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Q 1/31
Score 0
A patient asks, âWhat are neurotransmitters? The doctor said mine are imbalanced.â Select the nurseâs best response.
300
Neurotransmitters are natural chemicals that pass messages between brain cells.â
âNeurotransmitters are substances we consume that influence memory and mood.â
Neurotransmitters protect us from harmful effects of free radicals.â
How do you feel about having imbalanced neurotransmitters?â
Q 2/31
Score 0
The parent of an adolescent diagnosed with schizophrenia asks the nurse, âMy childâs doctor ordered a PET. What kind of test is that?â Select the nurseâs best reply.
300
âPET means positron-emission tomography. It is a special type of scan that shows blood flow and activity in the brain.â
âA PET scan passes an electrical current through the brain and shows brain-wave activity. It can help diagnose seizures.â
Itâs a special x-ray that shows structures of the brain and whether there has ever been a brain injury.â
This test uses a magnetic field and gamma waves to identify problem areas in the brain. Does your teenager have any metal implants?â
31 questions
Q.
A patient asks, âWhat are neurotransmitters? The doctor said mine are imbalanced.â Select the nurseâs best response.
1
300 sec
Q.
The parent of an adolescent diagnosed with schizophrenia asks the nurse, âMy childâs doctor ordered a PET. What kind of test is that?â Select the nurseâs best reply.
2
300 sec
Q.
A patient with a long history of hypertension and diabetes now develops confusion. The health care provider wants to make a differential diagnosis between Alzheimerâs disease and multiple infarcts. Which diagnostic procedure should the nurse expect to prepare the patient for first?
3
300 sec
Q.
A patientâs history shows drinking 4 to 6 liters of fluid and eating more than 6,000 calories per day. Which part of the central nervous system is most likely dysfunctional for this patient?
4
300 sec
Q.
The nurse prepares to assess a patient diagnosed with major depression for disturbances in circadian rhythms. Which question should the nurse ask this patient?
5
300 sec
Q.
The nurse administers a medication that potentiates the action of gamma-aminobutyric acid (GABA). Which effect would be expected?
6
300 sec
Q.
A nurse would anticipate that treatment for a patient with memory difficulties might include medications designed to:
7
300 sec
Q.
A patient has disorganized thinking associated with schizophrenia. Neuroimaging would likely show dysfunction in which part of the brain?
8
300 sec
Q.
The nurse should assess a patient taking a drug with anticholinergic properties for inhibited function of the:
9
300 sec
Q.
The therapeutic action of neurotransmitter inhibitors that block reuptake cause:
10
300 sec
Q.
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?
11
300 sec
Q.
A patient has fear as well as increased heart rate and blood pressure. The nurse suspects increased activity of which neurotransmitter?
12
300 sec
Q.
A patient has acute anxiety related to an automobile accident 2 hours ago. The nurse should teach the patient about medication from which group?
13
300 sec
Q.
A patient is hospitalized for severe depression. Of the medications listed below, the nurse can expect to provide the patient with teaching about:
14
300 sec
Q.
A patient diagnosed with bipolar disorder has an unstable mood, aggressiveness, agitation, talkativeness, and irritability. The nurse expects the health care provider to prescribe a medication from which group?
15
300 sec
Q.
A drug causes muscarinic receptor blockade. The nurse will assess the patient for:
16
300 sec
Q.
A patient begins therapy with a phenothiazine medication. What teaching should the nurse provide related to the drugâs strong dopaminergic effect?
17
300 sec
Q.
A patient tells the nurse, âMy doctor prescribed Paxil (paroxetine) for my depression. I assume Iâll have side effects like I had when I was taking Tofranil (imipramine).â The nurseâs reply should be based on the knowledge that paroxetine is a(n):
18
300 sec
Q.
A nurse can anticipate anticholinergic side effects are likely when a patient takes:
19
300 sec
Q.
Which instruction has priority when teaching a patient about clozapine (Clozaril)?
20
300 sec
Q.
A nurse cares for a group of patients receiving various medications, including haloperidol (Haldol), carbamazepine (Tegretol), trazodone (Desyrel), and phenelzine (Nardil). The nurse will order a special diet for the patient who takes:
21
300 sec
Q.
A nurse instructs a patient taking a drug that inhibits monoamine oxidase (MAO) to avoid certain foods and drugs because of the risk of:
22
300 sec
Q.
A nurse caring for a patient taking a selective serotonin reuptake inhibitor (SSRI) will develop outcome criteria related to:
23
300 sec
Q.
By which mechanism do selective serotonin reuptake inhibitors (SSRI) improve depression?
24
300 sec
Q.
The laboratory report for a patient taking clozapine (Clozaril) shows a white blood cell count of 3000 mm3. Select the nurseâs best action.
25
300 sec
Q.
A drug blocks the attachment of norepinephrine to ïĄ1 receptors. The patient may experience:
26
300 sec
Q.
A nurse cares for four patients who are receiving clozapine, lithium, fluoxetine, and venlafaxine, respectively. With which patient should the nurse be most alert for problems associated with fluid and electrolyte imbalance? The patient receiving:
27
300 sec
Q.
An obese patient has a diagnosis of schizophrenia. Medications that block which receptors would contribute to further weight gain?
28
300 sec
Q.
An individual hiking in the forest encounters a large poisonous snake on the path. Which change in this individualâs vital signs is most likely?
29
300 sec
Q.
Consider these medications: carbamazepine (Tegretol), lamotrigine (Lamictal), gabapentin (Neurontin). Which medication below also belongs with this group?
30
300 sec
Q.
A professional football player is seen in the emergency department after losing consciousness from an illegal block. Prior to discharge, the nurse assists the patient to schedule an outpatient computed tomography (CT) scan for the next day. Which strategy should the nurse use to ensure the patient remembers the appointment?