Deck 36: Psychobiology of Behavioral Disorders

Question 1

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

Answer 1

1

Question 2

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

Answer 2

3

Question 3

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.

Answer 3

4

Question 4

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 5

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 6

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 7

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 8

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 9

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

Question 10

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

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

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 13

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.

Question 14

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 15

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.

Question 16

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 17

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 18

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 19

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 20

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

Question 21

The nurse is teaching a client who is on tricyclic antidepressant therapy about managing side effects. Which statements of the client indicate effective learning?
1) "I should drink plenty of water."
2) "I should eat fiber-rich food."
3) "I should include more salt in my diet."
4) "I should avoid night driving."
5) "I should take the drug in the morning."

Question 22

What are the clinical presentations of panic disorder?
1) Chocking
2) Paresthesia
3) Hallucinations
4) Increased heart rate
5) All of the above

Question 23

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

Question 24

The registered nurse is teaching a group of nursing students about the behavior of clients with obsessive-compulsive disorder (OCD). Which response of the student nurse indicates effective learning?
1) "The client with OCD may wash his or her hands frequently."
2) "The client with OCD may not touch objects that are used by others."
3) "The client with OCD may check his or her phone repeatedly to make sure it is locked."
4) "The client with OCD may have and talk about frequent nightmares of his or her friend's accident."
5) All of the above are correct.