Varcarolis Chapter 3 Quiz
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Questions and Answers

What are neurotransmitters?

  • Neurotransmitters are substances we consume that influence memory and mood.
  • Neurotransmitters protect us from harmful effects of free radicals.
  • Neurotransmitters are natural chemicals that pass messages between brain cells. (correct)
  • How do you feel about having imbalanced neurotransmitters?
  • What does PET stand for?

  • It's a special x-ray that shows structures of the brain.
  • PET means positron-emission tomography. It is a special type of scan that shows blood flow and activity in the brain. (correct)
  • A PET scan passes an electrical current through the brain and shows brain-wave activity.
  • This test uses a magnetic field and gamma waves to identify problem areas in the brain.
  • Which diagnostic procedure should the nurse expect to prepare the patient for differential diagnosis between Alzheimer’s disease and multiple infarcts?

  • CT scan (correct)
  • PET
  • Skull x-rays
  • Single photon emission computed tomography (SPECT)
  • Which part of the central nervous system is most likely dysfunctional for a patient drinking 4 to 6 L of fluid and eating more than 6,000 calories per day?

    <p>Hypothalamus</p> Signup and view all the answers

    Which question should the nurse ask a patient diagnosed with major depressive disorder to assess for disturbances in circadian rhythms?

    <p>What are your worst and best times of the day?</p> Signup and view all the answers

    What effect would be expected from a medication that potentiates the action of gamma-aminobutyric acid (GABA)?

    <p>Reduced anxiety</p> Signup and view all the answers

    Treatment for a patient with memory difficulties might include medications designed to:

    <p>Prevent destruction of acetylcholine</p> Signup and view all the answers

    The nurse should assess a patient taking a drug with anticholinergic properties for inhibited function of which system?

    <p>Parasympathetic nervous system</p> Signup and view all the answers

    What is the result of neurotransmitter inhibitors that block reuptake?

    <p>Increased concentration in the synaptic gap</p> Signup and view all the answers

    What action causes symptoms of restlessness in a patient taking medication for mental illness?

    <p>Dopamine-blocking effects</p> Signup and view all the answers

    In a fearful patient with increased heart rate, which neurotransmitter is likely active?

    <p>Norepinephrine</p> Signup and view all the answers

    For a patient with acute anxiety, which medication group should the patient be taught about?

    <p>Benzodiazepines</p> Signup and view all the answers

    Which medication should the nurse expect to teach a patient hospitalized for severe major depressive disorder?

    <p>Sertraline</p> Signup and view all the answers

    What medication group should the nurse expect for a patient with bipolar disorder displaying aggressiveness?

    <p>Mood stabilizers</p> Signup and view all the answers

    A drug causes muscarinic receptor blockade. What should the nurse assess for?

    <p>Dry mouth</p> Signup and view all the answers

    What should the nurse teach a patient beginning therapy with a phenothiazine medication?

    <p>Report changes in muscle movement.</p> Signup and view all the answers

    What type of medication is paroxetine?

    <p>SSRI</p> Signup and view all the answers

    Anticholinergic side effects are likely when a patient takes which medication?

    <p>Imipramine</p> Signup and view all the answers

    Which instruction has priority when teaching a patient about clozapine?

    <p>Report sore throat and fever immediately.</p> Signup and view all the answers

    Which patient should the nurse monitor closely for fluid and electrolyte imbalance?

    <p>Lithium</p> Signup and view all the answers

    Which receptors, when blocked by medications, contribute to further weight gain?

    <p>H1</p> Signup and view all the answers

    What change in vital signs is likely when encountering a poisonous snake?

    <p>Blood pressure changes from 114/62 to 136/78.</p> Signup and view all the answers

    Which medication belongs to the same group as carbamazepine, lamotrigine, and gabapentin?

    <p>Valproate</p> Signup and view all the answers

    What strategy should the nurse use to ensure a football player remembers a CT appointment?

    <p>Log the appointment into the player's cell phone calendar.</p> Signup and view all the answers

    Which co-morbid health problems require additional monitoring when administering second-generation antipsychotic medication? (Select all that apply)

    <p>Parkinson's disease</p> Signup and view all the answers

    What nonjudgmental questions could the nurse ask about a patient's use of complementary and herbal remedies? (Select all that apply)

    <p>Have you experienced problems from using herbal and prescription drugs at the same time?</p> Signup and view all the answers

    Which structures are most likely involved in memory problems? (Select all that apply)

    <p>Temporal lobe</p> Signup and view all the answers

    What is the best response to the sibling worried about the cost of a functional magnetic resonance image (fMRI) test?

    <p>Some mental illnesses are evident on fMRIs. This test will help us plan the best care for your brother.</p> Signup and view all the answers

    Study Notes

    Neurotransmitters and Their Functions

    • Neurotransmitters are natural chemicals that transmit messages between brain cells.
    • Imbalances in neurotransmitters can impact mental health and mood.

    Diagnostic Procedures

    • PET (positron-emission tomography) scans measure blood flow and activity in the brain, assisting in identifying issues like schizophrenia.
    • CT (computed tomography) scans are used to differentiate conditions such as Alzheimer's disease from multiple infarcts.

    Neuroanatomy and Disorders

    • The hypothalamus regulates functions like fluid intake and hunger; dysfunction can lead to excessive fluid intake and calorie consumption.
    • Disorganized thinking in schizophrenia is often associated with frontal lobe dysfunction.

    Circadian Rhythms in Depression

    • Assessment of circadian rhythm disturbances in patients with major depressive disorder includes understanding their patterns of daily activity.

    Effects of Medications

    • Medications enhancing GABA (gamma-aminobutyric acid) typically result in reduced anxiety.
    • Drugs inhibiting the breakdown of acetylcholine are expected in patients experiencing memory difficulties.

    Side Effects of Mental Health Medications

    • Anticholinergic drugs may lead to inhibited functions of the parasympathetic nervous system, causing symptoms like dry mouth.
    • Dopamine-blocking medication can lead to restlessness and an urge for constant movement.

    Treatment for Anxiety and Depression

    • Benzodiazepines are often prescribed for acute anxiety, while SSRIs (selective serotonin reuptake inhibitors) like sertraline are common for treating major depressive disorder.

    Weight Gain and Mental Health Medications

    • Certain medications that block H1 receptors may contribute to weight gain in patients with schizophrenia.

    Vital Signs and Stress Responses

    • Exposure to stressors, such as encountering a poisonous snake, can lead to increased blood pressure and heart rate as part of the body's fight-or-flight response.

    Medication Groupings and Indications

    • Valproate is categorized with carbamazepine and lamotrigine, which are used for seizure disorders and bipolar disorder.

    Patient Education and Compliance

    • Important to inform patients taking clozapine about the need to report signs of infection, like sore throat and fever, due to potential agranulocytosis.

    Nonjudgmental Patient Communication

    • Asking open-ended questions about herbal remedies allows for better understanding without being judgmental.

    Memory and Brain Structures

    • The hippocampus, amygdala, and temporal lobe are crucial structures involved in memory function.

    Functional Magnetic Resonance Imaging (fMRI)

    • fMRI tests can reveal physical causes for psychiatric symptoms and provide insights for appropriate treatment planning.

    Monitoring for Adverse Effects

    • Special care is necessary for patients on second-generation antipsychotics, especially those with co-morbid conditions like diabetes and hyperlipidemia, which could exacerbate side effects.

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    Description

    Test your knowledge on neurotransmitters and their functions with this set of flashcards based on Varcarolis Chapter 3. Understand the role of neurotransmitters in mental health and how they affect mood and memory through various scenarios.

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