A nurse is caring for a client who has sleep dysregulation, poor memory, and poor concentration. When collecting data, which of the following neurotransmitters should the nurse identify as being responsible for the client's manifestations?

Serotonin

Histamine

Dopamine

Norepinephrine

Answer and Explanation

The Correct Answer is A

A. Serotonin. Serotonin plays a crucial role in regulating sleep, memory, and concentration. Low serotonin levels are associated with sleep disturbances, cognitive impairments, and mood disorders such as depression, which can further exacerbate difficulties with memory and focus.
B. Histamine. Histamine primarily regulates wakefulness and alertness but is not the primary neurotransmitter involved in sleep dysregulation, memory, and concentration. While histamine imbalance can contribute to sleep disturbances, it is more commonly linked to allergic responses and arousal states.
C. Dopamine. Dopamine is involved in motivation, reward, and motor control. While dopamine dysfunction can lead to cognitive issues, it is more closely associated with disorders such as Parkinson’s disease and schizophrenia rather than sleep dysregulation and poor memory.
D. Norepinephrine. Norepinephrine is a key neurotransmitter in the body's stress response and alertness regulation. While it influences attention and arousal, its dysregulation is more commonly linked to anxiety and hypervigilance rather than the described symptoms.

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Correct Answer is A

Explanation

A. Suspiciousness of others: Paranoid personality disorder is characterized by pervasive distrust and suspicion of others, leading to difficulty forming relationships. Clients may misinterpret benign actions as malicious and hold long-standing grudges.
B. Requiring frequent reassurance from others: This is more characteristic of dependent personality disorder, where individuals struggle with self-confidence and rely on others for decision-making and emotional support.
C. Inflated sense of self: This is commonly seen in narcissistic personality disorder, where individuals display grandiosity, a need for admiration, and a lack of empathy for others.
D. Lack of feelings of remorse: This trait is associated with antisocial personality disorder, where individuals exhibit disregard for the rights of others, manipulative behavior, and a lack of guilt or remorse for their actions.

A. Seeking a tutor for help with a challenging class B. Volunteering to serve food at a homeless shelter over the holidays. C. Displaying extreme mood swings D. Making plans to go to the prom

Correct Answer is C

Explanation

A. Seeking a tutor for help with a challenging class. Seeking academic support is a positive coping strategy and does not indicate a risk for suicide. Students struggling with schoolwork may experience stress, but tutoring reflects problem-solving behavior and a willingness to improve academically.
B. Volunteering to serve food at a homeless shelter over the holidays. Engaging in community service is generally a sign of social involvement and purpose. While sudden changes in behavior could be concerning, volunteering itself is not a warning sign of suicide and may indicate a sense of fulfillment.
C. Displaying extreme mood swings. Extreme mood swings can indicate emotional instability, a key warning sign of suicide. Drastic changes in mood, especially from deep sadness to sudden calmness, may suggest suicidal intent and should be taken seriously by caregivers and peers.
D. Making plans to go to the prom. Making future plans typically reflects hope and engagement in life. However, if a student suddenly makes farewell plans, withdraws from social activities, or gives away belongings, it may be a concerning sign that requires further assessment.

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A nurse is caring for a client who has sleep dysregulation, poor memory, and poor concentration. When collecting data, which of the following neurotransmitters should the nurse identify as being responsible for the client's manifestations?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a client who has paranoid personality disorder. Which of the following findings should the nurse expect?

Correct Answer is A

Explanation

A school nurse is assisting in the planning a presentation on identifying potential warning signs of suicide for high school students. Which of the following examples of behaviors should the nurse include in the presentation?

Correct Answer is C

Explanation

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