NURS 661 Maryville EXAM 1 Latest Questions and Answers (2024 / 2025) (Verified by Expert)
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NURS 661 Maryville EXAM 1 Questions and Answers
(Verified Answers)
1.The nurse prepares to assess a patient diagnosed with major depression
for disturbances in circadian rhythms. Which question should the nurse
ask this patient?
a. Have you ever seen or heard things that others do not?
b.What are your worst and best times of the day?
c. How would you describe your thinking?
d. Do you think your memory is failing?
: Answer: B
2.The nurse is serving on a committee charged with reviewing the roles
and responsibilities of the nurses on the psychiatric unit. Which
publication should the nurse bring to the first meeting?
- Diagnostic and Statistical Manual of Mental Disorders
- American Nurses Credentialing Center certification requirements
- American Nurses Association, Code of Ethics
- Psychiatric Mental Health Nursing Standards of Practice
: Answer: 4
3.The psychiatric mental health nurse reflecting on professional role
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activities is referred to the standards of professional performance by a
colleague. To which organization should the nurse look for guidance?
- North American Nursing Diagnosis Association
- American Nurses Credentialing Center
- National League for Nursing
- American Nurses Association
: Answer: 4
4.The psychiatric mental health nurse is working with the new graduatenurse who is orienting to the psychiatric unit. Which comment by the newgraduate indicates further clarification of the generalist-nursing role isneeded? - I would feel better if you would look at my documentation that addresses
progress toward treatment goals. - I will spend time each day evaluating the effectiveness of the therapeutic
milieu. - I am a little nervous about conducting psychotherapy with clients.
- I am doing some reading on how to incorporate complementary interventions into treatment plans.
: Answer: 3
5.The client on the psychiatric unit is asking questions about prevention of
sexually transmitted diseases. Given the PsychiatricMental Health Nursing
Standards of Practice, which action would be most appropriate for the
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nurse to take at this time?
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- Consult with the mental health care team.
2.Teach safer sexual practices. - Investigate the questions in individual psychotherapy.
- Notify the attending psychiatrist.
: Answer: 2
6.The client asks the nurse if certain changes can be made in the unit
milieu. Which action by the nurse indicates understanding of the nursing
role in the therapeutic milieu?
1.The nurse refers the clients requests to the psychiatric social worker.
2.The nurse discusses the desired changes with the client.
3.The nurse refers the clients requests to the psychosocial
rehabilitation worker.
4.The nurse instructs the client that no changes can be made.
: Answer: 2
7.Due to a staff members absence, the nurse is reviewing staff assignmentsfor the day. Which task can the nurse delegate to the psychosocialrehabilita- tion worker? - Conflict resolution teaching to a small group of clients
- Comparison of physicians orders with the medication records
- Routine medication administration to a stable client
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You are caring for Vanessa, a 38-year-old client with major depression. She has just met with her provider. She states to you, “My provider said something about the medicine she is ordering working on my neurotransmitters. What exactly are neurotransmitters?” Your best response is:
a. Neurotransmitters are chemical messengers in the brain that help regulate specific functions.”
b. “Neurotransmitters are too complicated to explain easily. Just know that the medication will help your mood.”
c. “Neurotransmitters are the reason you are depressed.”
d. “I will ask your provider to give you a more in-depth explanation.”
A
Vanessa’s provider writes orders including medication to treat her depression. Based on current understanding of brain physiology, which of the following neurotransmitters would you expect to see targeted with the medication ordered?
A. dopamine
B. GABA
C. serotonin and norepinephrine
D. acetylcholine
c
The term pharmacodynamics refers to the effect of the drug on the body, while pharmacokinetics refers to:
a. the effect of the drug specifically on the brain and movement.
b. the effect of the person on the drug.
c. the effect of the drug on children and adolescents.
d. the effect of the drug on the half-life and ability of the liver to excrete.
B
A client with a long history of hypertension and diabetes now develops confusion. The health care provider wants to make a differential diagnosis between Alzheimer’s disease and multiple infarcts. Which diagnostic procedure should the nurse expect to prepare the client for first?
a. Skull x-ray
b. Computed tomography (CT) scan
c. Positron-emission tomography (PET)
d. Single photon emission computed tomography (SPECT)
B
The nurse prepares to assess a client diagnosed with major depression for disturbances in circadian rhythms. Which question should the nurse ask this client?
A. “Have you ever seen or heard things that others do not?”
B. “What are your worst and best times of the day?”
C. “How would you describe your thinking?”
D. “Do you think your memory is failing?”
B
The therapeutic action of neurotransmitter inhibitors that block reuptake cause:
A. decreased concentration of the blocked neurotransmitter in the central nervous system.
B. increased concentration of the blocked neurotransmitter in the synaptic gap.
C. destruction of receptor sites specific to the blocked neurotransmitter.
D. limbic system stimulation.
B
A client’s history shows drinking 4 to 6 liters of fluid and eating more than 6,000 calories per day. Which part of the central nervous system is most likely dysfunctional for this client?
A. Amygdala
B. Parietal lobe
C. Hippocampus
D. Hypothalamus
D
A client has fear as well as increased heart rate and blood pressure. The nurse suspects increased activity of which neurotransmitter?
A. Gamma-aminobutyric acid (GABA)
B. Acetylcholine
C. Norepinephrine
D. Histamine
C
A client has acute anxiety related to an automobile accident 2 hours ago. The nurse should teach the client about medication from which group?
A. Tricyclic antidepressants
B. Antipsychotic drugs
C. Antimanic drugs
D. Benzodiazepines
D
By which mechanism do selective serotonin reuptake inhibitors (SSRI) improve depression?
A. Making more serotonin available at the synaptic gap
B. Destroying increased amounts of serotonin
C. Increasing production of acetylcholine and dopamine
D. Blocking muscarinic and α1 norepinephrine receptors
A