Chapters 3, 10, and 15 P.Q.'s Flashcards Preview

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Flashcards in Chapters 3, 10, and 15 P.Q.'s Deck (15):
1

A nurse administering a benzodiazepine should understand that the therapeutic effect of benzodiazepines results from potentiating the neurotransmitter:

a.) GABA

b.) dopamine

c.) serotonin

d.) acetylcholine

e.) a and c 

a.) GABA

2

Venlafaxine (Effexor) exerts its antidepressant effect by selectively blocking the reuptake of:

a.) GABA.

b.) dopamine

c.) serotonin

d.) norepinephrine

e.) c and d 

e.) c and d 

3

The nurse administers each of the following drugs to various patients. The patient who should be most carefully assessed for fluid and electrolyte imbalance is the one receiving:

a.) lithium

b.) clozapine

c.) diazepam

d.) amitriptyline 

a.) lithium

4

Which drug group calls for nursing assessment for development of abnormal movement disorders among individuals who take therapeutic dosages?

a.) SSRIs

b.) Antipsychotics

c.) Benzodiazepines

d.) Tricyclic antidepressants 

b.) Antipsychotics

5

Blockage of dopamine transmission can lead to increased pituitary secretions of prolactin. In women, this hyperprolactinemia can result in:

a.) dry mouth

b.) amenorrhea

c.) increased production of testosterone

d.) blurred vision 

b.) amenorrhea

6

You are caring for a patient who is experiencing a crisis. Which symptoms would indicate that the patient is in the stage of alarm?

a.) Constricted pupils

b.) Dry mouth

c.) Decrease in heart rate

d.) Sudden drop in blood pressure 

b.) Dry mouth

7

If it is determined that a patient will benefit from guided imagery, what teaching should you provide?

a. Focus on a visual object or sound.

b. Become acutely aware of your breathing pattern.

c. Envision an image of a place that is peaceful.

d. Develop deep abdominal breathing. 

c. Envision an image of a place that is peaceful.

8

Neal, age 30, will be undergoing biofeedback. Which statement by Neal indicates a need for further teaching?

a.) “This will measure my muscle activity, heart rate, and blood pressure.”

b.) “It will help me recognize how my body responds to stress.”

c.) “I will feel a small shock of electricity if I tell a lie.”

d.) “The instruments will know if my skin temperature changes.” 

b.) “It will help me recognize how my body responds to stress.”

9

Your 39- year-old patient, Samantha, who was admitted with anxiety, asks you what the stress-relieving technique of mindfulness is. The best response is:

a.) Mindfulness is focusing on an object and repeating a word or phrase while deep breathing

b.) Mindfulness is progressively tensing, then relaxing, body muscles

c.) Mindfulness is focusing on the here and now, not the past or future, and paying attention to what is going on around you

d.) Mindfulness is a memory system to assist you in short-term memory recall

c.) Mindfulness is focusing on the here and now, not the past or future, and paying attention to what is going on around you

10

Which of the following are believed to help individuals mediate, or lessen, the effects of stress? Select all that apply.

a.) Spirituality and/or religious beliefs

b.) Wealth

c.) Higher education level

d.) Social support

e.) Culture 

a, d, e

a.) Spirituality and/or religious beliefs

d.) Social support

e.) Culture 

11

Which of the following statements are correct regarding obsessive- compulsive disorder (OCD)? Select all that apply.

a.) Obsessions are repetitive thoughts, whereas compulsions are ritualistic behaviors.

b.) OCD symptoms can start as early as 3 years of age.

c.) OCD patients often have difficulty sleeping.

d.) Schizophrenia often occurs comorbidly with OCD.

e.) There is a tool (scale) to measure compulsive behaviors.

f.) Patients diagnosed with OCD are at higher risk for suicide than patients with depression. 

a, b, c, e

a.) Obsessions are repetitive thoughts, whereas compulsions are ritualistic behaviors.

b.) OCD symptoms can start as early as 3 years of age.

c.) OCD patients often have difficulty sleeping.

e.) There is a tool (scale) to measure compulsive behaviors. 

12

Since learning that he will have a trial pass to a new group home tomorrow, Luke’s usual behavior has changed. He has started to pace, has become distracted, and is breathing rapidly. He has trou- ble focusing on anything other than the group home issue and complains that he suddenly feels nauseated. Which initial nursing response is most appropriate for Luke’s level of anxiety?

a.) “You seem anxious. Would you like to talk about how you are feeling?”

b.) “If you do not calm down, I will have to give you prn medicine to help you.”

c.) “Luke, slow down. Listen to me. You are safe. Take a deep breath, and let’s go to a quieter place.”

d.) “We can delay the visit to the group home if that would help you calm down.” 

c.) “Luke, slow down. Listen to me. You are safe. Take a deep breath, and let’s go to a quieter place.”

13

Michael seems to be angry when his family fails to visit him in the hospital as promised. However, he tells you that he is fine and that the visit wasn’t important to him. When you suggest that perhaps he might be disappointed or even a little angry that the family has again let him down, the patient responds that it is his family that is angry, not him, or else they would have visited. What defense mechanism(s) is this patient using to deal with his feelings? Select all that apply.

a.) Rationalization

b.) Projection

c.) Regression

d.) Denial

e.) Dissociation

a, b, d

a.) Rationalization

b.) Projection

d.) Denial

14

A variety of medications are used in the treatment of severe anxiety disorders. Which class of medication used to treat anxiety is potentially addictive?

a.) Selective serotonin reuptake inhibitors (SSRIs)

b.) Beta-blockers

c.) Antihistamines

d.) Buspirone

e.) Benzodiazepines 

e.) Benzodiazepines

15

A disorder in which one experiences fear of being in places or situations from which escape might be difficult or embarrassing or in which help might not be available if a panic attack occurs is called _______. 

agoraphobia