Part 3 Flashcards

1
Q

Patient Arvin, in his first week of antipsychotic therapy have seen to manifest oculogyric crisis which is accompanied with dystonia. The nurse will evidently observe which of the following definitive features:

A. twisted head and neck
B. eyes rolled back in a locked position
C. tightness of the entire body

A

B. eyes rolled back in a locked position

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2
Q

Nurse Gian noticed his schizophrenic patient agitated and restless with rigid posture and gait and walks in front of the station to and fro. This is a side effect of the medication regimen called:

A. tardive dyskinesia
B. akathisia
C. hypertensive crisis O dystonia

A

A. tardive dyskinesia

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2
Q

While nurse Joan is having her rounds before lunch time, she noticed Patient Lyka at the corner of the room stooped posture, festinating gait and pill-rolling movements on thumb and fingers. This is a manifestation of:

A. Extrapyramidal side effects
B. neuroleptic malignant syndrome
C. hypertensive crisis
D. Pseudoparkinsonism

A

D. Pseudoparkinsonism

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3
Q

Nurse Eugene referred her patient to the physician because of manifestation of extrapyramidal side effects. She expects that the doctor will prescribe?

A. Fluoxetine (Prozac) 40 mg OD
B. Imipramine (Tofranil) 80 mg TID
C. Lorazepam (Ativan) 2 mg TID
D. Aripiprazole (Abilify) 40 mg OD

A

D. Aripiprazole (Abilify) 40 mg OD

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4
Q

The attending doctor noticed that the patient has tricyclic overdose. He instructed the nurse to perform administration and evacuation of small amount of fluids through an orogastric tube. This procedure is:

A. gastric lavage
B. gastric gavage
C. gastric bypass
D. NGT insertion

A

A. gastric lavage

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5
Q

The patient is taking Monoamine Oxidase Inhibitors for almost 3 weeks since admission. The nurse instructed visitors of Patient Mario is prohibited to eat which among the following foods (SATA):

A. banana which rich in potassium
B. chicken liver cooked in butter
C. cottage cheese
D. yogurt
E. avocado

A

all

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6
Q

Patient Arnold missed his 8 am dose of Selective Serotonin Reuptake Inhibitor or SSRI this morning. The nurse instructed Patient Arnold that he can still take the missed dose after:

A. 3 hours
B. 3 days
C. 8 hours
D. 8 days

A

C. 8 hours

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6
Q

Patient Leonel was diagnosed with bipolar disorder. His doctor upon admission ordered Lithium Carbonate. Which of the following statements of the patient means that he did not understand the instruction of the nurse in regards to Lithium Carbonate regimen?

A. “I will take my lithium with my lunch meal”
B. “I will avoid drinking alcohol containing food or beverages”
C. “I will take my pill with my favorite sandwich, cup of coffee and tea”
D. “I will take my medicine at 10 a because I forgot to take it at 8am”

A

C. “I will take my pill with my favorite sandwich, cup of coffee and tea”

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7
Q

A client taking lithium reports vomiting, abdominal pain, diarrhea, blurred vision, tinnitus and tremors. The lithium level is 2.5 mEq/L. The nurse plans care based on which representation level?

A. mild
B. moderate
C. severe
D. toxicity level

A

D. toxicity level

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8
Q

During her duty, student nurse Katrina was being asked by the patient as to how important is the frontal lobe in her everyday life. Which of the following statement of the student nurse needs correction?

A. personality and behavioral traits that are uniquely human emanates here.
B. it decodes visual signal and information.
C. frontal lobe make sense of your memories and emotions.
D. it is responsible for attention and executive decisions.

A

B. it decodes visual signal and information.

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9
Q

In the middle of her discussion with her groupmates, Joelle was trying to recall a brain structure that is responsible for semantic interpretation of words either written or spoken. Which of the following lobes of the brain with specific structure would you pick for her?

A. Parietal lobe and the nucleus accumbens.
B. Occipital lobe with putamen
C. Temporal lobe and the Wernicke’s area
D. Frontal Lobe with Brocka’s area

A

C. Temporal lobe and the Wernicke’s area

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10
Q

While having her duty in Neuro ICU, student Nurse Jonelle was trying her best to explain to the patient the drug action given to him. It seemed that the stroke patient understood her explanation and even kept on nodding yet, Jonelle cannot hear his patient say a word or even open his lips. What could be the specific neurobiological meaning of the patient gesture?

A. Stroke damaged his Wernicke’s area.

A

A. Stroke damaged his Wernicke’s area.

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11
Q

While drawing the Limbic system in the google classwork activity, Quincy must decide which of the following subcortical structure of the brain must she exclude?

A. pons
B. hippocampus
C. amygdala
D. hypothalamus

A

A. pons

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12
Q

During the Psychiatric nursing club quiz bee, student nurse Gerard was able to name the 6 basal ganglia group. At this point he must eliminate the disability not related to basal ganglia, then what would it be?

A. Tourette’s disease
B. Parkinson’s diseases
C. Huntington’s disease
D. Alzheimer’s disease

A

D. Alzheimer’s disease

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13
Q

During their synchronous meeting, Anicee was called to recite on the functions of the cerebellum. As she pulled her notes from her file, which of the following cerebellar function would she exclude?

A. piano playing
B. gymnastic skills
C. hitting a home run in baseball.
D. speech and literary prowess

A

D. speech and literary prowess

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14
Q

All but one refers to neurotransmitter properties:

A. It is released from the presynaptic neuron under several physiological condition.
B. It is rapidly removed from the synaptic cleft by uptake or degradation.
C. it is synthesized in the synaptic cleft and being released in the neuronal glial cells.
D. as it binds to the receptor it elicits a biological response

A

C. it is synthesized in the synaptic cleft and being released in the neuronal glial cells.

15
Q

Prior to his prelim examination, Aundrea is memorizing concepts in Neurotransmitter. She seemed to be mixing words and concept. Which one would you tell her to be correct?

A. GABA is a neurotransmitter of CALM.
B. Serotonin is a neurotransmitter of PLEASURE.
C. Adrenalin is a neurotransmitter of MOOD.
D. Glutamate is a neurotransmitter of LEARNING

A

B. Serotonin is a neurotransmitter of PLEASURE.

16
Q

Norwehlin is trying to seek clarification with nurse Alanna as to what neurotransmitter and under what circumstance causes his delusions and hallucination. Nurse Alanna’s reply should be?

A. GABA deficit is the culprit for hallucination and delusion.
B. Flooding of dopamine coming from substantia nigra to cortical pathways causes delusion and hallucination.
C. Non synthesis of glutamate and norepinephrine pave the way for delusions and hallucination.

A

B. Flooding of dopamine coming from substantia nigra to cortical pathways causes delusion and hallucination.

17
Q

Patient Viva is severely depressed near to the point of committing suicide, before giving medication student nurse Daisyree was reminded of the neurotransmission complexity. If her memory serves her correct, then the explanation would be?

A. mono amine serotonin, dopamine & noradrenalin depletion is the culprit for depression.
B. excessive glutamate, GABA and acetylcholine could be the primary reason.
C. it is nothing but the mixing of all neurotransmitter except serotonin that makes us smile.
D. mono amine serotonin, GABA and epinephrine are excessively produced in the basl ganglia

A

A. mono amine serotonin, dopamine & noradrenalin depletion is the culprit for depression.

18
Q

Cherry Mae is experiencing fear and panic because until now she hasn’t read anything in his NCM 117 class. Her classmates understood very well what she is going through. This could be explained as.

A. major excitatory glutamate failed to synthesize.
B. her stressful situation relates to a decreased or declined GABA.
C. Noradrenalin is not connecting the electro-chemical signal.
D. endorphins have altered the synaptic cleft transmission

A

B. her stressful situation relates to a decreased or declined GABA.

19
Q

Serotonin: Mood while Noradrenaline: ______?

A. memory
B. concentration
C. learning
D. pleasure

A

B. concentration

19
Q

The neurologist ordered MRI brain scan to patient Riz Shem. Before the patient is being brought to MRI department the nurse should be reminded of the following precautions which excludes?

A. checking of any metallic orthopedic appliances in the body of the patient.
B. giving a fluid mouthful and a bladder full preparation.
C. checking for any claustrophobic condition
D. giving of earplug and an advance precaution of annoying noise inside the gantry.

A

B. giving a fluid mouthful and a bladder full preparation.

20
Q

Brain Psychopathology particularly brain metabolic activity can best be delineated via an advance brain imaging technological innovation called?

A. doppler ultrasound
B. PET and SPECT
C. endoscopy and conventional tomography

A

B. PET and SPECT

21
Q

Computed Tomography of the brain can best be described as:

A. the most advance Neuro diagnostic imaging tool.
B. capable of producing a cross-sectional slice of brain by the use of precise X- ray beam.
C. intended for a dynamic and metabolic brain activity diagnosis.
D. it is the most accurate and precise brain imaging technology for psychiatric patient

A

B. capable of producing a cross-sectional slice of brain by the use of precise X- ray beam.

22
Q

Which of the following applications of DSM-5 plays most important role in our study of Psychiatric Nursing?

A. Medical - Insurance reimbursement services
B. reference for Medico-legal case
C. understanding of maladaptive behavior, treatment & intervention.
D. basis for confidentiality clause in the confinement and rehabilitation process

A

C. understanding of maladaptive behavior, treatment & intervention.