Essentials of Psychiatric Mental Health Nursing ,2nd Edition by Elizabeth M. Varcarolis T
Essentials of Psychiatric Mental Health Nursing ,2nd Edition by Elizabeth M. Varcarolis T
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Chapter 4: Biological Basis for Understanding Psychopharmacology
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| a. | “You must feel relieved to know that your problem has a physical basis.” |
| b. | “Neurotransmitters are chemicals that pass messages between brain cells.” |
| c. | “It is a high-level concept to explain. You should ask the doctor to tell you more.” |
| d. | “Neurotransmitters are substances we eat daily that influence memory and mood.” |
ANS: B
Stating that neurotransmitters are chemicals that pass messages between brain cells gives the most accurate information. Neurotransmitters are messengers in the central nervous system. They are released from the axon terminal, diffuse across the synapse, and attach to specialized receptors on the postsynaptic neuron. The incorrect responses do not answer the patient’s question, are demeaning, and provide untrue and misleading information.
DIF: Cognitive Level: Comprehension REF: Pages: 51-52
TOP: Nursing Process: Implementation MSC: NCLEX: Physiological Integrity
| a. | “PET uses a magnetic field and gamma waves to identify problems areas in the brain. Does your teenager have any metal implants?” |
| b. | “It’s a special type of x-ray image that shows structures of the brain and whether a brain injury has ever occurred.” |
| c. | “PET is a scan that passes an electrical current through the brain and shows brain wave activity. PET can help diagnose seizures.” |
| d. | “PET is a special scan that shows blood flow and activity in the brain.” |
ANS: D
The parent is seeking information about PET scans. It is important to use terms the parent can understand. The correct option is the only reply that provides factual information relevant to PET scans. The incorrect responses describe magnetic resonance imaging (MRI), computed tomographic (CT) scans, and electroencephalography (EEG).
DIF: Cognitive Level: Application REF: Pages: 50-52
TOP: Nursing Process: Implementation MSC: NCLEX: Physiological Integrity
| a. | Computed tomography (CT) scan |
| b. | Positron emission tomography (PET) scan |
| c. | Functional magnetic resonance imaging (fMRI) |
| d. | Single-photon–emission computed tomography (SPECT) scan |
ANS: A
A CT scan shows the presence or absence of structural changes, including cortical atrophy, ventricular enlargement, and areas of infarction—information that will be helpful to the health care provider. The other tests focus on brain activity and are more expensive; they may be ordered later.
DIF: Cognitive Level: Analysis REF: Pages: 50-52 TOP: Nursing Process: Planning
MSC: NCLEX: Physiological Integrity
| a. | Cerebral arteriogram |
| b. | Computed tomography (CT) scan or magnetic resonance imaging (MRI) |
| c. | Positron emission tomography (PET) or single photon emission computed tomography (SPECT) |
| d. | Functional magnetic resonance imaging (fMRI) |
ANS: B
A CT scan and an MRI visualize neoplasms and other structural abnormalities. A PET scan, SPECT scan, and fMRI, which give information about brain function, are not indicated. An arteriogram would not be appropriate.
DIF: Cognitive Level: Application REF: Page: 52 TOP: Nursing Process: Planning
MSC: NCLEX: Physiological Integrity
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Original price was: $30.00.$20.00Current price is: $20.00.
Original price was: $30.00.$20.00Current price is: $20.00.
Original price was: $30.00.$20.00Current price is: $20.00.
