When the wife of a client with schizophrenia asks which neurotransmitter is implicated in the
development of schizophrenia, the nurse should state "The current thinking is that the thought
disturbances are related to
a. excess dopamine.".
b. serotonin deficiency.".
c. histamine decrease.".
d. increased ?-aminobutyric acid [GABA].".
ANS: A
Dopamine plays a role in integration of thoughts and emotions, and excess dopamine is implicated in
the thought disturbances of schizophrenia. Option B: Serotonin deficiency is implicated in some
forms of depression. Option C: Histamine decrease is associated with depression. Option D:
Increased GABA is associated with anxiety reduction.
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During an assessment of a 62-year-old man, the nurse notices the patient has a stooped posture, shuffling walk with short steps, flat facial expression, and pill-rolling finger movements. These findings would be consistent with:
a. Parkinsonism. b. Cerebral palsy. c. Cerebellar ataxia. d. Muscular dystrophy.
The nurse is caring for a client in a community clinic who wishes to quit smoking. The client asks the nurse, "If I quit smoking, will my risk of lung cancer be the same as a nonsmoker?" Which is the best response by the nurse?
A) "No one knows for sure what the risk is for someone who quits smoking." B) "Your risk of lung cancer will be equal to that of a non-smoker." C) "Your risk of lung cancer will decline if you quit, but it will remain higher than a non-smoker's." D) "Your risk of lung cancer will never drop because the damage has already been done."
A nurse has been called as a lay witness in a malpractice lawsuit. What information should be provided to the nurse regarding this testimony?
Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Lay witnesses testify to what others have said about the incident under question. 2. The testimony should include opinion on the appropriateness of care provided. 3. These witnesses tell only what has transpired from their perspective. 4. Lay witnesses may answer hypothetical questions for the jury. 5. The lay witness must have a direct connection to the case.
The nurse is caring for a postoperative patient who has had a carpel tunnel repair. The patient has a temperature of 97° F and is shivering. Which of the following is the best reason for this condition?
a. The patient is dressed only in a gown. b. Anesthesia lowers metabolism. c. The surgical suite has laminar flow. d. The open body cavity contributed to heat loss.