NSG 552 EXAM 1 WITH
100% CORRECT ANSWER
Which of the following would be the most effective intervention for a
depressed patient?
A. Establish one small goal to accomplish today.
B. Help the patient develop a goal to complete in the next month.
C. Encourage the patient to talk about recent failures in his or her life.
D. Let the patient guide what is the next best action. - CORRECT
ANSWER- A. Establish one small goal to accomplish today.
Which of the following is an important intervention for a patient taking
nortriptyline?
A. Make sure that CBC is ordered to monitor blood counts.
B. Monitor for anticholinergic side effects.
C. Ensure that the patients diet is gluten free.
D. Push fluids to prevent dehydration. - CORRECT ANSWER- B.
Monitor for anticholinergic side effects.
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. - CORRECT
ANSWER- B. Self-care deficit related to impaired ability to provide
personal hygiene.
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 - CORRECT ANSWER- C)
Neuroplasticity
A patient has experienced a stroke (cerebral vascular accident) that
has resulted in damage to the Broca area. Which evaluation does the
nurse conduct to reinforce this diagnosis?
a. Observing the patient pick up a spoon
b. Asking the patient to recite the alphabet
c. Monitoring the patients blood pressure
d. Comparing the patients grip strength in both - CORRECT
ANSWER- b. Asking the patient to recite the alphabet
The patient diagnosed with schizophrenia asks why psychotropic
medications are always prescribed by the doctor. The nurses answer
will be based on information that the therapeutic action of psychotropic
drugs is the result of their effect on:
a. The temporal lobe; especially Wernickes area
b. Dendrites and their ability to transmit electrical impulses
c. The regulation of neurotransmitters especially dopamine
d. The peripheral nervous system sensitivity to the psychotropic
medications - CORRECT ANSWER- c. The regulation of
neurotransmitters especially dopamine
A student nurse mutters that it seems entirely unnecessary to have to
struggle with understanding the anatomy and physiology of the
neurologic system. The mentor would base a response on the
understanding that it is:
a. Necessary but generally for psychiatric nurses who focus primarily
on behavioral interventions
b. A complex undertaking that advance practice psychiatric nurses
frequently use in their practice
,c. Important primarily for the nursing assessment of patients with brain
trauma caused cognitive symptoms
d. Necessary for planning psychiatric care for all patients especially
those experiencing psychiatric disorders - CORRECT ANSWER- d.
Necessary for planning psychiatric care for all patients especially
those experiencing psychiatric disorders
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 - CORRECT ANSWER- c. Stress does cause the
release of factors that suppress the immune system.
A patient who has a parietal lobe injury is being evaluated for
psychiatric rehabilitation needs. Of the aspects of functioning listed,
which will the nurse identify as a focus of nursing intervention?
a. Expression of emotion
b. Detecting auditory stimuli
c. Receiving visual images
d. Processing associations - CORRECT ANSWER- d. Processing
associations
At admission, the nurse learns that some time ago the patient had an
infarct in the right cerebral cortex. During assessment, the nurse
would expect to find that the patient:
a. Demonstrates major deficiencies in speech
b. Is unable to effectively hold a spoon in the left hand
c. Has difficulty explaining how to go about using the telephone
d. Cannot use his right hand to shave himself or comb his own -
CORRECT ANSWER- b. Is unable to effectively hold a spoon in the
left hand
, A patient with chronic schizophrenia had a stroke involving the
hippocampus. The patient will be discharged on low doses of
haloperidol. The nurse will need to individualize the patients
medication teaching by:
a. Including the patients caregiver in the education b. Being careful to
stress the importance of taking the medication as prescribed
c. Providing the education at a time when the patient is emotionally
calm and relaxed
d. Encouraging the patient to crush or dissolve the medication to help
with swallowing - CORRECT ANSWER- a. Including the patients
caregiver in the education
The physician tells the nurse, The medication Im prescribing for the
patient enhances the g-aminobutyric acid (GABA) system. Which
patient behavior will provide evidence that the medication therapy is
successful?
a. The patient is actively involved in playing cards with other patients.
b. The patient reports that, I don't feel as anxious as I did a couple of
days ago.
c. The patient reports that both auditory and visual hallucinations have
decreased.
d. The patient says that, I am much happier than before I came to the
hospital. - CORRECT ANSWER- b. The patient reports that, I don't
feel as anxious as I did a couple of days ago.
The patients family asks whether a diagnosis of Parkinsons disease
creates an increased risk for any mental health issues. What question
would the nurse ask to assess for such a comorbid condition?
a. Has your father exhibited any signs of depression? b. Does your
father seem to experience mood swings?
c. Have you noticed your father talking about seeing things you cant
see?
d. Is your dad preoccupied with behaviors that he needs to repeat
over and over? - CORRECT ANSWER- a. Has your father
exhibited any signs of depression?
100% CORRECT ANSWER
Which of the following would be the most effective intervention for a
depressed patient?
A. Establish one small goal to accomplish today.
B. Help the patient develop a goal to complete in the next month.
C. Encourage the patient to talk about recent failures in his or her life.
D. Let the patient guide what is the next best action. - CORRECT
ANSWER- A. Establish one small goal to accomplish today.
Which of the following is an important intervention for a patient taking
nortriptyline?
A. Make sure that CBC is ordered to monitor blood counts.
B. Monitor for anticholinergic side effects.
C. Ensure that the patients diet is gluten free.
D. Push fluids to prevent dehydration. - CORRECT ANSWER- B.
Monitor for anticholinergic side effects.
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. - CORRECT
ANSWER- B. Self-care deficit related to impaired ability to provide
personal hygiene.
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 - CORRECT ANSWER- C)
Neuroplasticity
A patient has experienced a stroke (cerebral vascular accident) that
has resulted in damage to the Broca area. Which evaluation does the
nurse conduct to reinforce this diagnosis?
a. Observing the patient pick up a spoon
b. Asking the patient to recite the alphabet
c. Monitoring the patients blood pressure
d. Comparing the patients grip strength in both - CORRECT
ANSWER- b. Asking the patient to recite the alphabet
The patient diagnosed with schizophrenia asks why psychotropic
medications are always prescribed by the doctor. The nurses answer
will be based on information that the therapeutic action of psychotropic
drugs is the result of their effect on:
a. The temporal lobe; especially Wernickes area
b. Dendrites and their ability to transmit electrical impulses
c. The regulation of neurotransmitters especially dopamine
d. The peripheral nervous system sensitivity to the psychotropic
medications - CORRECT ANSWER- c. The regulation of
neurotransmitters especially dopamine
A student nurse mutters that it seems entirely unnecessary to have to
struggle with understanding the anatomy and physiology of the
neurologic system. The mentor would base a response on the
understanding that it is:
a. Necessary but generally for psychiatric nurses who focus primarily
on behavioral interventions
b. A complex undertaking that advance practice psychiatric nurses
frequently use in their practice
,c. Important primarily for the nursing assessment of patients with brain
trauma caused cognitive symptoms
d. Necessary for planning psychiatric care for all patients especially
those experiencing psychiatric disorders - CORRECT ANSWER- d.
Necessary for planning psychiatric care for all patients especially
those experiencing psychiatric disorders
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 - CORRECT ANSWER- c. Stress does cause the
release of factors that suppress the immune system.
A patient who has a parietal lobe injury is being evaluated for
psychiatric rehabilitation needs. Of the aspects of functioning listed,
which will the nurse identify as a focus of nursing intervention?
a. Expression of emotion
b. Detecting auditory stimuli
c. Receiving visual images
d. Processing associations - CORRECT ANSWER- d. Processing
associations
At admission, the nurse learns that some time ago the patient had an
infarct in the right cerebral cortex. During assessment, the nurse
would expect to find that the patient:
a. Demonstrates major deficiencies in speech
b. Is unable to effectively hold a spoon in the left hand
c. Has difficulty explaining how to go about using the telephone
d. Cannot use his right hand to shave himself or comb his own -
CORRECT ANSWER- b. Is unable to effectively hold a spoon in the
left hand
, A patient with chronic schizophrenia had a stroke involving the
hippocampus. The patient will be discharged on low doses of
haloperidol. The nurse will need to individualize the patients
medication teaching by:
a. Including the patients caregiver in the education b. Being careful to
stress the importance of taking the medication as prescribed
c. Providing the education at a time when the patient is emotionally
calm and relaxed
d. Encouraging the patient to crush or dissolve the medication to help
with swallowing - CORRECT ANSWER- a. Including the patients
caregiver in the education
The physician tells the nurse, The medication Im prescribing for the
patient enhances the g-aminobutyric acid (GABA) system. Which
patient behavior will provide evidence that the medication therapy is
successful?
a. The patient is actively involved in playing cards with other patients.
b. The patient reports that, I don't feel as anxious as I did a couple of
days ago.
c. The patient reports that both auditory and visual hallucinations have
decreased.
d. The patient says that, I am much happier than before I came to the
hospital. - CORRECT ANSWER- b. The patient reports that, I don't
feel as anxious as I did a couple of days ago.
The patients family asks whether a diagnosis of Parkinsons disease
creates an increased risk for any mental health issues. What question
would the nurse ask to assess for such a comorbid condition?
a. Has your father exhibited any signs of depression? b. Does your
father seem to experience mood swings?
c. Have you noticed your father talking about seeing things you cant
see?
d. Is your dad preoccupied with behaviors that he needs to repeat
over and over? - CORRECT ANSWER- a. Has your father
exhibited any signs of depression?
