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356 - Ch. 3
Chapter 3 - Concepts of Psychobiology
| Question | Answer |
|---|---|
| . Which disorder is genetically inherited? | Autism |
| A client diagnosed with major depressive disorder asks, “Which part of my brain controls my emotions?” Which nursing response is best? | The limbic system is largely responsible for one’s emotional state.” |
| Which part of the nervous system would the nurse identify as playing a major role during stressful situations? | Sympathetic nervous system |
| Which client statement indicates the nurse’s teaching about the effect of circadian rhythms is effective? | “I’m a morning person, so I get my best work done in the a.m.” |
| . Six months after a client’s spouse and children were killed in a car accident, the client is diagnosed with ulcerative colitis. The nurse should recognize that this situation validates which study perspective? | Psychoneuroimmunology |
| A client who is diagnosed with schizophrenia expresses little emotion and refuses to attend group therapy is influenced by which component of the nervous system? | Neurotransmitters |
| Which diagnostic imaging procedure would the nurse prepare the client for to determine neurotransmitter–receptor interaction? | Positron emission tomography (PET) scan |
| Which neurotransmitter is associated with the fight-or-flight response of a restless, agitated client? | Norepinephrine |
| Which neurotransmitters would the nurse expect to be elevated in a client with a diagnosis of catatonic schizophrenia | Dopamine |
| The client’s therapist stresses the importance of proper sleep, nutrition, and exercise. Which statement is true regarding the rationale for the therapist’s advice? | The client is susceptible to illness due to effects of stress on the immune system. |
| Which mental illness would a nurse identify as being associated with a decrease in prolactin levels? | Schizophrenia |
| Teaching is effective if the students identify which cerebral structure as the “emotional brain?” | Limbic system |
| The nurse understands that abnormal levels of growth hormone may play a role in which disorder? | Anorexia nervosa |
| Which alteration in brain chemistry would the nurse correlate with a client presenting with decreased motor function and memory deficit? | Decreased levels of acetylcholine |
| A decrease in norepinephrine levels plays a significant role in which disorder? | Major depressive disorder |
| Which client diagnosis would the nurse associate with a decrease in gamma-aminobutyric acid (GABA) levels? | Panic disorder |
| . An increase in dopamine activity might play a significant role in the development of which disorder? | Schizophrenia |
| Which student statement indicates that teaching has been effective regarding the function of the monoamine category of neurotransmitters? | “These regulate mood, cognition, and perception.” |
| Learning has occurred when the student identifies that the neurotransmitter serotonin is catabolized by which enzyme? | Monoamine oxidase |
| A client experiencing sleep apnea underwent a sleep study. During stage 3 of sleep, a delta rhythm was recorded. The nurse recognizes that a delta rhythm is characterized by which sleep activity? | Deep and restful sleep |
| Psychotropic medications improve symptoms of mental disorders by acting on which component of the brain? | Neural synapse |
| Which hormone is used experimentally to increase socialization? | Oxytocin |
| Elevated levels of adrenocorticotropic hormone (ACTH) are associated with which symptom? | Psychosis |
| Which information would the nurse include when teaching a client about the causes of anorexia nervosa? Select all that apply. | There is a possible correlation between abnormal secretion of growth hormone and anorexia nervosa. . There is a possible correlation between low levels of gonadotropin and anorexia nervosa. |
| The nurse anticipates the client with an increased thyroid-stimulating hormone (TSH) level will exhibit which symptoms? Select all that apply. | 1. Depression 2. Fatigue |
| Which symptoms would the nurse expect to assess in a client experiencing decreased levels of thyroid hormone? Select all that apply. | 1. Emotional lability 3. Insomnia 4. Restlessness |
| Which concepts are essential to psychiatric-mental health nursing practice? Select all that apply. | 1. Evidence-based outcomes 3. Integration of biological knowledge 4. Psychosocial adaptation and physical functioning |
| Stress and its effect on the immune system are associated with which concepts? Select all that apply. | Physical illness Severity of depression Schizophrenia |