with Elaborate Answers Already
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1. The nurse is discouraged because the patient exhibiting negative symptoms
of schizophrenia has shown no improvement with the planned interventions
to reduce the symptoms. The mentors remark that helps place the problem in
perspective is:
a. You aren't responsible for the behavior of any other person.
b. Patients can be perverse and cling to symptoms despite our efforts.
c. Negative symptoms have been associated with genetic pathology.
d. It will take several trail and error attempts to get the right combination
- ANSWER c. Negative symptoms have been associated with genetic
pathology.
2. The somatic nervous system provides sensory and motor innervation for:
A) peripheral nerves.
B) abdominal viscera.
C) secretory glands.
D) smooth muscle. - ANSWER A) peripheral nerves.
3. The proteins and other materials used by the axon are synthesized and then
flow down the axon through its cytoplasm.
A) in the cell body
B) by Nissl bodies
C) through dendrites
D) across synapses - ANSWER A) in the cell body
4. Supporting cells of the nervous system, such as Schwann cells, satellite
cells, and types of glial cells, function to provide neurons with:
, A) local protection.
B) control functions.
C) membrane permeability.
D) integrative metabolism. - ANSWER A) local protection.
5. Neurons are characterized by the ability to communicate with other neurons
and body cells through:
A) astrocytes.
B) axon hillocks.
C) nodes of Ranvier.
D) action potentials. - ANSWER D) action potentials.
6. Chemical synapses rely on in order to provide communication between
neurons.
A) diffusion
B) gap junctions
C) satellite cells
D) transmitter molecules - ANSWER D) transmitter molecules
7. The blood-brain and CSF-brain barriers control the chemical environment of
the brain by allowing easy entrance to only a few chemicals that include:
A) oxygen.
B) protein.
C) glutamate.
D) potassium. - ANSWER A) oxygen.
8. Which assessment observation supports a patients diagnosis of disorganized
schizophrenia?
a. Reports suicidal ideations
b. Last relapse was 6 years ago
c. Consistent inappropriate laughing
d. Believes that the government is out to get me - ANSWER c.
Consistent inappropriate laughing
,9. What response would be anticipated when a patient who received
chlorpromazine (Thorazine) for 15 years to treat schizophrenia is switched
to Seroquel (quetiapine)?
a. Development of pseudoparkinsonism
b. Development of dystonic reactions
c. Improvement in tardive dyskinesia
d. Worsening of anticholinergic symptoms - ANSWER c. Improvement
in tardive dyskinesia
10.A patient admitted with the diagnosis of schizophreniform disorder R/O
organic pathology. Based on this information, the nurse can expect that the
patient will:
a. Be scheduled for a magnetic resonance imaging (MRI) test
b. See a mental health specialist for extensive psychological testing
c. Have an immunologic assay performed within 2 days of the admission
d. Participate in a dexamethasone suppression test (DST) administered
by the staff - ANSWER a. Be scheduled for a magnetic resonance
imaging (MRI) test
11.In planning aftercare for a patient with schizophrenia and whose insurance
benefits have been exhausted, the nurse who is concerned about overcoming
negative symptoms will make provisions for the patient to have stimulation,
structure, socialization, and support. Which option would best incorporate
these factors?
a. Day hospitalization
b. Attending a psychosocial club
c. Living with his elderly mother
d. Spending free time in the mall - ANSWER b. Attending a
psychosocial club
12.A patient with depression mentions to the nurse, My mother says depression
is a chemical disorder. What does she mean? The nurses response is based
, on the theory that depression primarily involves which of the following
neurotransmitters?
a. Cortisol and GABA
b. COMT and glutamate
c. Monamine and glycine
d. Serotonin and norepinephrine - ANSWER d. Serotonin and
norepinephrine
13.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 - ANSWER b. Asking
the patient to recite the alphabet
14.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 - 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