Chapter 1: Neural Sciences Test Bank MULTIPLE CHOICE 1. A patient with depression mentions to the nurse, My mother says depression is a chemical disorder. What does she mean? The nurses response is based on the theory that depression primarily involves which of the following neurotransmitters? 1. Cortisol and GABA 2. COMT and glutamate 3. Monamine and glycine 4. Serotonin and norepinephrine 2. A patient has experienced a stroke (cerebral vascular accident) that has resulted in damage to the Broca area. Which evaluation does the nurse conduct to reinforce this diagnosis? 1. Observing the patient pick up a spoon 2. Asking the patient to recite the alphabet 3. Monitoring the patients blood pressure 4. Comparing the patients grip strength in both hands 3. The patient diagnosed with schizophrenia asks why psychotropic medications are always prescribed by the doctor. The nurses answer will be based on information that the therapeutic action of psychotropic drugs is the result of their effect on: 1. The temporal lobe; especially Wernickes area 2. Dendrites and their ability to transmit electrical impulses 3. The regulation of neurotransmitters especially dopamine 4. The peripheral nervous system sensitivity to the psychotropic medications 4. A student nurse mutters that it seems entirely unnecessary to have to struggle with understanding the anatomy and physiology of the neurologic system. The mentor would base a response on the understanding that it is: 1. Necessary but generally for psychiatric nurses who focus primarily on behavioral interventions 1. A complex undertaking that advance practice psychiatric nurses frequently use in their practice 1. Important primarily for the nursing assessment of patients with brain traumacaused cognitive symptoms 1. Necessary for planning psychiatric care for all patients especially those experiencing psychiatric disorders