Juan is reviewing the effects of neurotransmitter imbalances in mental health disorders. A decrease in which neurotransmitter is most commonly associated with depression?

Serotonin.

Histamine.

Glutamate.

Norepinephrine.

Answer and Explanation

The Correct Answer is A

Choice A reason: Reduced serotonin levels are strongly associated with depression, as serotonin regulates mood, sleep, and emotional stability. Many antidepressants, such as SSRIs, work by increasing serotonin availability in the brain, supporting its role in depression.

Choice B reason: Histamine is primarily involved in immune responses, wakefulness, and allergic reactions, not mood regulation. It is not commonly linked to depression, making it an incorrect choice.

Choice C reason: Glutamate is an excitatory neurotransmitter involved in learning and memory. While imbalances may play a role in some psychiatric conditions, it is not the primary neurotransmitter associated with depression.

Choice D reason: Norepinephrine is involved in arousal and stress responses, and its dysregulation can contribute to depression. However, serotonin is more consistently and prominently linked to the pathophysiology of depression, making it the better choice.

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Correct Answer is ["A","B","C","E"]

Explanation

Choice A reason: Administering prescribed antipsychotic medication is a priority in acute psychotic episodes to reduce agitation, control hallucinations, and stabilize thought processes. Prompt pharmacologic intervention can prevent escalation of symptoms and potential harm.

Choice B reason: Ensuring a safe environment is essential because patients experiencing psychosis are at increased risk of self-harm or harming others due to delusions and impaired judgment. Safety is always the first priority in emergency psychiatric care.

Choice C reason: Monitoring for side effects of medications is necessary because antipsychotics can cause acute adverse reactions such as dystonia, akathisia, or even neuroleptic malignant syndrome. Early recognition and intervention can prevent complications.

Choice D reason: Leaving the patient alone while highly agitated is unsafe, as the patient may harm themselves or others. Continuous supervision and therapeutic presence are needed.

Choice E reason: Using calm and clear communication builds trust, reduces paranoia, and helps orient the patient. Clear, simple language is effective when the patient’s cognitive processing is impaired.

Choice F reason: Group therapy is inappropriate during acute agitation. The patient must first stabilize before being introduced to therapeutic group settings.

Choice G reason: Ignoring hallucinations and delusions is not therapeutic. While the nurse should not reinforce false beliefs, acknowledging the patient’s feelings and providing reality orientation is best practice.

Choice H reason: Providing detailed explanations about the condition and treatment during acute psychosis is ineffective. The patient is unlikely to process complex information until stabilized.

A. Methadone. B. Risperidone. C. Lithium carbonate. D. Disulfiram.

Correct Answer is A

Explanation

Choice A reason:Methadone is commonly used to manage opioid withdrawal by reducing withdrawal symptoms and cravings. It acts as a long-acting opioid agonist, stabilizing the client and preventing severe withdrawal effects.

Choice B reason:Risperidone is an antipsychotic used for conditions like schizophrenia or bipolar disorder. It has no role in managing opioid withdrawal, as it does not address withdrawal symptoms or opioid dependence.

Choice C reason:Lithium carbonate is used to stabilize mood in bipolar disorder. It is not indicated for opioid withdrawal, as it does not alleviate the physical or psychological symptoms associated with opioid cessation.

Choice D reason:Disulfiram is used to treat alcohol dependence by causing adverse reactions when alcohol is consumed. It has no therapeutic effect on opioid withdrawal and is inappropriate for this situation.

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Juan is reviewing the effects of neurotransmitter imbalances in mental health disorders. A decrease in which neurotransmitter is most commonly associated with depression?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A 25-year-old male with schizophrenia is brought to the emergency department by his family. He is exhibiting severe agitation, auditory hallucinations, and paranoid delusions. What are the nursing priorities for managing this patient in an acute situation? (Select All that Apply.)

Correct Answer is ["A","B","C","E"]

Explanation

A nurse is caring for a client who is withdrawing from opioids. Which of the following medications should the nurse prepare to administer?

Correct Answer is A

Explanation

A nurse in an acute care mental health facility is sitting with a client who has schizophrenia. The client whispers to the nurse, "I'm being kept in this prison against my will. Please try to get me out." Which of the following responses should the nurse make?

A nurse is caring for a client who is experiencing a crisis related to anxiety. Which of the following actions should the nurse take? (Select all that apply).

A nurse is providing care for a client who seems anxious following a recent tragedy. Which of the following statements by the client reflects an adaptive use of sublimation?

Joniief is teaching her patient about the importance of adherence to antipsychotic medication. Which is the most important point she should convey?

A nurse is caring for a client who has schizophrenia who consistently does the opposite of what the nurse asks of him. The nurse recognizes this as which of the following alterations in behavior?

A nurse overhears a client who has schizophrenia talking to herself. The client keeps stating, "The flakalas are here. The flakalas are here." The nurse correctly recognizes the client's use of the word flakala as an example of which of the following alterations in speech?

A client commits suicide in an acute mental health facility. Which of the following is the priority intervention for staff following this incident?