,
,Chapter 1: Neural Sciences
Test Bank MULTIPLE CHOICE
1. 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?
1. Cortisol and GABA
2. COMT and glutamate
3. Monamine and glycine
4. Serotonin and norepinephrine
2. 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?
1. Observing the patient pick up a spoon
2. Asking the patient to recite the alphabet
3. Monitoring the patients blood pressure
4. Comparing the patients grip strength in both hands
3. 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:
1. The temporal lobe; especially Wernickes area
2. Dendrites and their ability to transmit electrical impulses
3. The regulation of neurotransmitters especially dopamine
4. The peripheral nervous system sensitivity to the psychotropic medications
4. 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:
1. Necessary but generally for psychiatric nurses who focus primarily on behavioral
interventions
, 1. A complex undertaking that advance practice psychiatric nurses frequently use in their
practice
1. Important primarily for the nursing assessment of patients with brain traumacaused
cognitive symptoms
1. Necessary for planning psychiatric care for all patients especially those
experiencing psychiatric disorders
5. 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? 1. Too much stress has been
proven to cause all kinds of cancer.
2. There have been no research studies done on stress and disease yet.
3. Stress does cause the release of factors that suppress the immune system.
4. There appears to be little connection between stress and diseases of the body
6. 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?
1. Expression of emotion
2. Detecting auditory stimuli
3. Receiving visual images
4. Processing associations
7. 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:
1. Demonstrates major deficiencies in speech
2. Is unable to effectively hold a spoon in the left hand
3. Has difficulty explaining how to go about using the telephone
8. 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:
1. Including the patients caregiver in the education
2. Being careful to stress the importance of taking the medication as prescribed 3.
Providing the education at a time when the patient is emotionally calm
and relaxed
1. Encouraging the patient to crush or dissolve the medication to help with
swallowing
,Chapter 1: Neural Sciences
Test Bank MULTIPLE CHOICE
1. 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?
1. Cortisol and GABA
2. COMT and glutamate
3. Monamine and glycine
4. Serotonin and norepinephrine
2. 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?
1. Observing the patient pick up a spoon
2. Asking the patient to recite the alphabet
3. Monitoring the patients blood pressure
4. Comparing the patients grip strength in both hands
3. 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:
1. The temporal lobe; especially Wernickes area
2. Dendrites and their ability to transmit electrical impulses
3. The regulation of neurotransmitters especially dopamine
4. The peripheral nervous system sensitivity to the psychotropic medications
4. 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:
1. Necessary but generally for psychiatric nurses who focus primarily on behavioral
interventions
, 1. A complex undertaking that advance practice psychiatric nurses frequently use in their
practice
1. Important primarily for the nursing assessment of patients with brain traumacaused
cognitive symptoms
1. Necessary for planning psychiatric care for all patients especially those
experiencing psychiatric disorders
5. 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? 1. Too much stress has been
proven to cause all kinds of cancer.
2. There have been no research studies done on stress and disease yet.
3. Stress does cause the release of factors that suppress the immune system.
4. There appears to be little connection between stress and diseases of the body
6. 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?
1. Expression of emotion
2. Detecting auditory stimuli
3. Receiving visual images
4. Processing associations
7. 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:
1. Demonstrates major deficiencies in speech
2. Is unable to effectively hold a spoon in the left hand
3. Has difficulty explaining how to go about using the telephone
8. 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:
1. Including the patients caregiver in the education
2. Being careful to stress the importance of taking the medication as prescribed 3.
Providing the education at a time when the patient is emotionally calm
and relaxed
1. Encouraging the patient to crush or dissolve the medication to help with
swallowing
