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Quiz: 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
Ans: d. Serotonin and norepinephrine
Quiz: 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
Ans: b. Asking the patient to recite the alphabet
Quiz: 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
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, 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
Ans: c. The regulation of neurotransmitters especially dopamine
Quiz: 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
b. A complex undertaking that advance practice psychiatric nurses frequently use in their
practice
c. Important primarily for the nursing assessment of patients with brain trauma caused
cognitive symptoms
d. Necessary for planning psychiatric care for all patients especially those experiencing
psychiatric disorders
Ans: d. Necessary for planning psychiatric care for all patients especially those
experiencing psychiatric disorders
Quiz: 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?
a. Too much stress has been proven to cause all kinds of cancer.
b. There have been no research studies done on stress and disease yet.
c. Stress does cause the release of factors that suppress the immune system.
d. There appears to be little connection between stress and diseases of the body
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, Ans: c. Stress does cause the release of factors that suppress the immune system.
Quiz: 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?
a. Expression of emotion
b. Detecting auditory stimuli
c. Receiving visual images
d. Processing associations
Ans: d. Processing associations
Quiz: 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:
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 telephone
d. Cannot use his right hand to shave himself or comb his own
Ans: b. Is unable to effectively hold a spoon in the left hand
Quiz: 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:
a. Including the patients caregiver in the education b. Being careful to stress the importance
of taking the medication as prescribed
c. Providing the education at a time when the patient is emotionally calm and relaxed
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, d. Encouraging the patient to crush or dissolve the medication to help with swallowing
Ans: a. Including the patients caregiver in the education
Quiz: The physician tells the nurse, The medication Im prescribing for the patient enhances
the g-aminobutyric acid (GABA) system. Which patient behavior will provide evidence that
the medication therapy is successful?
a. The patient is actively involved in playing cards with other patients.
b. The patient reports that, I don't feel as anxious as I did a couple of days ago.
c. The patient reports that both auditory and visual hallucinations have decreased.
d. The patient says that, I am much happier than before I came to the hospital.
Ans: b. The patient reports that, I don't feel as anxious as I did a couple of days ago.
Quiz: The patients family asks whether a diagnosis of Parkinsons disease creates an
increased risk for any mental health issues. What question would the nurse ask to assess for
such a comorbid condition?
a. Has your father exhibited any signs of depression? b. Does your father seem to
experience mood swings?
c. Have you noticed your father talking about seeing things you cant see?
d. Is your dad preoccupied with behaviors that he needs to repeat over and over?
Ans: a. Has your father exhibited any signs of depression?
Quiz: Which explanation for the prescription of donepezil (Aricept) would the nurse
provide for a patient in the early stage of Alzheimers disease?
a. It will increase the metabolism of excess GABA.
b. Excess dopamine will be prevented from attaching to receptor sites.
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