A nurse is speaking with the parent of a client who is experiencing manifestations of psychosis. The parent states, "I don't understand how a child can experience psychosis." Which of the following responses should the nurse make?
"Recreational drugs that block histamine receptors cause manifestations of psychosis."
"Norepinephrine is a neurotransmitter that is primarily responsible for psychosis."
"Low levels of acetylcholine in the brain may cause manifestations of psychosis."
"Psychosis may be experienced when an individual has excessive amounts of glutamate in the brain."
The Correct Answer is D
A. While some drugs can contribute to psychosis, blocking histamine receptors is not the primary mechanism.
B. Norepinephrine is involved in mood regulation but is not the primary neurotransmitter linked to psychosis.
C. Low levels of acetylcholine are associated with cognitive decline, not specifically psychosis.
D. Excessive amounts of glutamate, an excitatory neurotransmitter, have been linked to the development of psychotic symptoms. This aligns with the understanding of psychosis and its neurochemical basis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Tardive dyskinesia is a potential adverse effect of long-term antipsychotic medication use, characterized by involuntary, repetitive movements, often around the mouth, such as lip smacking, grimacing, and tongue movements.
B. Seizures and tremors can be side effects of some medications but are not specific to tardive dyskinesia.
C. Nausea and vomiting are common side effects of many medications but do not specifically indicate tardive dyskinesia.
D. Hallucinations and delusions are symptoms of psychotic disorders themselves, not side effects of the medications used to treat them.
Correct Answer is C
Explanation
A. Fetal alcohol syndrome is caused by maternal alcohol use during pregnancy and includes a range of physical and cognitive impairments, not opioid withdrawal symptoms.
B. Tolerance refers to the body's reduced response to a drug after prolonged use and does not describe the withdrawal symptoms seen in a newborn.
C. Neonatal abstinence syndrome (NAS) is the condition characterized by withdrawal symptoms in newborns due to exposure to opioids in utero.
D. Substance use disorder describes the condition in the mother, not the withdrawal symptoms in the newborn.
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