NSG 552 EXAM 1 PRACTICE QUESTIONS WITH
VERIFIED ANSWERS NEWLY MODIFIED TESTED
AND APPROVED GRADED A+ LATEST UPDATE
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 --CORRECT
ANSWER--b. Is unable to effectively hold a spoon in the left hand
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
d. Encouraging the patient to crush or dissolve the medication to help with
swallowing --CORRECT ANSWER--a. Including the patients caregiver in the
education
Page 1 of 54
,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. --
CORRECT ANSWER--b. The patient reports that, I don't feel as anxious as I
did a couple of days ago.
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?
--CORRECT ANSWER--a. Has your father exhibited any signs of depression?
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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,c. Serotonin deficiency will be managed through a prolonged reuptake period.
d. The acetylcholine deficiency will be managed by inhibiting cholinesterase. --
CORRECT ANSWER--d. The acetylcholine deficiency will be managed by
inhibiting cholinesterase.
There remains a stigma attached to psychiatric illnesses. The psychiatric nurse
makes the greatest impact on this sociological problem when:
a. Providing educational programming for patients and the public
b. Arranging for adequate and appropriate social support for the patient
c. Assisting the patient to achieve the maximum level of independent
functioning
d. Regularly praising the patient for seeking and complying with appropriate
treatment --CORRECT ANSWER--a. Providing educational programming for
patients and the public
The wife of a patient with paranoid schizophrenia tells the nurse, Ive learned
that my husband has several close relatives with the same disorder. Does this
problem run in families? The response based on recent discoveries in the field
of genetics would be: a. Your children should be monitored closely for the
disorder.
b. Research tends to support a familiar tendency to schizophrenia.
c. There is no concrete evidence; it is just as likely a coincidence.
d. Only bipolar disorder has been identified to have a genetic --CORRECT
ANSWER--b. Research tends to support a familiar tendency to schizophrenia.
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, A patient whose symptoms of mild depression have been managed with
antidepressants is concerned about the affect of accepting a promotion that will
require working the night shift. What will be the basis of the response the nurse
gives to address the patients concern?
a. The connection between a new job and possible depression does exist.
b. The medication can be adjusted to manage any increase in depression.
c. The interruption in normal wake-sleep patterns can influence mood disorders.
d. The change in sleep routine can be managed with a healthy sleep hygiene
routine. --CORRECT ANSWER--c. The interruption in normal wake-sleep
patterns can influence mood disorders.
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 --CORRECT ANSWER--d. Serotonin and
norepinephrine
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VERIFIED ANSWERS NEWLY MODIFIED TESTED
AND APPROVED GRADED A+ LATEST UPDATE
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 --CORRECT
ANSWER--b. Is unable to effectively hold a spoon in the left hand
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
d. Encouraging the patient to crush or dissolve the medication to help with
swallowing --CORRECT ANSWER--a. Including the patients caregiver in the
education
Page 1 of 54
,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. --
CORRECT ANSWER--b. The patient reports that, I don't feel as anxious as I
did a couple of days ago.
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?
--CORRECT ANSWER--a. Has your father exhibited any signs of depression?
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.
Page 2 of 54
,c. Serotonin deficiency will be managed through a prolonged reuptake period.
d. The acetylcholine deficiency will be managed by inhibiting cholinesterase. --
CORRECT ANSWER--d. The acetylcholine deficiency will be managed by
inhibiting cholinesterase.
There remains a stigma attached to psychiatric illnesses. The psychiatric nurse
makes the greatest impact on this sociological problem when:
a. Providing educational programming for patients and the public
b. Arranging for adequate and appropriate social support for the patient
c. Assisting the patient to achieve the maximum level of independent
functioning
d. Regularly praising the patient for seeking and complying with appropriate
treatment --CORRECT ANSWER--a. Providing educational programming for
patients and the public
The wife of a patient with paranoid schizophrenia tells the nurse, Ive learned
that my husband has several close relatives with the same disorder. Does this
problem run in families? The response based on recent discoveries in the field
of genetics would be: a. Your children should be monitored closely for the
disorder.
b. Research tends to support a familiar tendency to schizophrenia.
c. There is no concrete evidence; it is just as likely a coincidence.
d. Only bipolar disorder has been identified to have a genetic --CORRECT
ANSWER--b. Research tends to support a familiar tendency to schizophrenia.
Page 3 of 54
, A patient whose symptoms of mild depression have been managed with
antidepressants is concerned about the affect of accepting a promotion that will
require working the night shift. What will be the basis of the response the nurse
gives to address the patients concern?
a. The connection between a new job and possible depression does exist.
b. The medication can be adjusted to manage any increase in depression.
c. The interruption in normal wake-sleep patterns can influence mood disorders.
d. The change in sleep routine can be managed with a healthy sleep hygiene
routine. --CORRECT ANSWER--c. The interruption in normal wake-sleep
patterns can influence mood disorders.
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 --CORRECT ANSWER--d. Serotonin and
norepinephrine
Page 4 of 54
