Deck 36: Psychobiology of Behavioral Disorders

Question 1

The primary health-care provider prescribes a high dosage of bupropion to a client who has depression.Which other medication does the nurse expect as a prescription for the client?
1)Benzodiazepines
2)Carbamazepine
3)Both A and B
4)None of the above

Answer 1

2

Question 2

The nurse is caring for a client with mood and behavioral problems.What is the reason behind the mood and behavioral problems in the client?
1)The client has reduced catecholamines.
2)The client has reduced serotonin levels.
3)The client has increased levels of dopamine.
4)Both A and C are correct.

Answer 2

2

Question 3

While reviewing the magnetic resonance imaging (MRI)reports of the brain of an elderly client,the nurse finds accumulation of neurofibrillary tangles,senile plaques,and cerebrocortical atrophy of the brain.Upon communicating with the client,the nurse finds that the client has problems related to memory.What does the nurse infer from these findings?
1)The client has Alzheimer's disease.
2)The client has bipolar disorder.
3)The client has schizophrenia.
4)The client has vascular dementia.

Answer 3

1

Question 4

The nurse gives the client a paper and asks him to connect the numbers in proper order,to identify the client's cognitive impairment.Which test or exam is the nurse administering?
1)Clock drawing test
2)Trail drawing test
3)Mini-Mental Status Exam
4)Both A and B

Question 5

A mother tells the nurse,"My child thinks that someone is watching him." On further assessment,the nurse observes disorganized speech in the child.Which disorder does the nurse expect in the child?
1)Schizophrenia
2)Obsessive-compulsive disorder
3)Post-traumatic stress disorder
4)Bipolar disorder

Question 6

A primary health-care provider is asking the client questions pertaining to place,arithmetic,and language use.Which test or exam is the primary health-care provider administering?
1)Mini-Mental Status Exam
2)Trail drawing test
3)Mini-cognitive exam
4)Both A and C

Question 7

Which class of antidepressants does the nurse anticipate in the prescription of a client diagnosed with premenopausal syndrome?
1)Tricyclic antidepressants
2)Monoamine oxidase inhibitors
3)Selective serotonin reuptake inhibitors
4)Selective norepinephrine reuptake inhibitors

Question 8

Which medication is commonly prescribed for a client with schizophrenia?
1)Lithium
2)Clozapine
3)Clonidine
4)Methylphenidate (Ritalin)

Question 9

The primary health-care provider prescribes phenelzine (Nardil)to a client.Which instructions should the nurse provide to the client for safe administration?
1)Avoid taking the medication with cheese.
2)Avoid taking the medication with dried meat.
3)Avoid taking the medication after consuming wine.
4)All the above are correct.

Question 10

The caregiver of a client reports to the nurse that the client has difficulty in decision-making and judgment.Which part of the brain does the nurse suspect to be affected in the client?
1)White matter
2)Neocortex
3)Prefrontal cortex
4)Amygdala

Question 11

The nurse is caring for a client with bipolar depression.Which medication does the nurse expect the primary health-care provider to prescribe to the client?
1)Fluoxetine (Prozac)
2)Clorazepate (Tranxene)
3)Venlafaxine (Effexor)
4)Olanzapine (Zyprexa)

Question 12

A client's spouse reports to the nurse,"My wife is doing odd things.I found her wristwatch in the refrigerator and toothbrush in the sugar bowl." While speaking with the client,the nurse notes the client is disoriented to time,place,and person.Which condition does the nurse suspect in the client from these findings?
1)Echolalia
2)Agnosia
3)Apraxia
4)Apathy

Question 13

The caregiver of a client with dementia reports to the nurse,"I am unable to dress properly these days." Which condition does the nurse expect in this client?
1)Echolalia
2)Agnosia
3)Apraxia
4)Apathy

Question 14

A client with depression has been prescribed fluoxetine (Prozac)by the primary health-care provider.On assessment,the nurse finds that the client has a history of Parkinson's disease.Which condition is most likely to be present in this client?
1)Sundowning
2)Dementia
3)Serotonin syndrome
4)Posttraumatic stress disorder

Question 15

A client with delusions,hallucinations,and disordered thinking was diagnosed with schizophrenia.Which treatment is found to be most beneficial to the client?
1)Drug therapy
2)Psychotherapy
3)Reminiscence therapy
4)Electroconvulsive therapy (ECT)

Question 16

The nurse is caring for a client with schizophrenia who is on haloperidol (Haldol)therapy.During a follow up visit,the nurse observes involuntary movement of the lips,tongue,and face of the client.What does the nurse interpret from the observation?
1)The client has tardive dyskinesia.
2)The client has seizures.
3)The client has akathisia.
4)None of the above

Question 17

Which adverse effects will the nurse suspect in a client who is on benzodiazepines (BNZ)therapy?
1)Fatigue
2)Sedation
3)Slurred speech
4)All of the above

Question 18

While assessing a client with nausea and dizziness,the nurse observes shortness of breath and overwhelming fear.Which disorder does the nurse anticipate from the findings?
1)Panic disorder
2)General anxiety disorder
3)Obsessive-compulsive disorder
4)Posttraumatic stress disorder

Question 19

Which medication does the primary health-care provider prescribe to a client who has opiate addiction?
1)Methylphenidate
2)Disulfiram
3)Haloperidol
4)Methadone

Question 20

A mother reports to the nurse,"My child has taken four tablets of bupropion in a single dose." Which complication does the nurse anticipate in the child?
1)Tachycardia
2)Agitation
3)Seizure
4)All of the above

Question 21

The nurse is caring for a client with dementia in a psychiatric ward.Which signs or symptoms would the client present to the nurse? Select all that apply.
1)Extreme sadness
2)Altered level of consciousness
3)No emotional expression
4)Increased agitation
5)Impaired judgment