Exam#1-Chapters 3, 6, 9
If a nurse is charged with leaving a suicidal client unattended, it is being suggested that the nurse's behavior has violated which ethical principle a) Autonomy b) Veracity c) Fidelity d) Justice
fidelity
A prescription for which medication would require the nurse to monitor the client for potential development for the side effect of hypothyroidism a) Fluoxetine b) Bupropion c) Lithium d) Imipramine
lithium
The nurse administers each of the following drugs to various patients. The patient who should be most carefully assess for fluid and electrolyte imbalance is the one receiving a) Lithium b) Clozapine c) Diazepam d) Amitriptyline
lithium
A nurse reviews an order for a CYP450 test. He explains to the patient from Thailand that the test will determine how the antidepressant will be a) Absorbed b) Metabolized c) Administered d) Excreted
metabolized
What term is used to identify the structures that respond to stimuli, conduct electrical impulses and release neurotransmitters a) Neurons b) Synapses c) Dendrites d) Receptors
neurons
The incoherent thought and speech patterns of the client diagnosed with schizophrenia are related to the brain's inability to perform which function a) Regulate conscious mental activity b) Retain and recall past experiences c) Regulate social behavior d) Maintain homeostasis
regulate conscious mental activity
Which right of the client has been violated if he is medicated without being asked for his permission a) Right of dignity and respect b) Right to treatment c) Right to informed consent d) Right to refuse treatment
right to informed consent
A patient being treated for insomnia is prescribed ramelteon. Which comorbid mental health condition would make this medication the hypnotic of choice for this particular patient a) OCD b) GAD c) Persistent depressive disorder d) Substance abuse disorder
substance abuse disorder
Homeostasis is promoted by interaction between the brain and internal organs and is mediated by component of the nervous system a) The CNS b) The ANS c) The SNS d) The PNS
the ANS
Which assessment should the nurse perform to evaluate the pharmacokinetic effect of a MAOI antidepressant medication a) The status of the client's appetite b) The results of the liver function test c) The level of depression exhibited by the client d) The client's current sleeping pattern
the results of the liver function test
Which nursing statement is an example of reflection a) I think this feeling will pass b) So you are saying that life has no meaning c) I'm not sure I understand what you mean d) You look sad
you look sad
If a client is placed in seclusion and held there for 24 hours without a written order or examination by a physician, the client has experienced which illegal act a) Battery b) Defamation of character c) False imprisonment d) Assault
false imprisonment
When considering facility admissions for mental health care, what characteristic is unique to a voluntary admission a) The patient poses no substantial threat to themselves or to others b) The patient has the right to seek legal counsel c) A request in writing is required before admission d) A mental illness has been previously diagnosed
A request in writing is required before admission
Implied consent occurs when a verbal or written agreement takes place prior to a caregiver delivering treatment. Which of the following examples represents implied consent a) The mother of an unconscious patient saying okay to surgery b) Care given to a heroin overdose victim c) Immobilizing a patient who has refused to take medication d) Signing general intake paperwork with specific parameters
Care given to a heroin overdose victim
What is the function of a neuron a) Conduction of electrical impulse b) Diffuses an impulse across a space c) Provides a space at an axon terminal d) Provides an attachment point of the cell surface
Conduction of electrical impulse
During a therapeutic encounter, the nurse makes an effort to ensure the use of two congruent levels of communication. What is the rationale for this a) The mental image of a word may not be the same for both nurse and client b) One statement may simultaneously convey conflicting messages c) Many of the client's remarks are no more than social phrases d) Content of messages may be contradicted by process
Content of messages may be contradicted by process
What assessment question will provide the nurse with information regarding the effects of a woman's circadian rhythms on her quality of life a) How much sleep do you usually get each night b) Does your heart every seem to skip a beat c) When was the last time you had a fever d) Do you have problems urinating
How much sleep do you usually get each night
You realize that your patient who is being treated for major depressive disorder requires more teaching when they make the following statement a) I have been on this antidepressant for 3 days, I realize that the full effect may not happen for a period of weeks b) I am going to ask my nurse practitioner to discontinue my Prozac today and let me start taking an MAOI tomorrow c) I may ask to have my medication changed to Wellbutrin due to the problems I am having being romantic with my wife d) I realize that there are many antidepressants and it might take a while until we find the one that works best for me
I am going to ask my nurse practitioner to discontinue my Prozac today and let me start taking an MAOI tomorrow
A 38 year old patient diagnosed with major depression states, "my provider said something about the medicine I've been prescribed will affect my neurotransmitters. What exactly are neurotransmitters?" What is the nurse's best response to the patient's questions a) Neurotransmitters are chemical messengers in the brain that help regulate specific function such as depression b) Neurotransmitters are too complicated to explain, just know that the medication will help your mood and make you less depressed c) Neurotransmitters are chemical in the brain that are the reason you are depressed d) I will ask your provider to give you a more in-depth explanation about why this medication will help your depression
Neurotransmitters are chemical messengers in the brain that help regulate specific function such as depression
Which statement made by the nurse concerning ethics demonstrates the best understanding of the concept a) It isn't right to deny someone healthcare because they can't pay for it b) I never discuss my patient's refusal of treatment c) The hospital needs to buy more respiratory so we always have one available d) Not all ICU patients have the right to unbiased attention from all staff
It isn't right to deny someone healthcare because they can't pay for it
The medication prescribed for a client acts by blocking reuptake of both serotonin and norepinephrine. The nurse evaluates the treatment as successful when observing which client behavior a) Laughing at a joke b) Apologizing for being sarcastic c) Writing down his phone number d) Going to his room to "calm down"
Laughing at a joke
A psychiatric nurse is reviewing prescriptions for a patient with major depression at the county clinic. Since the patient has a mild intellectual disability, the nurse would question which classification of antidepressant drugs a) SSRIs b) MAOIs c) SNRI d) All of the above
MAOIs
A 49 year old patient diagnosed with schizophrenia at 22 years old is prescribed risperidone. Which nursing assessment is the priority for this patient a) Monitoring blood levels to avoid toxicity b) Monitoring for abnormal involuntary movements c) Observing for secondary mania d) Observing for memory changes
Monitoring for abnormal involuntary movements
Which imaging technique can provide information about brain function a) CT scan b) PET scan c) MRI d) Skull radiograph
PET scan
What principle about nurse-patient communication should guide a nurse's fear about "saying the wrong thing" to a patient a) Patients tend to appreciate a well meaning person who conveys genuine, acceptance, respect and concern for their situation b) The patient is more interested in talking to you than listening to what you have to say and so is no likely to be offended c) Considering the patient's history, there is a little chance that the comment will do any actual harm d) Most people with a mental illness have by necessity developed a high tolerance of forgiveness
Patients tend to appreciate a well meaning person who conveys genuine, acceptance, respect and concern for their situation
Which nursing intervention demonstrates the ethical principle of beneficence a) Refusing to administer a placebo to a patient b) Attending an inservice operation of the new IV infusion pumps c) Providing frequent updates to the family of a patient currently in surgery d) Respecting the right of the patient to make decisions about whether or not to have ECT
Providing frequent updates to the family of a patient currently in surgery
Psychotropic drugs have been used for more than half a century. What statement regarding their current status is true a) Only one classification of psychotropic drugs exist b) The FDA no longer approves new antidepressants c) We do not know exactly how they work d) Chlorpromazine (Thorazine), the first psychotropic continues to be the treatment of choice with hallucinations
We do not know exactly how they work
Which statement made by the nurse demonstrates the best understanding of nonverbal communication a) The patient's verbal and nonverbal communication is often different b) When my patient responds to my question, I check for congruence between verbal and nonverbal communication to help validate the response c) If a patient is slumped in the chair, I can be sure he's angry or depressed d) It's easier to understand verbal communication than nonverbal communication
When my patient responds to my question, I check for congruence between verbal and nonverbal communication to help validate the response
Which statement made by a patient prescribed bupropion (Wellbutrin) demonstrates that the medication education the patient received was effective? SATA a) I hope wellbutrin will help my depression and also help me to finally quit smoking b) I'm happy to hear that I won't need to worry much about weight gain c) It's okay to take Wellbutrin since I haven't had a seizure in 6 months d) I need to be careful about driving since the medication could make me drowsy e) My partner and I have discussed the possible effects this medication could have on our sex life
a, b
Which situation demonstrate liable behavior on the part of the staff SATA a) Forgetting to obtain consent for ECT for a cognitively impaired patient b) Leaving a patient with suicidal thoughts alone in the bathroom to shower c) Promising to restrain a patient who stole from another patient on the unit d) Reassuring a patient with paranoia that his antipsychotic medication was not tampered with e) Placing a patient who has repeatedly threatened to assault staff in seclusion
a, b, c
Based on the current understanding of brain physiology, which NT would be the expected target of medication prescribed to manage depression? SATA a) Dopamine b) GABA c) Serotonin d) Norepinephrine e) Acetylcholine
a, c, d
During an admission assessment and interview, which channels of information communication should the nurse be monitoring SATA a) Auditory b) Visual c) Written d) Tactile e) Olfactory
a, d, e
The nurse caring for a client prescribed risperidone observes the client carefully for which possible side effects? SATA a) Daytime sleepiness b) Reports of heartburn c) A rapid heartbeat d) Sexual dysfunction e) Weight gain
a, d, e
When treating mental illnesses with psychotropic drugs what is the focus of the treatment a) Altering brain neurochemistry b) Correcting brain anatomical defects c) Regulating social behaviors d) Activating the body's normal response to stress
altering brain neurochemistry
Besides antianxiety agents, which classification of drugs is also commonly given to treat anxiety and anxiety disorders a) Antipsychotics b) Mood stabilizers c) Antidepressants d) Cholinesterase inhibitors
antidepressants
Which drug group calls for nursing assessment for development of abnormal movement disorders among individuals who take therapeutic dosages a) SSRIs b) Antipsychotics c) Benzodiazepines d) TCAs
antipsychotics
Which ethical principle refers to the individual's right to make his or her own decisions a) Beneficence b) Autonomy c) Veracity d) Fidelity
autonomy
Which organ secretes hormones that are a normal component of the body's general response to stress? SATA a) Thyroid gland b) Hypothalamus c) Pituitary gland d) Adrenal gland e) Parathyroid gland
b, c, d