NR326 EXAM TESTBANK WITH
255 QUESTIONS AND CORRECT
ANSWERS VERIFIED AND GRADED
A+
A patient has been prescribed a selective serotonin reuptake inhibitor (SSRI)
antidepressant. After taking the new medication, the patient states, "This
medication isn't working. I don't feel any different." What is the best
response by the nurse?
"It usually takes a few weeks for you to notice improvement from this
medication."
- Seeing a response to antidepressants takes 3 to 6 weeks
A patient coming to the health clinic for a blood pressure check reports to the
nurse that she just does not have the energy to go out much in winter but
looks forward to gardening in summer. The nurse realizes that this patient is
describing a major symptom of what condition?
Seasonal affective disorder
seasonal affective disorder
Decreased exposure to sunlight in winter months can reduce the production
of serotonin in the brain, leading to a type of depression
- tends to resolve with the longer days and increased exposure to sun of
spring and summer
,When the nurse asks whether a client is having any thoughts of suicide, the
client becomes angry and defensive, shouting, "I'm sick of you people! Are
you ever do is ask me the same question over and over. Get out of here!"
The nurse's response is based on what fact concerning hostility?
The client may be at high risk for self-harm.
- Overt hostility is highly correlated with suicide; therefore the patient may
be considered high risk, and appropriate precautions should be taken
What is the major reason for the hospitalization of a depressed patient?
Suicidal ideation
A client prescribed fluoxetine demonstrates an understanding of the
medication teaching when making which statement?
"I will report any symptoms of high fever, fast heartbeat, or abdominal pain
to my provider right away."
- This describes symptoms of serotonin syndrome
serotonin syndrome
life-threatening complication of SRRI medication
- high fever, fast heartbeat, or abdominal pain
,A 38-year-old patient is admitted with major depression. Which statement
made by the patient alerts the nurse to a common accompaniment to
depression?
"I still feel bad about my sister dying of cancer. I should have done more for
her!"
- Guilt is a common accompaniment to depression
- A person may ruminate over present or past failings
Which of the following would be assessed as a negative symptom of
schizophrenia?
Anhedonia
Negative symptoms
refer to deficits that characterize schizophrenia
- crippling symptoms of:
- affective blunting (lack of facial expression)
- anergia (lack of energy)
- anhedonia (inability to experience happiness)
- avolition (lack of motivation)
- poverty of content of speech
- poverty of speech
- thought blocking
, Schizophrenia is best characterized as presenting which personality trait?
Deteriorating
- The course of schizophrenia is marked by recurrent acute exacerbations
- With each relapse of psychosis, an increase in residual dysfunction and
deterioration occurs
Which side effect of antipsychotic medication is generally nonreversible?
Tardive dyskinesia
- no proven cure
Currently what is understood to be the causation of schizophrenia?
A combination of inherited and nongenetic factors
- a combination of inherited genetic factors and extreme nongenetic factors
(e.g., viral infection, birth injuries, nutritional factors) that can affect the
genes governing the brain or directly injure the brain
The most common course of schizophrenia is an initial episode followed by
what course of events?
Recurrent acute exacerbations and deterioration
- marked by an initial episode followed by recurrent acute exacerbations
255 QUESTIONS AND CORRECT
ANSWERS VERIFIED AND GRADED
A+
A patient has been prescribed a selective serotonin reuptake inhibitor (SSRI)
antidepressant. After taking the new medication, the patient states, "This
medication isn't working. I don't feel any different." What is the best
response by the nurse?
"It usually takes a few weeks for you to notice improvement from this
medication."
- Seeing a response to antidepressants takes 3 to 6 weeks
A patient coming to the health clinic for a blood pressure check reports to the
nurse that she just does not have the energy to go out much in winter but
looks forward to gardening in summer. The nurse realizes that this patient is
describing a major symptom of what condition?
Seasonal affective disorder
seasonal affective disorder
Decreased exposure to sunlight in winter months can reduce the production
of serotonin in the brain, leading to a type of depression
- tends to resolve with the longer days and increased exposure to sun of
spring and summer
,When the nurse asks whether a client is having any thoughts of suicide, the
client becomes angry and defensive, shouting, "I'm sick of you people! Are
you ever do is ask me the same question over and over. Get out of here!"
The nurse's response is based on what fact concerning hostility?
The client may be at high risk for self-harm.
- Overt hostility is highly correlated with suicide; therefore the patient may
be considered high risk, and appropriate precautions should be taken
What is the major reason for the hospitalization of a depressed patient?
Suicidal ideation
A client prescribed fluoxetine demonstrates an understanding of the
medication teaching when making which statement?
"I will report any symptoms of high fever, fast heartbeat, or abdominal pain
to my provider right away."
- This describes symptoms of serotonin syndrome
serotonin syndrome
life-threatening complication of SRRI medication
- high fever, fast heartbeat, or abdominal pain
,A 38-year-old patient is admitted with major depression. Which statement
made by the patient alerts the nurse to a common accompaniment to
depression?
"I still feel bad about my sister dying of cancer. I should have done more for
her!"
- Guilt is a common accompaniment to depression
- A person may ruminate over present or past failings
Which of the following would be assessed as a negative symptom of
schizophrenia?
Anhedonia
Negative symptoms
refer to deficits that characterize schizophrenia
- crippling symptoms of:
- affective blunting (lack of facial expression)
- anergia (lack of energy)
- anhedonia (inability to experience happiness)
- avolition (lack of motivation)
- poverty of content of speech
- poverty of speech
- thought blocking
, Schizophrenia is best characterized as presenting which personality trait?
Deteriorating
- The course of schizophrenia is marked by recurrent acute exacerbations
- With each relapse of psychosis, an increase in residual dysfunction and
deterioration occurs
Which side effect of antipsychotic medication is generally nonreversible?
Tardive dyskinesia
- no proven cure
Currently what is understood to be the causation of schizophrenia?
A combination of inherited and nongenetic factors
- a combination of inherited genetic factors and extreme nongenetic factors
(e.g., viral infection, birth injuries, nutritional factors) that can affect the
genes governing the brain or directly injure the brain
The most common course of schizophrenia is an initial episode followed by
what course of events?
Recurrent acute exacerbations and deterioration
- marked by an initial episode followed by recurrent acute exacerbations
