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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
,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
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
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 - 🧠 ANSWER ✔✔d. Necessary for
planning psychiatric care for all patients especially those experiencing
psychiatric disorders
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.
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, 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 - 🧠 ANSWER ✔✔c. Stress does cause the release of factors that
suppress the immune system.
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 - 🧠 ANSWER ✔✔d. Processing associations
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