Question 1

A patient has disorganized thinking associated with schizophrenia. Neuroimaging would likely show dysfunction in which part of the brain?

Accepted Answer

A)  Hippocampus 
B)  Frontal lobe 
C)  Cerebellum 
D)  Brainstem 
A)  Hippocampus 
B)  Frontal lobe 
C)  Cerebellum 
D)  Brainstem

Question 2

An individual is experiencing problems with memory. Which of these structures are most likely to be involved in this deficit? (Select all that apply.)

Accepted Answer

A)  Amygdala 
B)  Hippocampus 
C)  Occipital lobe 
D)  Temporal lobe 
E)  Basal ganglia 
A)  Amygdala 
B)  Hippocampus 
C)  Occipital lobe 
D)  Temporal lobe 
E)  Basal ganglia

Question 3

An obese patient has a diagnosis of schizophrenia. Medications that block which receptors would contribute to further weight gain?

Accepted Answer

A)  H1 
B)  5 HT2 
C)  Acetylcholine 
D)  GABA 
A)  H1 
B)  5 HT2 
C)  Acetylcholine 
D)  GABA

Question 4

The laboratory report for a patient taking clozapine (Clozaril) shows a white blood cell count of 3000 mm³. Select the nurse's best action.

Accepted Answer

A)  Report the results to the health care provider immediately. 
B)  Administer the next dose as prescribed. 
C)  Give aspirin and force fluids. 
D)  Repeat the laboratory test. 
A)  Report the results to the health care provider immediately. 
B)  Administer the next dose as prescribed. 
C)  Give aspirin and force fluids. 
D)  Repeat the laboratory test.

Question 5

A nurse cares for a group of patients receiving various medications, including haloperidol, carbamazepine, trazodone, and phenalgine. The nurse will order a special diet for the patient who takes

Accepted Answer

A)  carbamazepine. 
B)  haloperidol. 
C)  phenelzine. 
D)  trazodone. 
A)  carbamazepine. 
B)  haloperidol. 
C)  phenelzine. 
D)  trazodone.

Question 6

A patient tells the nurse, "My doctor prescribed paroxetine for my depression. I assume I'll have side effects like I had when I was taking imipramine." The nurse's reply should be based on the knowledge that paroxetine is a(n)

Accepted Answer

A)  selective norepinephrine reuptake inhibitor. 
B)  tricyclic antidepressant. 
C)  monoamine oxidase (MAO) inhibitor. 
D)  SSRI. 
A)  selective norepinephrine reuptake inhibitor. 
B)  tricyclic antidepressant. 
C)  monoamine oxidase (MAO) inhibitor. 
D)  SSRI.

Question 7

An individual hiking in the forest encounters a large poisonous snake on the path. Which change in this individual's vital signs is most likely?

Accepted Answer

A)  Pulse rate changes from 90 to 72. 
B)  Respiratory rate changes from 22 to 18. 
C)  Complaints of intestinal cramping begin. 
D)  Blood pressure changes from 114/62 to 136/78. 
A)  Pulse rate changes from 90 to 72. 
B)  Respiratory rate changes from 22 to 18. 
C)  Complaints of intestinal cramping begin. 
D)  Blood pressure changes from 114/62 to 136/78.

Question 8

A fearful patient has an increased heart rate and blood pressure. The nurse suspects increased activity of which neurotransmitter?

Accepted Answer

A)  GABA 
B)  Norepinephrine 
C)  Acetylcholine 
D)  Histamine 
A)  GABA 
B)  Norepinephrine 
C)  Acetylcholine 
D)  Histamine

Question 9

A drug causes muscarinic receptor blockade. The nurse will assess the patient for

Accepted Answer

A)  dry mouth. 
B)  gynecomastia. 
C)  pseudoparkinsonism. 
D)  orthostatic hypotension. 
A)  dry mouth. 
B)  gynecomastia. 
C)  pseudoparkinsonism. 
D)  orthostatic hypotension.

Question 10

A nurse instructs a patient taking a drug that inhibits MAO to avoid certain foods and drugs because of the risk of

Accepted Answer

A)  cardiac dysrhythmia. 
B)  hypotensive shock. 
C)  hypertensive crisis. 
D)  hypoglycemia. 
A)  cardiac dysrhythmia. 
B)  hypotensive shock. 
C)  hypertensive crisis. 
D)  hypoglycemia.

Question 11

By which mechanism do SSRI medications improve depression?

Accepted Answer

A)  Destroying increased amounts of serotonin 
B)  Making more serotonin available at the synaptic gap 
C)  Increasing production of acetylcholine and dopamine 
D)  Blocking muscarinic and á1 norepinephrine receptors 
A)  Destroying increased amounts of serotonin 
B)  Making more serotonin available at the synaptic gap 
C)  Increasing production of acetylcholine and dopamine 
D)  Blocking muscarinic and á1 norepinephrine receptors

Question 12

A patient taking medication for mental illness develops restlessness and an uncontrollable need to be in motion. Which drug action causes these symptoms to develop?

Accepted Answer

A)  Anticholinergic effects 
B)  Dopamine-blocking effects 
C)  Endocrine-stimulating effects 
D)  Ability to stimulate spinal nerves 
A)  Anticholinergic effects 
B)  Dopamine-blocking effects 
C)  Endocrine-stimulating effects 
D)  Ability to stimulate spinal nerves

Question 13

A nurse can anticipate anticholinergic side effects are likely when a patient takes

Accepted Answer

A)  lithium. 
B)  buspirone. 
C)  imipramine. 
D)  risperidone. 
A)  lithium. 
B)  buspirone. 
C)  imipramine. 
D)  risperidone.

Question 14

A nurse caring for a patient taking a SSRI will develop outcome criteria related to

Accepted Answer

A)  coherent thought processes. 
B)  improvement in depression. 
C)  reduced levels of motor activity. 
D)  decreased extrapyramidal symptoms. 
A)  coherent thought processes. 
B)  improvement in depression. 
C)  reduced levels of motor activity. 
D)  decreased extrapyramidal symptoms.

Question 15

A drug blocks the attachment of norepinephrine to a1 receptors. The patient may experience

Accepted Answer

A)  hypertensive crisis. 
B)  orthostatic hypotension. 
C)  severe appetite disturbance. 
D)  an increase in psychotic symptoms. 
A)  hypertensive crisis. 
B)  orthostatic hypotension. 
C)  severe appetite disturbance. 
D)  an increase in psychotic symptoms.

Exam 3: Psychobiology and Psychopharmacology

A patient has disorganized thinking associated with schizophrenia. Neuroimaging would likely show dysfunction in which part of the brain?

An individual is experiencing problems with memory. Which of these structures are most likely to be involved in this deficit? (Select all that apply.)

An obese patient has a diagnosis of schizophrenia. Medications that block which receptors would contribute to further weight gain?

The laboratory report for a patient taking clozapine (Clozaril) shows a white blood cell count of 3000 mm³. Select the nurse's best action.

A nurse cares for a group of patients receiving various medications, including haloperidol, carbamazepine, trazodone, and phenalgine. The nurse will order a special diet for the patient who takes

A patient tells the nurse, "My doctor prescribed paroxetine for my depression. I assume I'll have side effects like I had when I was taking imipramine." The nurse's reply should be based on the knowledge that paroxetine is a(n)

An individual hiking in the forest encounters a large poisonous snake on the path. Which change in this individual's vital signs is most likely?

A fearful patient has an increased heart rate and blood pressure. The nurse suspects increased activity of which neurotransmitter?

A drug causes muscarinic receptor blockade. The nurse will assess the patient for

A nurse instructs a patient taking a drug that inhibits MAO to avoid certain foods and drugs because of the risk of

By which mechanism do SSRI medications improve depression?

A patient taking medication for mental illness develops restlessness and an uncontrollable need to be in motion. Which drug action causes these symptoms to develop?

A nurse can anticipate anticholinergic side effects are likely when a patient takes

A nurse caring for a patient taking a SSRI will develop outcome criteria related to

A drug blocks the attachment of norepinephrine to a1 receptors. The patient may experience

Mental Health and Mental Illness

Theories and Therapies

Treatment Settings

Cultural Implications

Legal and Ethical Considerations

The Nursing Process and Standards of Care

Therapeutic Relationships

Therapeutic Communication

Stress Responses and Stress Management

Childhood and Neurodevelopmental Disorders

Schizophrenia Spectrum Disorders

Bipolar and Related Disorders

Depressive Disorders

Anxiety and Obsessive-Compulsive Disorders

Trauma, Stressor-Related, and Dissociative Disorders

Somatic Symptom Disorders

Eating and Feeding Disorders

Sleep–Wake Disorders

Sexual Dysfunctions, Gender Dysphoria, and Paraphilias

Impulse Control Disorders

Substance-Related and Addictive Disorders

Neurocognitive Disorders

Personality Disorders

Suicide and Nonsuicidal Self-Injury

Crisis and Disaster

Anger, Aggression, and Violence

Child, Older Adult, and Intimate Partner Violence

Sexual Assault

Dying, Death, and Grieving

Older Adults

Serious Mental Illness

Forensic Nursing

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A drug blocks the attachment of norepinephrine to a₁ receptors. The patient may experience