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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. "Notify child protective services." Reporting to child protective services is only necessary if there is evidence of abuse, neglect, or an inability to provide adequate care. A diagnosis of borderline personality disorder alone does not warrant an automatic report.
B. "Suggest the children live with other relatives." Encouraging a client to relinquish custody without evidence of an inability to care for the children is not appropriate. Providing support and resources to enhance parenting skills is a more beneficial approach.
C. "Encourage the children to visit the psychiatric unit when the client is leaving." While family involvement is important, exposing young children to a psychiatric unit can be overwhelming and inappropriate. Alternative ways to support parent-child bonding should be considered.
D. "Offer the client information about a support group for parents." Support groups provide a structured environment for clients to share experiences, receive guidance, and develop coping strategies, which can help manage stress and improve parenting skills.
Correct Answer is D
Explanation
A. The blinds in the client's room will need to stay closed to prevent overstimulation. Keeping the blinds closed is not a standard suicide prevention measure. While reducing overstimulation may be helpful for some mental health conditions, suicide prevention focuses more on removing means of self-harm, increasing supervision, and providing therapeutic interventions.
B. Family members should be encouraged to look up the warning signs of suicide. While educating family members about suicide warning signs is beneficial, simply encouraging them to look up the information is insufficient. The nurse should provide direct education and resources to ensure they recognize signs of suicidal ideation and know how to respond appropriately.
C. The client can eat their meal alone in their room. Allowing a suicidal client to eat alone increases the risk of self-harm, as food-related items (such as utensils, plastic bags, or containers) could be misused. Clients at risk for suicide should be supervised during meals to ensure their safety.
D. All sharp objects should be removed from the client's room. Removing sharp objects is a critical component of suicide prevention in inpatient settings. Limiting access to potential means of self-harm, including sharp items, cords, belts, and other dangerous objects, helps reduce the risk of suicide attempts.
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