
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and relaxed
jk jk
1. Encouraging the patient to crush or dissolve the medication to help
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with swallowing
jk jk
jk jk jk
, jk Test Bank MULTIPLE CHOICE
jk jk jk
1. A patient with depression mentions to the nurse, My mother says depression is a
jk jk jk jk jk jk jk jk jk jk jk jk jk
jk chemical disorder. What does she mean? The nurses response is based on the theory that
jk jk jk jk jk jk jk jk jk jk jk jk jk jk
jk depression primarily involves which of the following neurotransmitters?
jk jk jk jk jk jk jk
jk jk jk jk jk jk a Cortisol and GABA
jk jk jk
b COMT and glutamate
jk jk jk jk
c Monamine and glycine
jk jk jk jk
d Serotonin and norepinephrine
jk jk jk jk
2. A patient has experienced a stroke (cerebral vascular accident) that has resulted
jk jk jk jk jk jk jk jk jk jk jk
jk in damage to the Broca area. Which evaluation does the nurse conduct to
jk jk jk jk jk jk jk jk jk jk jk jk
jk reinforce this diagnosis? jk jk
jk jk jk jk a Observing the patient pick up a spoon
jk jk jk jk jk jk jk
b bAsking the patient to recite the alphabet
jk jk jk jk jk jk jk jk jk
jk jk c jk jk jk jk Monitoring the patients blood pressure jk jk jk jk
jk jk jk jk jk d Comparing the patients grip strength in both hands
jk jk jk jk jk jk jk jk
3. The patient diagnosed with schizophrenia asks why psychotropic medications are always
jk jk jk jk jk jk jk jk jk jk
jk prescribed by the doctor. The nurses answer will be based on information that the
jk jk jk jk jk jk jk jk jk jk jk jk jk
jk therapeutic action of psychotropic drugs is the result of their effect on:
jk jk jk jk jk jk jk jk jk jk jk
aThe temporal lobe; especially Wernickes area
jk jk jk jk jk
b Dendrites and their ability to transmit electrical impulses
jk jk jk jk jk jk jk jk
c The regulation of neurotransmitters especially dopamine
jk jk jk jk jk jk
d The peripheral nervous system sensitivity to the psychotropic medications
jk jk jk jk jk jk jk jk jk
4. A student nurse mutters that it seems entirely unnecessary to have to struggle with
jk jk jk jk jk jk jk jk jk jk jk jk jk
jk understanding the anatomy and physiology of the neurologic system. The mentor would base
jk jk jk jk jk jk jk jk jk jk jk jk
jk a response on the understanding that it is:
jk jk jk jk jk jk jk
(a) Necessary but generally for psychiatric nurses who focus primarily on
jk jk jk jk jk jk jk jk jk
jkbehavioral interventions jk
,(b) A complex undertaking that advance practice psychiatric nurses frequently use in
jk jk jk jk jk jk jk jk jk jk
their practice
jk jk
Important primarily for the nursing assessment of patients with brain traumacaused
jk jk jk jk jk jk jk jk jk jk
jk cognitive symptoms jk
1. Necessary for planning psychiatric care for all patients especially those
jk jk jk jk jk jk jk jk jk
experiencing psychiatric disorders
jk jk jk
5. A patient asks the nurse, My wife has breast cancer. Could it be caused by her
jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk
chronic depression? Which response is supported by research data? 1. Too much
jk jk jk jk jk jk jk jk jk jk jk jk
jk stress has been proven to cause all kinds of cancer.
jk jk jk jk jk jk jk jk jk
2. There have been no research studies done on stress and disease yet.
jk jk jk jk jk jk jk jk jk jk jk
3. Stress does cause the release of factors that suppress the immune system.
jk jk jk jk jk jk jk jk jk jk jk
4. There appears to be little connection between stress and diseases of the body
jk jk jk jk jk jk jk jk jk jk jk jk
6. A patient who has a parietal lobe injury is being evaluated for psychiatric
jk jk jk jk jk jk jk jk jk jk jk jk
jk rehabilitation needs. jk
Of the aspects of functioning listed, which will the nurse identify as a focus of nursing
jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk
jk intervention?
1. Expression of emotion jk jk
2. Detecting auditory stimuli jk jk
3. Receiving visual images jk jk
4. Processing associations jk
7. At admission, the nurse learns that some time ago the patient had an infarct in the
jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk
jk right cerebral cortex. During assessment, the nurse would expect to find that the
jk jk jk jk jk jk jk jk jk jk jk jk
jk patient:
1. Demonstrates major deficiencies in speech jk jk jk jk
2. Is unable to effectively hold a spoon in the left hand
jk jk jk jk jk jk jk jk jk jk
3. Has difficulty explaining how to go about using the telephone
jk jk jk jk jk jk jk jk jk
, 8. A patient with chronic schizophrenia had a stroke involving the hippocampus. The
jk jk jk jk jk jk jk jk jk jk jk
jk patient will be discharged on low doses of haloperidol. The nurse will need to
jk jk jk jk jk jk jk jk jk jk jk jk jk
jk individualize the patients medication teaching by:
jk jk jk jk jk
1. Including the patients caregiver in the education
jk jk jk jk jk jk
2. Being careful to stress the importance of taking the medication as prescribed 3.
jk jk jk jk jk jk jk jk jk jk jk jk
Providing the education at a time when the patient is emotionally calm
jk jk jk jk jk jk jk jk jk jk jk
and relaxed
jk jk
1. Encouraging the patient to crush or dissolve the medication to help
jk jk jk jk jk jk jk jk jk jk
with swallowing
jk jk
