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Exam (elaborations)

NSG 552 Exam 1 Questions and Correct Answers the Latest Update and Recommended Version

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  • Course
  • NSG 552
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  • NSG 552

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. Mona...

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  • October 20, 2024
  • 53
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NSG 552
  • NSG 552
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2 0 2 4 /2025 | © copyright | This work may not be copied for profit gain Excel!


NSG 552 Exam 1 Questions and Correct
Answers the Latest Update and
Recommended Version
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

→ 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

→ 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:


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,2 0 2 4 /2025 | © copyright | This work may not be copied for profit gain Excel!

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


→ 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

→ 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


→ 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


→ 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

c. Has difficulty explaining how to go about using the telephone

d. Cannot use his right hand to shave himself or comb his own

→ b. Is unable to effectively hold a spoon in the left hand




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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

→ a. Including the patients caregiver in the education


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.

→ 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?

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