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Foundations of Psychiatric Mental Health Nursing A Clinical Approach, 5th Edition by Elizabeth M. Varcarolis – Test Bank Sample Test Varcarolis: Foundations of Psychiatric Mental Health Nursing: A Clinical Approach, 5th Edition Test Bank Chapter 3: Biological Basis for ...

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Foundations of Psychiatric Mental Health
Nursing A Clinical Approach, 5th Edition
by Elizabeth M. Varcarolis – Test Bank




Sample Test
Varcarolis: Foundations of Psychiatric Mental Health Nursing: A

Clinical Approach, 5th Edition



Test Bank



Chapter 3: Biological Basis for Understanding Psychotropic Drugs



MULTIPLE CHOICE



1) A client asks the nurse, “What are neurotransmitters? My doctor says they are at
the root of my problem.” The best reply would be


A. “You must feel relieved to know that your problem has a physical basis.”

, B. “It is a rather high-level concept to explain. Perhaps you should ask the doctor to tell you
more.”



C. “Neurotransmitters are substances we eat daily that influence the brain functions of memor
and mood.”



D. “Neurotransmitters are chemicals manufactured in the brain that are responsible for passin
messages betw brain cells.”




ANS: D

Option D gives the most accurate information. Neurotransmitters are chemical
substances that function as neuromessengers. They are released from the axon
terminal and diffuse across the synapse and attach to specialized receptors on the
postsynaptic neuron. Option A does not answer the client’s question. Option B does
not answer the client’s question and is somewhat demeaning. Option C provides
untrue, misleading information.



DIF: Cognitive Level: Application

REF: Text Page: 38, Text Page: 39, Text Page: 40

TOP: Nursing Process: ImplementationMSC: NCLEX: Psychosocial Integrity




2) The mother of an adolescent client with obsessive-compulsive disorder tells the
nurse, “My daughter’s doctor wants her to be in a research study and to have a PET
[positron emission tomography] scan. I do not want her to have to go through any
tests that are painful. What should I do?” The best reply for the nurse would be


A. “The doctor has made the diagnosis, but having a PET scan would confirm it.”



B. “You might want to ask who will pay for the PET scan because they are very expensive.”



C. “PET scans involve an injection and lying still while a machine visualizes brain activity.”

, D. “PET scans involve passing an electrical current through the brain and can be
uncomfortable.”




ANS: C



The mother is seeking information about PET scans. Option C is the only option that
provides factual information on which the mother can base a decision.



DIF: Cognitive Level: Application

REF: Text Page: 44, Text Page: 45, Text Page: 46

TOP: Nursing Process: ImplementationMSC: NCLEX: Psychosocial Integrity




3) The physician mentions that a client’s dementia may be associated with either
Alzheimer’s disease or multiple infarcts. For the physician to make a differential
diagnosis with the least expensive test, the nurse should expect to prepare the
client for a


A. computed tomography (CT) scan.



B. magnetic resonance imaging (MRI) scan.



C. PET scan.



D. single-photon emission computed tomography (SPECT) scan.




ANS: A

The CT scan could be expected to show the presence or absence of cortical atrophy,
ventricular enlargement, and areas of infarct, information that would be helpful to the
physician. The CT scan is the least expensive of the imaging techniques listed.

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