Chapter 1 Chemical Neurotransmission
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 TheoryThat Depression Primarily Involves Which Of The Following
Neurotransmitters?
A. Cortisol And Gaba
B. Comt And Glutamate
C. Monamine And Glycine
D. Serotonin And Norepinephrine
Ans: D
One Possible Cause Of Depression Is Thought To Involve One Or More
Neurotransmitters.Serotonin And Norepinephrine Have Been Found To Be Important
In The Regulation Of Depression. There Is No Research To Support That The Other
Options Play A Significant Role In The Development Of Depression.
2. 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 Hands
Ans: B
Accidents Or Strokes That Damage Brocas Area May Result In The Inability To
Speak (I.E., Motor Aphasia). Fine Motor Skills, Blood Pressure Control, And Muscle
Strength Are NotControlled By The Broca Area Of The Left Frontal Lobe.
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:
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
, Ans: C
Medications Used To Treat Psychiatric Disorders Operate In And Around The
Synaptic CleftAnd Have Action At The Neurotransmitter Level, Especially In The
Case Of Schizophrenia, On Dopamine. The Wernickes Area, Dendrite Function, Or
The Sensitivity Of The Peripheral Nervous System Are Not Relevant To Either
Schizophrenia Or Psychotropic Medications.
4. A Student Nurse Mutters That It Seems Entirely Unnecessary To Have To
Struggle WithUnderstanding The Anatomy And Physiology Of The Neurologic
System. The Mentor
Would Base A Response On The Understanding That It Is:
Necessary But Generally For Psychiatric Nurses Who Focus
A. Primarily OnBehavioral Interventions
A Complex Undertaking That Advance Practice Psychiatric Nurses Frequently
B. UseIn Their Practice
Important Primarily For The Nursing Assessment Of Patients With Brain
C. Traumacaused Cognitive Symptoms
Necessary For Planning Psychiatric Care For All Patients Especially Those
D. Experiencing Psychiatric Disorders
Ans: D
Nurses Must Understand That Many Symptoms Of Psychiatric Disorders Have A
Neurologic Basis, Although The Symptoms Are Manifested Behaviorally. This
Understanding Facilitates Effective Care Planning. The Foundation Of Knowledge Is
NotUsed Exclusively By Advanced Practice Psychiatric Nurses Nor Is It Relevant
For Only Behavior Therapies Or Brain Trauma Since Dealing With The Results Of
Normal And Abnormal Brain Function Is A Responsibility Of All Nurses Providing
All Types Of Care ToThe Psychiatric Patient.
5. 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.
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
Ans: C
Research Indicates That Stress Causes A Release Of Corticotropin-Releasing Factors
That Suppress The Immune System. Studies Indicate That Psychiatric Disorders Such
As MoodDisorders Are Sometimes Associated With Decreased Functioning Of The
Immune System.Research Does Not Support A Connection Between Many Cancers
And Stress. There Is A Significant Amount Of Research About Stress And The Body.
Research Has Shown That There Are Some Connections Between Stress And
Physical Disease.
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