KAPLAN _AND SADOCK_PSYCHIATRY _TESTBANK Neural Sciences –Chapter 1 Test Bank MULTIPLE CHOICE 1. 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? 1. Cortisol and GABA 2. COMT and glutamate 3. Monamine and glycine 4. Serotonin and norepinephrine 2. A patient has experienced a stroke (cerebral vascular accident) that has resulted in damage to th e Broca area. Which evaluation does the nurse conduct to reinforce this diagnosis? 1. Observing the patient pick up a spoon 2. Asking the patient to recite the alphabet 3. Monitoring the patients blood pressure 4. Comparing the patients grip strength in both hands 3. 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: 1. The temporal lobe; especially Wernickes area 2. Dendrites and their ability to transmit electrical impulses 3. The regulation of neurotransmitters especially dopamine 4. The peripheral nervous system sensitivity to the psychotropic medications 4. A student nurs e 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 : 1. Necessary but generally for psychiatric nurses w ho focus primarily on behavioral interventions 1. A complex undertaking that advance practice psychiatric nurses frequently use in their practice 1. Important primarily for the nursing assessment of patients with brain traumacaused cognitive symptoms 1. Necessary for planning psychiatric care for all patients especially those experiencing psychiatric disorders 5. A patient asks the nurse, My wife has breast cancer. Could it be caused by her chronic depression? Which response is supported by researc h data? 1. Too much stress has been proven to cause all kinds of cancer. 2. There have been no research studies done on stress and disease yet. 3. Stress does cause the release of factors that suppress the immune system. 4. There appears to be little connection between stress and diseases of the body 6. 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 intervent ion? 1. Expression of emotion 2. Detecting auditory stimuli 3. Receiving visual images 4. Processing associations 7. 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 : 1. Demonstrates major deficiencies in speech 2. Is unable to effectively hold a spoon in the left hand 3. Has difficulty explaining how to go about using the telephone 8. 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: 1. Including the patients caregiver in the education 2. Being careful to stress the im portance of taking the medication as prescribed 3. Providing the education at a time when the patient is emotionally calm and relaxed 1. Encouraging the patient to crush or dissolve the medication to help with swallowing 9. The physician tells the nurse, The medication Im prescribing for the patient enhances the gaminobutyric acid (GABA) system. Which patient behavior will provide evidence that the medication therapy is successful? 1. The patient is actively involved in playing cards with other patie nts. 2. The patient reports that, I dont feel as anxious as I did a couple of days ago. 3. The patient reports that both auditory and visual hallucinations have decreased. 4. The patient says that, I am much happier than before I came to the hospital. 10. The p atients 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? 1. Has your father exhibited any signs of depression? 2. Does your father seem to experience mood swings? 3. Have you noticed your father talking about seeing things you cant see? 4. Is your dad preoccupied with behaviors that he needs to repeat over and over? `````11. Which explanation for the prescription of donepez il (Aricept) would the nurse provide for a patient in the early stage of Alzheimers disease? 1. It will increase the metabolism of excess GABA. 2. Excess dopamine will be prevented from attaching to receptor sites. 3. Serotonin deficiency will be managed through a prolonged reuptake period. 4. The acetylcholine deficiency will be managed by inhibiting cholinesterase.
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