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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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chemical disorder. What does she mean? The nurses response is based on the theory
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that depression primarily involves which of the following neurotransmitters?
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1. Cortisol and GABA gg gg
2. COMT and glutamate gg gg
3. Monamine and glycine gg gg
4. Serotonin and norepinephrine gg gg
2. A patient has experienced a stroke (cerebral vascular accident) that has
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resulted in damage to the Broca area. Which evaluation does the
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g gnurse conduct to reinforce this diagnosis?
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1. Observing the patient pick up a spoon gg gg gg gg gg gg
2. Asking the patient to recite the alphabet gg gg gg gg gg gg
3. Monitoring the patients blood pressure gg gg gg gg
4. Comparing the patients grip strength in both hands gg gg gg gg gg gg gg
3. The patient diagnosed with schizophrenia asks why psychotropic medications are
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g galways prescribed by the doctor. The nurses answer will be based on information
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that the therapeutic action of psychotropic drugs is the result of their
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1. The temporal lobe; especially Wernickes area
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2. Dendrites and their ability to transmit electrical impulses gg gg gg gg gg gg gg
3. The regulation of neurotransmitters especially dopamine
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4. 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
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with understanding the anatomy and physiology of the neurologic system. The
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mentor would base a response on the understanding that it is:
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1. Necessary but generally for psychiatric nurses who focus primarily
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on behavioral interventions
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, 1. A complex undertaking that advance practice psychiatric nurses frequently
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use in their practice
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1. Important primarily for the nursing assessment of patients with
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brain traumacaused cognitive symptoms
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1. Necessary for planning psychiatric care for all patients especially
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those 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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g chronic depression? Which response is supported by research data? 1.
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Too much 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
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psychiatric rehabilitation needs.
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Of the aspects of functioning listed, which will the nurse identify as a focus of
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nursing intervention?
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1. Expression of emotion gg gg
2. Detecting auditory stimuli gg gg
3. Receiving visual images gg gg
4. Processing associations gg
7. At admission, the nurse learns that some time ago the patient had an infarct
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in the right cerebral cortex. During assessment, the nurse would expect to find
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that the patient:
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1. Demonstrates major deficiencies in speech gg gg gg gg
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
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8. A patient with chronic schizophrenia had a stroke involving the hippocampus.
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ggThe patient will be discharged on low doses of haloperidol. The nurse will need
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ggto individualize the patients medication teaching by:
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1. Including the patients caregiver in the education gg gg gg gg gg gg
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 gg gg gg gg gg gg gg gg gg
emotionally calm and relaxed
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1. Encouraging the patient to crush or dissolve the medication to gg gg gg gg gg gg gg gg gg
help with swallowing
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