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 D
Explanation
A. Speaking softly can be appropriate, but it is more important to use a supportive and empathetic tone, considering the client's comfort.
B. Direct eye contact might be uncomfortable or intimidating for some clients, especially after trauma. It's better to use gentle and respectful communication.
C. Asking open-ended questions about the perpetrator can be overwhelming and intrusive. The focus should be on providing support and listening to the client’s needs.
D. Sitting next to the client can create a sense of closeness and support, as long as it is done respectfully and with the client's consent. This approach fosters a supportive environment.
Correct Answer is C
Explanation
A. Fluoxetine is an SSRI used to treat depression and anxiety disorders, not tardive dyskinesia.
B. Naloxone is an opioid antagonist used to treat opioid overdose, not tardive dyskinesia.
C. Valbenazine is specifically approved for the treatment of tardive dyskinesia and helps reduce the severity of the symptoms.
D. Diphenhydramine is an antihistamine that can be used to treat extrapyramidal symptoms, but it is not effective for tardive dyskinesia.
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