Psychiatric mental health nursing, ch. 2
NCLEX Review
Which of the following is the most prevalent neurotransmitter in the nervous system? -
ANS-Norepinephrine. It's in the brain stem, plays a role in changes in attention and
learning and memory sleep & mood regulation.
The nurse is explaining the anatomy of the brain to the family of a child diagnosed with
ADHD. Which of the following structures will the nurse explain as being a section of the
brain stem? - ANS-The midbrain. The brain stem consist of midbrain, pons, and Medula
oblongota and the nuclei for CN three through 12.
Which of the following statements is accurate regarding the EPS of dystonia? - ANS-It is
likely to occur in the first week of treatment, in clients younger than 40 years old, and
males, and in those receiving high potency drugs such as Haldol.
A client is seen in the clinic with clinical manifestations of involuntary tongue movement,
blinking, and facial grimacing. This syndrome would be identified correctly as which of
the following? - ANS-Tardive dyskinesia. The symptoms of TD include involuntary
movements of the tongue, facial and neck muscles upper and lower extremities and
truncal musculature.
Tim is a 78-year-old man living in a nursing home because he can no longer care for
himself at home. He has become aggressive and a doctor has prescribed a low dose
antipsychotic with the intention of decreasing his episodic periods of aggression. Which
of the neurotransmitter receptors does an antipsychotic drug block? - ANS-Dopamine.
Antipsychotic drugs work by blocking receptors of the neurotransmitter dopamine.
The nurse is teaching a patient about the side effects of Clozaril. Which of the following
potentially fatal side effects will the nurse warn the patient should be brought to the
attention of his doctor? - ANS-Agranulocytosis. Clozaril produces less side effects and
then most antipsychotic drugs, but has the potentially fatal side effect of
agranulocytosis.
Disturbances in the brain are implicated in a variety of mental illnesses. Which system
of the brain has been associated with memory loss? - ANS-The limbic system. Memory
loss such as dementia causes poorly controlled emotions and impulses that are also
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