Question 1

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

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

A patient has delusions and hallucinations.The health care provider wishes to rule out the presence of a brain tumor.For which test will the nurse need to prepare the patient?

Accepted Answer

A)  PET 
B)  MRI 
C)  SPECT 
D)  Cerebral arteriogram 
A)  PET 
B)  MRI 
C)  SPECT 
D)  Cerebral arteriogram

Question 4

A patient taking medication for mental illness develops restlessness and an uncontrollable need to be in motion.The nurse analyzes that these symptoms relate to which drug action?

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 5

SSRIs improve depression by which action? SSRIs:

Accepted Answer

A)  destroy increased amounts of serotonin. 
B)  block muscarinic and a1 norepinephrine receptors. 
C)  make more serotonin available at the synaptic gap. 
D)  increase production of acetylcholine and dopamine. 
A)  destroy increased amounts of serotonin. 
B)  block muscarinic and a1 norepinephrine receptors. 
C)  make more serotonin available at the synaptic gap. 
D)  increase production of acetylcholine and dopamine.

Question 6

The nurse should assess a patient taking a drug with anticholinergic properties for inhibited function of the:

Accepted Answer

A)  parasympathetic nervous system. 
B)  sympathetic nervous system. 
C)  reticular activating system. 
D)  medulla oblongata. 
A)  parasympathetic nervous system. 
B)  sympathetic nervous system. 
C)  reticular activating system. 
D)  medulla oblongata.

Question 7

Correctly sequence these structures of the brainstem,beginning with the most superior.
A) Pons
B) Midbrain
C) Medulla oblongata

Accepted Answer

1.B
2.A
3.C
The brai

Question 8

A drug blocks the attachment of norepinephrine to a? 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.

Question 9

The therapeutic action of neurotransmitter inhibitors that block reuptake cause:

Accepted Answer

A)  decreased concentration of the neurotransmitter in the central nervous system. 
B)  increased concentration of neurotransmitter in the synaptic gap. 
C)  destruction of receptor sites. 
D)  limbic system stimulation. 
A)  decreased concentration of the neurotransmitter in the central nervous system. 
B)  increased concentration of neurotransmitter in the synaptic gap. 
C)  destruction of receptor sites. 
D)  limbic system stimulation.

Question 10

A patient with a long history of hypertension and diabetes now develops confusion.The health care provider wants to make a differential diagnosis between Alzheimer's disease or multiple infarcts.Which diagnostic procedure should the nurse expect to prepare the patient for first?

Accepted Answer

A)  PET 
B)  Skull x-rays 
C)  Computed tomography (CT)scan 
D)  Single-photon emission computed tomography (SPECT) 
A)  PET 
B)  Skull x-rays 
C)  Computed tomography (CT)scan 
D)  Single-photon emission computed tomography (SPECT)

Question 11

A patient asks,"What are neurotransmitters? The doctor said mine are imbalanced." Select the nurse's best response.

Accepted Answer

A)  "How do you feel about having imbalanced neurotransmitters?" 
B)  "You must feel relieved to know that your problem has a physical basis." 
C)  "Neurotransmitters are substances we eat daily that influence memory and mood." 
D)  "Neurotransmitters are natural chemicals that pass messages between brain cells." 
A)  "How do you feel about having imbalanced neurotransmitters?" 
B)  "You must feel relieved to know that your problem has a physical basis." 
C)  "Neurotransmitters are substances we eat daily that influence memory and mood." 
D)  "Neurotransmitters are natural chemicals that pass messages between brain cells."

Question 12

A nurse prepares to administer antipsychotic medication to a patient with schizophrenia.Additional monitoring for adverse effects will be most important if the patient is also has which health problem? Select all that apply.

Accepted Answer

A)  Diabetes 
B)  Parkinson's disease 
C)  Osteoarthritis 
D)  Grave's disease 
E)  Epilepsy 
A)  Diabetes 
B)  Parkinson's disease 
C)  Osteoarthritis 
D)  Grave's disease 
E)  Epilepsy

Question 13

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

Accepted Answer

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

Question 14

Questions that would be nonjudgmental when obtaining information about patient use of herbal remedies include: Select all that apply.

Accepted Answer

A)  "You don't regularly take herbal remedies,do you?" 
B)  "What herbal medicines have you used to relieve your symptoms?" 
C)  "What over-the-counter medicines and nutritional supplements do you use?" 
D)  "Have you experienced toxic effects from mixing herbals and prescription drugs?" 
E)  "What differences in your symptoms do you notice when you take herbal supplements?" 
A)  "You don't regularly take herbal remedies,do you?" 
B)  "What herbal medicines have you used to relieve your symptoms?" 
C)  "What over-the-counter medicines and nutritional supplements do you use?" 
D)  "Have you experienced toxic effects from mixing herbals and prescription drugs?" 
E)  "What differences in your symptoms do you notice when you take herbal supplements?"

Question 15

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.

Exam 3: Biological Basis for Understanding Psychotropic Drugs

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

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

A patient has delusions and hallucinations.The health care provider wishes to rule out the presence of a brain tumor.For which test will the nurse need to prepare the patient?

A patient taking medication for mental illness develops restlessness and an uncontrollable need to be in motion.The nurse analyzes that these symptoms relate to which drug action?

SSRIs improve depression by which action? SSRIs:

The nurse should assess a patient taking a drug with anticholinergic properties for inhibited function of the:

Correctly sequence these structures of the brainstem,beginning with the most superior. A) Pons B) Midbrain C) Medulla oblongata

A drug blocks the attachment of norepinephrine to a? receptors.The patient may experience:

The therapeutic action of neurotransmitter inhibitors that block reuptake cause:

A patient with a long history of hypertension and diabetes now develops confusion.The health care provider wants to make a differential diagnosis between Alzheimer's disease or multiple infarcts.Which diagnostic procedure should the nurse expect to prepare the patient for first?

A patient asks,"What are neurotransmitters? The doctor said mine are imbalanced." Select the nurse's best response.

A nurse prepares to administer antipsychotic medication to a patient with schizophrenia.Additional monitoring for adverse effects will be most important if the patient is also has which health problem? Select all that apply.

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

Questions that would be nonjudgmental when obtaining information about patient use of herbal remedies include: Select all that apply.

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

Mental Health and Mental Illness

Relevant Theories and Therapies for Nursing Practice

Psychiatric Mental Health Nursing in Acute Care Settings

Psychiatric Mental Health Nursing in Community Settings

Cultural Implications for Psychiatric Mental Health Nursing

Legal and Ethical Guidelines for Safe Practice

The Nursing Process and Standards of Care for Psychiatric Mental Health Nursing

Therapeutic Relationships

Communication and the Clinical Interview

Understanding Responses to Stress

Anxiety and Anxiety Disorders

Depressive Disorders

Bipolar Disorders

Schizophrenia

Eating Disorders

Cognitive Disorders

Addictive Disorders

Personality Disorders

Sleep Disorders

Sexual Dysfunction and Sexual Disorders

Somatoform, Factitious, and Dissociative Disorders

Crisis and Disaster

Suicide

Anger, Aggression, and Violence

Child, Older Adult, and Intimate Partner Abuse

Sexual Assault

Disorders of Children and Adolescents

Psychosocial Needs of the Older Adult

Serious Mental Illness

Psychological Needs of Patients With Medical Conditions

Care for the Dying and for Those Who Grieve

Forensic Psychiatric Nursing

Therapeutic Groups

Family Interventions

Integrative Care

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