, Chapter 1: Neural Sciences
n n n
Test Bank MULTIPLE CHOICE
n n n n
1. A patient with depression mentions to the nurse, My mother says depression is a chemical
n n n n n n n n n n n n n n
disorder. What does she mean? The nurses response is based on the theory that depression
n n n n n n n n n n n n n n n
primarily involves which of the following neurotransmitters?
n n n n n n n
1. Cortisol and GABA n n
2. COMT and glutamate n n
3. Monamine and glycine n n
4. Serotonin and norepinephrine n n
2. A patient has experienced a stroke (cerebral vascular accident) that has resulted in
n n n n n n n n n n n n
damage to the Broca area. Which evaluation does the nurse conduct to reinforce
n n n n n n n n n n n n n
this diagnosis?
n n
1. Observing the patient pick up a spoon n n n n n n
2. Asking the patient to recite the alphabet
n n n n n n
3. Monitoring the patients blood pressure n n n n
4. Comparing the patients grip strength in both hands n n n n n n n
3. The patient diagnosed with schizophrenia asks why psychotropic medications are always
n n n n n n n n n n
prescribed by the doctor. The nurses answer will be based on information that the
n n n n n n n n n n n n n n
therapeutic action of psychotropic drugs is the result of their effect on:
n n n n n n n n n n n n
1. The temporal lobe; especially Wernickes area
n n n n n
2. Dendrites and their ability to transmit electrical impulses
n n n n n n n
3. The regulation of neurotransmitters especially dopamine
n n n n n
4. The peripheral nervous system sensitivity to the psychotropic medications
n n n n n n n n
4. A student nurse mutters that it seems entirely unnecessary to have to struggle with
n n n n n n n n n n n n n
understanding the anatomy and physiology of the neurologic system. The mentor would base
n n n n n n n n n n n n n
a response on the understanding that it is:
n n n n n n n n
1. Necessary but generally for psychiatric nurses who focus primarily on behavioral
n n n n n n n n n n
interventions
n
,1. A complex undertaking that advance practice psychiatric nurses frequently use in their
n n n n n n n n n n n
npractice
1. Important primarily for the nursing assessment of patients with brain traumacaused
n n n n n n n n n n
ncognitive symptoms n
1. Necessary for planning psychiatric care for all patients especially those
n n n n n n n n n
experiencing psychiatric disorders
n n n
5. A patient asks the nurse, My wife has breast cancer. Could it be caused by her chronic
n n n n n n n n n n n n n n n n
depression? Which response is supported by research data? 1. Too much stress has
n n n n n n n n n n n n n
been proven to cause all kinds of cancer.
n n n n n n n n
2. There have been no research studies done on stress and disease yet.
n n n n n n n n n n n
3. Stress does cause the release of factors that suppress the immune system.
n n n n n n n n n n n
4. There appears to be little connection between stress and diseases of the body
n n n n n n n n n n n n
6. A patient who has a parietal lobe injury is being evaluated for psychiatric rehabilitation
n n n n n n n n n n n n n
needs.
n
Of the aspects of functioning listed, which will the nurse identify as a focus of nursing
n n n n n n n n n n n n n n n
intervention?
n
1. Expression of emotion n n
2. Detecting auditory stimuli n n
3. Receiving visual images n n
4. Processing associations n
7. At admission, the nurse learns that some time ago the patient had an infarct in the right
n n n n n n n n n n n n n n n n
cerebral cortex. During assessment, the nurse would expect to find that the patient:
n n n n n n n n n n n n n
1. Demonstrates major deficiencies in speech n n n n
2. Is unable to effectively hold a spoon in the left hand
n n n n n n n n n n
3. Has difficulty explaining how to go about using the telephone
n n n n n n n n n
8. A patient with chronic schizophrenia had a stroke involving the hippocampus. The
n n n n n n n n n n n
npatient will be discharged on low doses of haloperidol. The nurse will need to
n n n n n n n n n n n n n
individualize the patients medication teaching by:
n n n n n n
1. Including the patients caregiver in the education n n n n n n
2. Being careful to stress the importance of taking the medication as prescribed 3.
n n n n n n n n n n n n
Providing the education at a time when the patient is emotionally calm n n n n n n n n n n n
and relaxed n n
1. Encouraging the patient to crush or dissolve the medication to help with
n n n n n n n n n n n
swallowing
n
, 9. The physician tells the nurse, The medication Im prescribing for the patient enhances the
n n n n n n n n n n n n n
gaminobutyric acid (GABA) system. Which patient behavior will provide evidence that the
n n n n n n n n n n n n
medication therapy is successful?
n n n n
1. The patient is actively involved in playing cards with other patients.
n n n n n n n n n n
2. The patient reports that, I dont feel as anxious as I did a couple of days ago.
n n n n n n n n n n n n n n n n
3. The patient reports that both auditory and visual hallucinations have decreased.
n n n n n n n n n n
4. The patient says that, I am much happier than before I came to the hospital.
n n n n n n n n n n n n n n
10. The patients family asks whether a diagnosis of Parkinsons disease creates an increased
n n n n n n n n n n n n
risk for any mental health issues. What question would the nurse ask to assess for such a
n n n n n n n n n n n n n n n n n
comorbid condition?
n n
1. Has your father exhibited any signs of depression?
n n n n n n n
2. Does your father seem to experience mood swings?
n n n n n n n
3. Have you noticed your father talking about seeing things you cant see?
n n n n n n n n n n n
4. Is your dad preoccupied with behaviors that he needs to repeat over and over?
n n n n n n n n n n n n n
11. Which explanation for the prescription of donepezil (Aricept) would the nurse provide for a
n n n n n n n n n n n n n
patient in the early stage of Alzheimers disease?
n n n n n n n n
1. It will increase the metabolism of excess GABA.
n n n n n n n
2. Excess dopamine will be prevented from attaching to receptor sites.
n n n n n n n n n
3. Serotonin deficiency will be managed through a prolonged reuptake period.
n n n n n n n n n
4. The acetylcholine deficiency will be managed by inhibiting cholinesterase.
n n n n n n n n
12. There remains a stigma attached to psychiatric illnesses. The psychiatric nurse makes the
n n n n n n n n n n n n
greatest impact on this sociological problem when:
n n n n n n n
1. Providing educational programming for patients and the public n n n n n n n
2. Arranging for adequate and appropriate social support for the patientn n n n n n n n n
3. Assisting the patient to achieve the maximum level of independent functioning 4.
n n n n n n n n n n n
Regularly praising the patient for seeking and complying with n n n n n n n n
appropriate treatment
n n
13. The wife of a patient with paranoid schizophrenia tells the nurse, Ive learned that my
n n n n n n n n n n n n n n
husband has several close relatives with the same disorder. Does this problem run in
n n n n n n n n n n n n n n
families? The response based on recent discoveries in the field of genetics would be:
n n n n n n n n n n n n n n
1. Your children should be monitored closely for the disorder.
n n n n n n n n
2. Research tends to support a familiar tendency to schizophrenia.
n n n n n n n n
3. There is no concrete evidence; it is just as likely a coincidence.
n n n n n n n n n n n
4. Only bipolar disorder has been identified to have a genetic component.
n n n n n n n n n n
14. A patient whose symptoms of mild depression have been managed with antidepressants is
n n n n n n n n n n n n
concerned about the affect of accepting a promotion that will require working the night
n n n n n n n n n n n n n n
shift. What will be the basis of the response the nurse gives to address the patients concern?
n n n n n n n n n n n n n n n n n
n n n
Test Bank MULTIPLE CHOICE
n n n n
1. A patient with depression mentions to the nurse, My mother says depression is a chemical
n n n n n n n n n n n n n n
disorder. What does she mean? The nurses response is based on the theory that depression
n n n n n n n n n n n n n n n
primarily involves which of the following neurotransmitters?
n n n n n n n
1. Cortisol and GABA n n
2. COMT and glutamate n n
3. Monamine and glycine n n
4. Serotonin and norepinephrine n n
2. A patient has experienced a stroke (cerebral vascular accident) that has resulted in
n n n n n n n n n n n n
damage to the Broca area. Which evaluation does the nurse conduct to reinforce
n n n n n n n n n n n n n
this diagnosis?
n n
1. Observing the patient pick up a spoon n n n n n n
2. Asking the patient to recite the alphabet
n n n n n n
3. Monitoring the patients blood pressure n n n n
4. Comparing the patients grip strength in both hands n n n n n n n
3. The patient diagnosed with schizophrenia asks why psychotropic medications are always
n n n n n n n n n n
prescribed by the doctor. The nurses answer will be based on information that the
n n n n n n n n n n n n n n
therapeutic action of psychotropic drugs is the result of their effect on:
n n n n n n n n n n n n
1. The temporal lobe; especially Wernickes area
n n n n n
2. Dendrites and their ability to transmit electrical impulses
n n n n n n n
3. The regulation of neurotransmitters especially dopamine
n n n n n
4. The peripheral nervous system sensitivity to the psychotropic medications
n n n n n n n n
4. A student nurse mutters that it seems entirely unnecessary to have to struggle with
n n n n n n n n n n n n n
understanding the anatomy and physiology of the neurologic system. The mentor would base
n n n n n n n n n n n n n
a response on the understanding that it is:
n n n n n n n n
1. Necessary but generally for psychiatric nurses who focus primarily on behavioral
n n n n n n n n n n
interventions
n
,1. A complex undertaking that advance practice psychiatric nurses frequently use in their
n n n n n n n n n n n
npractice
1. Important primarily for the nursing assessment of patients with brain traumacaused
n n n n n n n n n n
ncognitive symptoms n
1. Necessary for planning psychiatric care for all patients especially those
n n n n n n n n n
experiencing psychiatric disorders
n n n
5. A patient asks the nurse, My wife has breast cancer. Could it be caused by her chronic
n n n n n n n n n n n n n n n n
depression? Which response is supported by research data? 1. Too much stress has
n n n n n n n n n n n n n
been proven to cause all kinds of cancer.
n n n n n n n n
2. There have been no research studies done on stress and disease yet.
n n n n n n n n n n n
3. Stress does cause the release of factors that suppress the immune system.
n n n n n n n n n n n
4. There appears to be little connection between stress and diseases of the body
n n n n n n n n n n n n
6. A patient who has a parietal lobe injury is being evaluated for psychiatric rehabilitation
n n n n n n n n n n n n n
needs.
n
Of the aspects of functioning listed, which will the nurse identify as a focus of nursing
n n n n n n n n n n n n n n n
intervention?
n
1. Expression of emotion n n
2. Detecting auditory stimuli n n
3. Receiving visual images n n
4. Processing associations n
7. At admission, the nurse learns that some time ago the patient had an infarct in the right
n n n n n n n n n n n n n n n n
cerebral cortex. During assessment, the nurse would expect to find that the patient:
n n n n n n n n n n n n n
1. Demonstrates major deficiencies in speech n n n n
2. Is unable to effectively hold a spoon in the left hand
n n n n n n n n n n
3. Has difficulty explaining how to go about using the telephone
n n n n n n n n n
8. A patient with chronic schizophrenia had a stroke involving the hippocampus. The
n n n n n n n n n n n
npatient will be discharged on low doses of haloperidol. The nurse will need to
n n n n n n n n n n n n n
individualize the patients medication teaching by:
n n n n n n
1. Including the patients caregiver in the education n n n n n n
2. Being careful to stress the importance of taking the medication as prescribed 3.
n n n n n n n n n n n n
Providing the education at a time when the patient is emotionally calm n n n n n n n n n n n
and relaxed n n
1. Encouraging the patient to crush or dissolve the medication to help with
n n n n n n n n n n n
swallowing
n
, 9. The physician tells the nurse, The medication Im prescribing for the patient enhances the
n n n n n n n n n n n n n
gaminobutyric acid (GABA) system. Which patient behavior will provide evidence that the
n n n n n n n n n n n n
medication therapy is successful?
n n n n
1. The patient is actively involved in playing cards with other patients.
n n n n n n n n n n
2. The patient reports that, I dont feel as anxious as I did a couple of days ago.
n n n n n n n n n n n n n n n n
3. The patient reports that both auditory and visual hallucinations have decreased.
n n n n n n n n n n
4. The patient says that, I am much happier than before I came to the hospital.
n n n n n n n n n n n n n n
10. The patients family asks whether a diagnosis of Parkinsons disease creates an increased
n n n n n n n n n n n n
risk for any mental health issues. What question would the nurse ask to assess for such a
n n n n n n n n n n n n n n n n n
comorbid condition?
n n
1. Has your father exhibited any signs of depression?
n n n n n n n
2. Does your father seem to experience mood swings?
n n n n n n n
3. Have you noticed your father talking about seeing things you cant see?
n n n n n n n n n n n
4. Is your dad preoccupied with behaviors that he needs to repeat over and over?
n n n n n n n n n n n n n
11. Which explanation for the prescription of donepezil (Aricept) would the nurse provide for a
n n n n n n n n n n n n n
patient in the early stage of Alzheimers disease?
n n n n n n n n
1. It will increase the metabolism of excess GABA.
n n n n n n n
2. Excess dopamine will be prevented from attaching to receptor sites.
n n n n n n n n n
3. Serotonin deficiency will be managed through a prolonged reuptake period.
n n n n n n n n n
4. The acetylcholine deficiency will be managed by inhibiting cholinesterase.
n n n n n n n n
12. There remains a stigma attached to psychiatric illnesses. The psychiatric nurse makes the
n n n n n n n n n n n n
greatest impact on this sociological problem when:
n n n n n n n
1. Providing educational programming for patients and the public n n n n n n n
2. Arranging for adequate and appropriate social support for the patientn n n n n n n n n
3. Assisting the patient to achieve the maximum level of independent functioning 4.
n n n n n n n n n n n
Regularly praising the patient for seeking and complying with n n n n n n n n
appropriate treatment
n n
13. The wife of a patient with paranoid schizophrenia tells the nurse, Ive learned that my
n n n n n n n n n n n n n n
husband has several close relatives with the same disorder. Does this problem run in
n n n n n n n n n n n n n n
families? The response based on recent discoveries in the field of genetics would be:
n n n n n n n n n n n n n n
1. Your children should be monitored closely for the disorder.
n n n n n n n n
2. Research tends to support a familiar tendency to schizophrenia.
n n n n n n n n
3. There is no concrete evidence; it is just as likely a coincidence.
n n n n n n n n n n n
4. Only bipolar disorder has been identified to have a genetic component.
n n n n n n n n n n
14. A patient whose symptoms of mild depression have been managed with antidepressants is
n n n n n n n n n n n n
concerned about the affect of accepting a promotion that will require working the night
n n n n n n n n n n n n n n
shift. What will be the basis of the response the nurse gives to address the patients concern?
n n n n n n n n n n n n n n n n n
