NSG 552 Exam 1 ../ ../ ../
A patient with depression mentions to the nurse, My mother sa
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ys depression is a chemical disorder. What does she mean? The
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nurses response is based on the theory that depression primaril
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y involves which of the following neurotransmitters?
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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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correct answer d. Serotonin and norepinephrine
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A patient has experienced a stroke (cerebral vascular accident)
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that has resulted in damage to the Broca area. Which evaluatio
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n does 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 -
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correct answer b. Asking the patient to recite the alphabet
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,The patient diagnosed with schizophrenia asks why psychotropi
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c medications are always prescribed by the doctor. The nurses
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answer will be based on information that the therapeutic action
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of 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 -
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correct answer c. The regulation of neurotransmitters especiall
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y dopamine
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A student nurse mutters that it seems entirely unnecessary to ha
../ ../ ../ ../ ../ ../ ../ ../ ../ ../
ve to struggle with understanding the anatomy and physiology
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of the neurologic system. The mentor would base a response on
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the understanding that it is:
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a. Necessary but generally for psychiatric nurses who focus pri
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marily on behavioral interventions ../ ../ ../
b. A complex undertaking that advance practice psychiatric nur
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ses frequently use in their practice
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c. Important primarily for the nursing assessment of patients wi
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th brain trauma caused cognitive symptoms
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,d. Necessary for planning psychiatric care for all patients espec
../ ../ ../ ../ ../ ../ ../ ../ ../
ially those experiencing psychiatric disorders -
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correct answer d. Necessary for planning psychiatric care for a
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ll patients especially those experiencing psychiatric disorders
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A patient asks the nurse, My wife has breast cancer. Could it b
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e caused by her chronic depression? Which response is support
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ed by research data?
../ ../ ../ ../
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 disea
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se yet. ../ ../
c. Stress does cause the release of factors that suppress the im
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mune system. ../ ../
d. There appears to be little connection between stress and dise
../ ../ ../ ../ ../ ../ ../ ../ ../ ../
ases of the body - ../ ../ ../ ../
correct answer c. Stress does cause the release of factors that s
../ ../ ../ ../ ../ ../ ../ ../ ../ ../ ../ ../
uppress the immune system. ../ ../ ../
A patient who has a parietal lobe injury is being evaluated for
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psychiatric rehabilitation needs. Of the aspects of functioning li
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sted, which will the nurse identify as a focus of nursing interve
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ntion? ../
, 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 -
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correct answer d. Processing associations
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At admission, the nurse learns that some time ago the patient h
../ ../ ../ ../ ../ ../ ../ ../ ../ ../ ../
ad an infarct in the right cerebral cortex. During assessment, th
../ ../ ../ ../ ../ ../ ../ ../ ../ ../
e nurse would expect to find that the patient:
../ ../ ../ ../ ../ ../ ../ ../ ../
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 telephon
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e ../
d. Cannot use his right hand to shave himself or comb his own
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-
correct answer b. Is unable to effectively hold a spoon in the l
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eft hand ../
A patient with chronic schizophrenia had a stroke involving the
../ ../ ../ ../ ../ ../ ../ ../ ../ .
hippocampus. The patient will be discharged on low doses of h
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aloperidol. The nurse will need to individualize the patients me
../ ../ ../ ../ ../ ../ ../ ../ ../
dication teaching by: ../ ../ ../
A patient with depression mentions to the nurse, My mother sa
../ ../ ../ ../ ../ ../ ../ ../ ../ ../
ys depression is a chemical disorder. What does she mean? The
../ ../ ../ ../ ../ ../ ../ ../ ../ ../
nurses response is based on the theory that depression primaril
../ ../ ../ ../ ../ ../ ../ ../ ../ ../
y involves which of the following neurotransmitters?
../ ../ ../ ../ ../ ../ ../
a. Cortisol and GABA
../ ../ ../ ../
b. COMT and glutamate
../ ../ ../ ../
c. Monamine and glycine
../ ../ ../ ../
d. Serotonin and norepinephrine -
../ ../ ../ ../
correct answer d. Serotonin and norepinephrine
../ ../ ../ ../ ../ ../
A patient has experienced a stroke (cerebral vascular accident)
../ ../ ../ ../ ../ ../ ../ ../ ../
that has resulted in damage to the Broca area. Which evaluatio
../ ../ ../ ../ ../ ../ ../ ../ ../ ../
n 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 psychotropi
../ ../ ../ ../ ../ ../ ../
c 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 especiall
../ ../ ../ ../ ../ ../ ../ ../
y dopamine
../
A student nurse mutters that it seems entirely unnecessary to ha
../ ../ ../ ../ ../ ../ ../ ../ ../ ../
ve 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 pri
../ ../ ../ ../ ../ ../ ../ ../ ../
marily on behavioral interventions ../ ../ ../
b. A complex undertaking that advance practice psychiatric nur
../ ../ ../ ../ ../ ../ ../ ../
ses frequently use in their practice
../ ../ ../ ../ ../ ../
c. Important primarily for the nursing assessment of patients wi
../ ../ ../ ../ ../ ../ ../ ../ ../
th brain trauma caused cognitive symptoms
../ ../ ../ ../ ../ ../
,d. Necessary for planning psychiatric care for all patients espec
../ ../ ../ ../ ../ ../ ../ ../ ../
ially those experiencing psychiatric disorders -
../ ../ ../ ../ ../
correct answer d. Necessary for planning psychiatric care for a
../ ../ ../ ../ ../ ../ ../ ../ ../ ../
ll patients especially those experiencing psychiatric disorders
../ ../ ../ ../ ../ ../
A patient asks the nurse, My wife has breast cancer. Could it b
../ ../ ../ ../ ../ ../ ../ ../ ../ ../ ../ ../
e caused by her chronic depression? Which response is support
../ ../ ../ ../ ../ ../ ../ ../ ../
ed 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 disea
../ ../ ../ ../ ../ ../ ../ ../ ../ ../ ../
se yet. ../ ../
c. Stress does cause the release of factors that suppress the im
../ ../ ../ ../ ../ ../ ../ ../ ../ ../ ../
mune system. ../ ../
d. There appears to be little connection between stress and dise
../ ../ ../ ../ ../ ../ ../ ../ ../ ../
ases of the body - ../ ../ ../ ../
correct answer c. Stress does cause the release of factors that s
../ ../ ../ ../ ../ ../ ../ ../ ../ ../ ../ ../
uppress the immune system. ../ ../ ../
A patient who has a parietal lobe injury is being evaluated for
../ ../ ../ ../ ../ ../ ../ ../ ../ ../ ../ ../
psychiatric rehabilitation needs. Of the aspects of functioning li
../ ../ ../ ../ ../ ../ ../ ../
sted, which will the nurse identify as a focus of nursing interve
../ ../ ../ ../ ../ ../ ../ ../ ../ ../ ../
ntion? ../
, 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 h
../ ../ ../ ../ ../ ../ ../ ../ ../ ../ ../
ad an infarct in the right cerebral cortex. During assessment, th
../ ../ ../ ../ ../ ../ ../ ../ ../ ../
e 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 telephon
../ ../ ../ ../ ../ ../ ../ ../ ../ ../
e ../
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 l
../ ../ ../ ../ ../ ../ ../ ../ ../ ../ ../ ../ ../
eft hand ../
A patient with chronic schizophrenia had a stroke involving the
../ ../ ../ ../ ../ ../ ../ ../ ../ .
hippocampus. The patient will be discharged on low doses of h
./ ../ ../ ../ ../ ../ ../ ../ ../ ../ ../
aloperidol. The nurse will need to individualize the patients me
../ ../ ../ ../ ../ ../ ../ ../ ../
dication teaching by: ../ ../ ../
