Deck 36: Psychobiology of Behavioral Disorders

Question 1

The nurse is assessing a client to identify if the client exhibits cognitive impairment. The nurse gives the client a printed test and a pencil and asks that the numbers be connected in proper order. Which test or examination is the nurse administering?
1)Clock drawing test
2)Trail drawing test
3)Mini-Mental Status Exam
4)Short-term memory test

Answer 1

2

Question 2

The nurse reviews the results of positron emission tomography (PET) and single photon positron emission tomography (SPECT) scans performed on a client diagnosed with bipolar disorder. Which result does the nurse expect to find?
1)Increased temporal lobe activity
2)Decreased amygdala volume
3)Decreased response to emotional cues
4)Increased size of the prefrontal cortex

Answer 2

1

Question 3

While reviewing the magnetic resonance imaging (MRI) reports of the brain of an older adult 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. Which 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

A parent 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 suspect in the child?
1)Schizophrenia
2)Obsessive-compulsive disorder (OCD)
3)Post-traumatic stress disorder (PTSD)
4)Bipolar disorder

Question 5

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 6

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. Which interpretation does the nurse make from the observation?
1)The client has tardive dyskinesia.
2)The client has seizures.
3)The client has akathisia.
4)The client is worsening.

Question 7

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

Question 8

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

Question 9

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

Question 10

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

Question 11

The nurse is providing care for a client recently diagnosed with schizophrenia. Which medication does the nurse prepare for the client?
1)Lithium
2)Clozapine
3)Clonidine
4)Methylphenidate (Ritalin)

Question 12

The nurse is providing care for a client being treated for depression. The client has a history of prescription drug addiction but has been drug-free for 18 months. Which medication does the nurse expect the health-care provider to prescribe?
1)Fluoxetine
2)Flupentixol
3)Adderall
4)Haloperidol

Question 13

An older adult client is 24 hours postoperative for abdominal surgery. The client's family is distressed because the client is confused and hallucinating, which is unusual behavior. Which condition does the nurse recognize and provide teaching about to the family members?
1)Dementia
2)Depression
3)Delirium
4)Disorientation

Question 14

The parent of a school-age client comes to a pediatric clinic with concerns from the client's teacher. The parent states, "The teacher thinks he has attention deficit-hyperactivity disorder (ADHD) and he needs medication. I think he is just an energetic child and will settle down without medication." Which concern prompts the nurse to encourage medication therapy?
1)Classroom disruption prevents other children from learning.
2)A lack of treatment will interfere with the client's intellect.
3)The client is at risk for antisocial behaviors later in life.
4)The teachers are better able to teach a medicated child.

Question 15

While assessing a client with nausea and dizziness, the nurse observes shortness of breath and a verbal expression of 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 16

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

Question 17

A client comes to the clinic and states, "I think that I am depressed." When assessed further by the nurse, which comment by the client indicates a diagnosis other than depression?
1)"Sometimes I just don't want people around."
2)"I feel too tired and unhappy to eat or get dressed."
3)"I hear voices in my head about how to cheer up."
4)"I sit in front of the TV without really watching."

Question 18

The nurse is caring for a client presenting with mood and behavioral problems. Which physiological reason does the nurse identify as the cause of the client's problems?
1)The client has reduced catecholamines.
2)The client has reduced serotonin levels.
3)The client has increased levels of dopamine.
4)The client has a gamma amino butyric acid (GABA) deficiency.

Question 19

Which classification of antidepressants does the nurse anticipate to be prescribed for a client diagnosed with premenopausal syndrome?
1)Tricyclic antidepressants
2)Monoamine oxidase inhibitors
3)Selective serotonin reuptake inhibitors
4)Selective norepinephrine reuptake inhibitors

Question 20

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 identify as being affected in the client?
1)White matter
2)Neocortex
3)Prefrontal cortex
4)Amygdala

Question 21

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? Select all that apply.
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."

Question 22

The nurse is teaching a client who is on tricyclic antidepressant therapy about managing side effects. Which statements of the client indicate effective learning? Select all that apply.
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 23

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

Question 24

Which are the clinical presentations of panic disorder? Select all that apply.
1)Choking
2)Paresthesia
3)Hallucinations
4)Increased heart rate
5)Loss of consciousness

Question 25

The nurse is reviewing the prescriptions of several clients. Which client's prescription does the nurse suspect to contain lithium medication?
1)The client with bipolar disorder
2)The client with depression
3)The client with anxiety disorder
4)The client with attention deficit-hyperactivity disorder (ADHD)