A patient presents with anxiety, increased heart rate, and fear. The nurse suspects the activation of which neurotransmitter?
Histamine
Acetylcholine
GABA
Norepinephrine
The Correct Answer is D
Choice A reason: Histamine regulates wakefulness and allergic responses, not anxiety or fear. Its receptors in the brain promote alertness, but excessive histamine does not drive sympathetic activation like increased heart rate. This makes histamine an incorrect choice for the symptoms described, which align with autonomic arousal.
Choice B reason: Acetylcholine mediates parasympathetic responses, like slowing heart rate, not the sympathetic activation seen in anxiety. While it plays a role in attention, it does not primarily cause fear or tachycardia, making it an unsuitable choice compared to norepinephrine’s role in stress responses.
Choice C reason: GABA inhibits neural activity, reducing anxiety via GABA-A receptor activation. Low GABA levels may contribute to anxiety, but the symptoms described (tachycardia, fear) result from sympathetic activation, not GABA excess. This makes GABA incorrect for the neurotransmitter driving these symptoms.
Choice D reason: Norepinephrine, released during stress, activates the sympathetic nervous system, increasing heart rate and inducing fear via locus coeruleus activation. It heightens arousal in the amygdala, contributing to anxiety symptoms. This aligns with the fight-or-flight response, making norepinephrine the correct neurotransmitter for these symptoms.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Predicting individual recovery is not epidemiology’s role. Recovery from disorders like depression depends on neurobiological factors (e.g., serotonin reuptake) and treatment adherence, not population-level trends. Epidemiology focuses on group patterns, not individual outcomes, making this option scientifically inaccurate for understanding mental disorder impact.
Choice B reason: Epidemiology does not provide theoretical explanations for disorder causes. Etiologies of mental illnesses, such as genetic mutations or dopamine imbalances in schizophrenia, are studied through neurobiology and genetics. Epidemiology quantifies disease prevalence and risk factors, not underlying mechanisms, making this option misaligned with its scientific purpose.
Choice C reason: Explaining neurophysiological causes is outside epidemiology’s scope. Neurophysiology, like altered GABA activity in anxiety, is studied via neuroimaging or biochemical assays. Epidemiology identifies disease patterns and risk factors across populations, not causal mechanisms, rendering this option incorrect for describing its role in mental health.
Choice D reason: Epidemiology studies disease distribution and determinants, such as prevalence of depression or risk factors like socioeconomic stress, which influence neurotransmitter imbalances (e.g., serotonin). By analyzing population data, it informs public health strategies, identifies at-risk groups, and guides interventions, making it critical for understanding mental disorder impact scientifically.
Correct Answer is B
Explanation
Choice A reason: Process recordings are for nurse self-reflection, not client analysis. They examine nurse communication, not patient abnormalities. Client communication issues, like disorganized speech in schizophrenia, are assessed clinically, not via recordings, making this option incorrect for the tool’s purpose in psychiatric practice.
Choice B reason: Process recordings analyze the nurse’s communication impact, assessing verbal and nonverbal cues on client responses. Effective communication, processed via mirror neurons, fosters therapeutic alliances, calming amygdala-driven anxiety. This self-evaluation improves nurse effectiveness, aligning with the scientific purpose of process recordings in psychiatric care.
Choice C reason: Identifying client communication abnormalities is a clinical assessment task, not the purpose of process recordings. Recordings focus on nurse interactions, not patient speech patterns, like those in mania. This option misaligns with the tool’s introspective goal, making it incorrect for its intended use.
Choice D reason: Clients exploring alternate techniques is a therapeutic goal, not the purpose of process recordings. Recordings analyze nurse communication, not patient skill-building. Effective nurse responses can reduce stress-related cortisol spikes, but this is secondary, making this option incorrect for the recording’s primary purpose.
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