NU 345 - Exam 1 Questions With Correct
Answers
On |the |basis |of |the |current |understanding |of |neurotransmitters, |what |does |the |nurse |view |as |
playing |a |role |in |a |patient's |symptoms |of |profound |depression?
a)increased |dopamine |level.
b)decreased |serotonin |level.
c)increased |norepinephrine |level.
d)decreased |acetylcholine |level. |- |CORRECT |ANSWER✔✔-b)decreased |serotonin |level.
The |medication |prescribed |for |a |client |acts |by |blocking |reuptake |of |both |serotonin |and |
norepinephrine. |What |behavior |by |the |patient |would |indicate |that |the |treatment |is |
successful?
a)laughing |at |a |joke.
b)exercising |a |sore |shoulder.
c)writing |down |his |telephone |number.
d)going |to |his |room |to |"calm |down." |- |CORRECT |ANSWER✔✔-a)laughing |at |a |joke.
The |nurse |caring |for |a |client |prescribed |an |antipsychotic |medication |that |blocks |acetylcholine. |
Based |on |this |information, |what |side |effects |will |the |nurse |assess |for?
a)sedation, |drowsiness, |hypotension, |and |weight |gain.
b)orthostatic |hypotension |and |memory |dysfunction.
,c)blurred |vision, |dry |mouth, |and |constipation.
d)tremors, |tachycardia, |and |ejaculatory |dysfunction. |- |CORRECT |ANSWER✔✔-c)blurred |vision, |
dry |mouth, |and |constipation.
The |nurse |is |caring |for |a |patient |who |is |prescribed |an |antidepressant |that |is |a |monoamine |
inhibitor |(MAOI). |The |nurse |is |providing |nutrition |education. |What |food |restrictions |will |the |
nurse |discuss?
a)white |flour, |gluten |products
b)Nuts, |especially |tree |nuts
c)whole |milk |and |dairy |products
d)Aged |cheeses, |smoked |fish |- |CORRECT |ANSWER✔✔-d)Aged |cheeses, |smoked |fish
The |nurse |caring |for |a |client |recently |precribed |a |second |generation |antipsychotic, |risperidone
|(Risperidal)? |What |side |effect |should |the |nurse |observe |the |client |carefully |for?
a)a |weight |gain
b)reports |of |falls
c)a |rapid |heartbeat
d)poor |urinary |output |- |CORRECT |ANSWER✔✔-b)reports |of |falls
The |patient's |wife |asks |the |nurse |why |her |husband |has |had |problems |with |involuntary |
movements |since |being |prescribed |a |first |generation |antipyschotic |medication, |Haldol |
(Haloperidol). |What |is |the |best |response |of |the |nurse?
a)"This |is |all |part |of |the |agitation |that |the |medication |is |prescribed |to |treat."
b)"This |has |to |do |with |the |stimulant |effects |of |Haldol."
c)"This |medication |blocks |a |neurotransmitter |that |is |involved |in |involuntary |movement."
, d)"This |medication |can |cause |seizure-like |activity." |- |CORRECT |ANSWER✔✔-c)"This |medication
|blocks |a |neurotransmitter |that |is |involved |in |involuntary |movement."
The |nurse |is |developing |the |plan |of |care |for |a |patient |prescribed |clonazepam |(Klonopin). |What
|outcome |measure |would |indicate |that |the |treatment |is |effective?
a)less |anxiety.
b)normal |appetite.
c)improved |sleep |pattern.
d)reduced |auditory |hallucinations. |- |CORRECT |ANSWER✔✔-a)less |anxiety.
The |nurse |administers |a |medication |that |potentiates |the |action |of |ã-aminobutyric |acid |(GABA).
|Which |effect |would |be |expected?
a)Reduced |anxiety |
b)Improved |memory
c)More |organized |thinking
d)Fewer |sensory |perceptual |alterations |- |CORRECT |ANSWER✔✔-a)Reduced |anxiety
The |nurse |is |caring |for |a |patient |who |was |prescribed |Lithium. |The |patient |is |asking |the |nurse |
the |reason |for |such |frequent |blood |work |checking |the |Lithium |level. |What |is |the |nurse's |best |
response?
a)"Everyone |metabolizes |medications |differently |and |we |need |to |find |what |blood |level |of |the |
medication |works |best |for |you."
b)"This |is |a |relatively |new |medication |and |there |is |a |need |to |monitor |it's |effects |frequently."
c)"The |therapeutic |level |and |toxic |level |are |very |close, |so |the |blood |level |needs |to |be |
monitored."
Answers
On |the |basis |of |the |current |understanding |of |neurotransmitters, |what |does |the |nurse |view |as |
playing |a |role |in |a |patient's |symptoms |of |profound |depression?
a)increased |dopamine |level.
b)decreased |serotonin |level.
c)increased |norepinephrine |level.
d)decreased |acetylcholine |level. |- |CORRECT |ANSWER✔✔-b)decreased |serotonin |level.
The |medication |prescribed |for |a |client |acts |by |blocking |reuptake |of |both |serotonin |and |
norepinephrine. |What |behavior |by |the |patient |would |indicate |that |the |treatment |is |
successful?
a)laughing |at |a |joke.
b)exercising |a |sore |shoulder.
c)writing |down |his |telephone |number.
d)going |to |his |room |to |"calm |down." |- |CORRECT |ANSWER✔✔-a)laughing |at |a |joke.
The |nurse |caring |for |a |client |prescribed |an |antipsychotic |medication |that |blocks |acetylcholine. |
Based |on |this |information, |what |side |effects |will |the |nurse |assess |for?
a)sedation, |drowsiness, |hypotension, |and |weight |gain.
b)orthostatic |hypotension |and |memory |dysfunction.
,c)blurred |vision, |dry |mouth, |and |constipation.
d)tremors, |tachycardia, |and |ejaculatory |dysfunction. |- |CORRECT |ANSWER✔✔-c)blurred |vision, |
dry |mouth, |and |constipation.
The |nurse |is |caring |for |a |patient |who |is |prescribed |an |antidepressant |that |is |a |monoamine |
inhibitor |(MAOI). |The |nurse |is |providing |nutrition |education. |What |food |restrictions |will |the |
nurse |discuss?
a)white |flour, |gluten |products
b)Nuts, |especially |tree |nuts
c)whole |milk |and |dairy |products
d)Aged |cheeses, |smoked |fish |- |CORRECT |ANSWER✔✔-d)Aged |cheeses, |smoked |fish
The |nurse |caring |for |a |client |recently |precribed |a |second |generation |antipsychotic, |risperidone
|(Risperidal)? |What |side |effect |should |the |nurse |observe |the |client |carefully |for?
a)a |weight |gain
b)reports |of |falls
c)a |rapid |heartbeat
d)poor |urinary |output |- |CORRECT |ANSWER✔✔-b)reports |of |falls
The |patient's |wife |asks |the |nurse |why |her |husband |has |had |problems |with |involuntary |
movements |since |being |prescribed |a |first |generation |antipyschotic |medication, |Haldol |
(Haloperidol). |What |is |the |best |response |of |the |nurse?
a)"This |is |all |part |of |the |agitation |that |the |medication |is |prescribed |to |treat."
b)"This |has |to |do |with |the |stimulant |effects |of |Haldol."
c)"This |medication |blocks |a |neurotransmitter |that |is |involved |in |involuntary |movement."
, d)"This |medication |can |cause |seizure-like |activity." |- |CORRECT |ANSWER✔✔-c)"This |medication
|blocks |a |neurotransmitter |that |is |involved |in |involuntary |movement."
The |nurse |is |developing |the |plan |of |care |for |a |patient |prescribed |clonazepam |(Klonopin). |What
|outcome |measure |would |indicate |that |the |treatment |is |effective?
a)less |anxiety.
b)normal |appetite.
c)improved |sleep |pattern.
d)reduced |auditory |hallucinations. |- |CORRECT |ANSWER✔✔-a)less |anxiety.
The |nurse |administers |a |medication |that |potentiates |the |action |of |ã-aminobutyric |acid |(GABA).
|Which |effect |would |be |expected?
a)Reduced |anxiety |
b)Improved |memory
c)More |organized |thinking
d)Fewer |sensory |perceptual |alterations |- |CORRECT |ANSWER✔✔-a)Reduced |anxiety
The |nurse |is |caring |for |a |patient |who |was |prescribed |Lithium. |The |patient |is |asking |the |nurse |
the |reason |for |such |frequent |blood |work |checking |the |Lithium |level. |What |is |the |nurse's |best |
response?
a)"Everyone |metabolizes |medications |differently |and |we |need |to |find |what |blood |level |of |the |
medication |works |best |for |you."
b)"This |is |a |relatively |new |medication |and |there |is |a |need |to |monitor |it's |effects |frequently."
c)"The |therapeutic |level |and |toxic |level |are |very |close, |so |the |blood |level |needs |to |be |
monitored."
